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通过尸体内镜解剖进行额隐窝解剖学研究。

Frontal recess anatomy study by endoscopic dissection in cadavers.

作者信息

Lessa Marcus Miranda, Voegels Richards Louis, Cunha Filho Bernardo, Sakae Flavio, Butugan Ossamu, Wolf Gerald

机构信息

FMUSP.

出版信息

Braz J Otorhinolaryngol. 2007 Mar-Apr;73(2):204-9. doi: 10.1016/s1808-8694(15)31067-3.

DOI:10.1016/s1808-8694(15)31067-3
PMID:17589728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9450614/
Abstract

INTRODUCTION AND AIMS

The frontal sinus ostium is frequently difficult to recognize because of anatomical structures that hide it. The objective of the present study was to identify and describe the frontal recess anatomy that impairs the endoscopic recognition of the frontal sinus ostium.

STUDY DESIGN AND METHODS

A prospective study was conducted by consecutive endoscopic dissections of 32 cadavers (59 sides), 10 (31.25%) females and 22 (68.75%) males. After resection of the lower portion of the uncinate process, with preservation of its upper insertion, we evaluated which anatomical structures needed to be removed for complete visualization of the frontal sinus ostium.

RESULTS AND CONCLUSIONS

Visualization of the frontal sinus ostium after resection of the lower portion of the uncinate process was possible in only 11 (18.64%) nasal cavities. The uncinate process (terminal recess) was the main anatomical structure that impaired the recognition of the frontal sinus ostium, present in 45 (76.27%) nasal cavities, followed by the ethmoid bulla (16.95%) and agger nasi cells (6.78%).

摘要

引言与目的

由于存在隐藏额窦开口的解剖结构，额窦开口常常难以辨认。本研究的目的是识别并描述影响额窦开口内镜识别的额隐窝解剖结构。

研究设计与方法

对32具尸体（59侧）进行连续内镜解剖，开展一项前瞻性研究，其中女性10例（31.25%），男性22例（68.75%）。在切除钩突下部并保留其上部附着后，我们评估了为完整显露额窦开口需要移除哪些解剖结构。

结果与结论

仅11个（18.64%）鼻腔在切除钩突下部后能够显露额窦开口。钩突（终末隐窝）是妨碍识别额窦开口的主要解剖结构，在45个（76.27%）鼻腔中存在，其次是筛泡（16.95%）和鼻丘气房（6.78%）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/bcc51d8af554/gr5b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/1554ecc66509/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6852912b23a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/e03f085cda68/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6279a623f0ed/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/b9dc8f1dbb7f/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/9ddf4e9410c6/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/ca373f63e5cc/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/9029e71f6b61/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6aaeac03620d/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/aa1d1f696ae6/gr5a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/bcc51d8af554/gr5b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/1554ecc66509/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6852912b23a1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/e03f085cda68/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6279a623f0ed/fx2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/b9dc8f1dbb7f/fx3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/9ddf4e9410c6/gr3a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/ca373f63e5cc/gr3b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/9029e71f6b61/gr4a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/6aaeac03620d/gr4b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/aa1d1f696ae6/gr5a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac27/9450614/bcc51d8af554/gr5b.jpg

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