Lerdlum Sukalaya, Vachiranubhap Busakorn
Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2005 Sep;88 Suppl 4:S110-5.
Screening sinus computed tomography (SCCT) of 133 patients performed from March 2003 to February 2004, were retrospectively reviewed, concerning anatomic variation at ostiomeatal unit (OMU) and nasal septal deviation. Six patterns of inflammatory sinus disease were designated: maxillary infundibulum, nasofrontal duct, OMU, sphenoethmoidal recess, polyposis and sporadic. The most common anatomic variation was concha bullosa (14.3%), followed by Haller cell (9.4%), large Agger nasi cell (7.9%) and paradoxical middle turbinate (5.3%). Nasal septal deviation was presented in 75 patients (56.4%). Inflammatory sinus disease was presented in 181 lateral nasal walls (68%) and maxillary infundibular pattern was the most common (33.1%). There was significant correlation between large Agger nasi cell and nasofrontal duct pattern (p < 0.05). The remaining anatomic variations and nasal septal deviation had no significant correlation to the inflammatory sinus disease. Overall, the anatomic variation which can compromise the mucociliary drainage was frequently observed, however, only the large Agger nasi cell had significant correlation to the inflammatory sinus disease.
回顾性分析了2003年3月至2004年2月期间对133例患者进行的鼻窦计算机断层扫描（SCCT），内容涉及窦口鼻道复合体（OMU）的解剖变异和鼻中隔偏曲。确定了六种炎性鼻窦疾病模式：上颌窦漏斗、鼻额管、OMU、蝶筛隐窝、息肉病和散发性。最常见的解剖变异是泡状鼻甲（14.3%），其次是Haller气房（9.4%）、大筛泡（7.9%）和反常中鼻甲（5.3%）。75例患者（56.4%）存在鼻中隔偏曲。181个鼻侧壁（68%）出现炎性鼻窦疾病，其中上颌窦漏斗模式最为常见（33.1%）。大筛泡与鼻额管模式之间存在显著相关性（p<0.05）。其余解剖变异和鼻中隔偏曲与炎性鼻窦疾病无显著相关性。总体而言，常观察到可影响黏液纤毛引流的解剖变异，然而，只有大筛泡与炎性鼻窦疾病有显著相关性。
