Etiopathogenesis of Rhinosinusitis in Relation to Ethmoid Anatomy

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. RG Aiyer
2. VK Pandya
3. GB Soni
4. PJ Dhameja
5. Mayank Patel
6. Rahul Gupta
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1020
Volume
3
Issue
1
Publishing Year
2010
Pages
5
Author Affiliations
    1. Govt. Medical College and SSG Hospital, Vadodara, Gujarat, India
    2. University of Vermont; Alice Hyde Medical Center, Malone, NY, USA
    3. Beth Israel Deaconess Hospital, Beth Israel Deaconess Medical Center; Harvard Medical School; University of Vermont, USA
    4. RMM Global Hospital Trauma Centre, Shantivan, Rajasthan, India
    1. Department of ENT and Head and Neck Surgery, SSG Hospital and Medical College Baroda, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, SSG Hospital and Medical College Baroda, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, SSG Hospital and Medical College Baroda, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, SSG Hospital and Medical College Baroda, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, SSG Hospital and Medical College Baroda, Gujarat, India
  • Article keywords
    Rhinosinusitis, concha bullosa, anatomical variations, FESS

    Abstract

    Objectives

    The purpose of this study was to determine the prevalence of anatomical variations of the ethmoid sinus in patients with rhinosinusitis. This was done to assess and evaluate the significance of the anatomical variations of the ethmoid in the genesis of inflammatory sinus disease.

    Material and methods

    We reviewed 50 patients with rhinosinusitis, of which 38(76%) had anatomical variations of ethmoid and the extent of mucosal disease.

    Results

    Concha bullosa was found to be the most common anatomic variation and was seen in 25(50%) patients closely followed by variations in the uncinate process, paradoxically bend middle turbinate. The most commonly affected paranasal sinus was maxillary sinus (84%) followed by anterior ethmoidal sinus, posterior ethmoidal sinus, frontal sinus and sphenoid sinus in descending order.

    Conclusion

    Anatomical variations of the ethmoid sinuses are important etiological factors in the genesis of inflammatory sinus disease.

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