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筛额角:鼻窦手术中一个新的解剖学和放射学标志。

The ethmo-frontal angle: a new anatomic and radiologic landmark for use in sinus surgery.

作者信息

Becker Samuel S, Beddow Peter A, Duncavage James A

机构信息

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Otolaryngol Head Neck Surg. 2009 May;140(5):762-3. doi: 10.1016/j.otohns.2008.12.043. Epub 2009 Mar 9.

Abstract

OBJECTIVE

To identify anatomic and radiologic landmarks to assist with frontal sinus surgery.

STUDY DESIGN

Retrospective review.

SUBJECTS AND METHODS

Sinus CT scans of 50 patients were evaluated with respect to a new radiologic and anatomic landmark, the ethmo-frontal angle (EFA).

RESULTS

Right-sided EFA ranged from 135 to 171 degrees. Left-sided EFA ranged from 136 to 167 degrees. Measurements of both sides displayed a normal distribution. When right and left sides within individuals were compared, there was no correlation to indicate a high degree of variation between any particular patient's right and left side EFA.

CONCLUSION

The EFA is a new landmark to assist otolaryngologists during surgery on and around the frontal sinus. Normal values for this angle have been presented. Surgeons should be aware that asymmetry in a patient's EFA is common, and each side should be examined individually.

摘要

目的

确定有助于额窦手术的解剖学和放射学标志。

研究设计

回顾性研究。

研究对象与方法

对50例患者的鼻窦CT扫描进行评估,以确定一个新的放射学和解剖学标志——筛额角(EFA)。

结果

右侧EFA范围为135至171度。左侧EFA范围为136至167度。两侧测量结果呈正态分布。当比较个体的左右两侧时,没有相关性表明任何特定患者的左右侧EFA之间存在高度差异。

结论

EFA是一种新的标志,可在额窦及其周围手术期间协助耳鼻喉科医生。已给出该角度的正常值。外科医生应意识到患者EFA的不对称很常见,每一侧都应单独检查。

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