Scutariu M D, Bâldea V
Département d'anatomie, faculté de pharmacie, université de médecine et de pharmacie, Gr.T.Popa Iaşi, rue Universităţii 16, Iaşi, Roumania.
Morphologie. 2010 Aug;94(306):51-7. doi: 10.1016/j.morpho.2010.03.003. Epub 2010 Aug 4.
The anatomy of the paranasal sinuses is variable and it is important to appreciate their clinical and surgical significance. During both posterior ethmoid and sphenoid sinus surgery, but also for endoscopic approach of pituitary, a good knowledge of the anatomy is essential for understanding the pathological process and to prevent surgical complications (optic nerve, internal carotid artery injury during surgery). Although coronal Computerized Tomography (CT) is the routine procedure performed for functional endoscopic sinus surgery (FESS), axial CT is most useful in demonstrating the anatomy of the posterior ethmoid and the sphenoid sinus. The authors comment the posterior ethmoid cells and its variable relationship with the sphenoid sinus and its intimate association with the optic nerve, for using a pictorial axial CT by studying 50 CT head region.
鼻窦的解剖结构存在变异，了解其临床和手术意义很重要。在筛窦后组和蝶窦手术中，以及垂体的内镜手术入路时，熟悉解剖结构对于理解病理过程和预防手术并发症（手术中视神经、颈内动脉损伤）至关重要。虽然冠状位计算机断层扫描（CT）是功能性内镜鼻窦手术（FESS）的常规检查方法，但轴位CT在显示筛窦后组和蝶窦的解剖结构方面最有用。作者通过研究50例头部CT区域，利用轴位CT图像对筛窦后组气房及其与蝶窦的可变关系以及与视神经的密切关联进行了阐述。
