Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital at Chiayi, Chang Gung University College of Medicine, Chiayi, Taiwan.
Laryngoscope. 2010 Dec;120(12):2521-7. doi: 10.1002/lary.20977.
OBJECTIVES/HYPOTHESIS: To use computed tomography to determine the association of frontal recess cells with the development of frontal sinusitis.
Retrospective analysis.
We retrospectively analyzed various frontal recess cells on spiral computed tomographic images of sinuses between November 2007 and May 2009. Exclusion criteria included previous sinus surgery, sinonasal polyposis, age younger than 18 years, maxillofacial fracture, incomplete sections of computed tomography, and sinonasal malignancy. We used logistic regression analysis to compare the distribution of various frontal recess cells in patients with frontal sinusitis and those without frontal sinusitis.
A total of 192 patients met the criteria, and only 363 sides were distinguishable. The presence of suprabullar cells, supraorbital ethmoid cells, frontal bullar cells, and recessus terminalis was significantly associated with the development of frontal sinusitis by multiple logistic regression models.
The frequency of frontal recess cells analyzed in Taiwanese adult patients was similar to that analyzed in other Asian adult populations (Chinese and Korean). The frontoethmoid cells posterior and posterolateral to the frontal recess (suprabullar cells, frontal bullar cells, and supraorbital ethmoid cells) might reveal a more significant association with the development of frontal sinusitis than those anterior to the frontal recess (agger nasi cells, frontal cell types 1-3). The presence of supraorbital ethmoid cells on computed tomographic images might indicate the highest odds of frontal sinusitis, followed by the presence of suprabullar cells, frontal bullar cells, and recessus terminalis.
目的/假设：使用计算机断层扫描确定额窦前隐窝细胞与额窦炎发展之间的关系。
回顾性分析。
我们回顾性分析了 2007 年 11 月至 2009 年 5 月期间螺旋 CT 鼻窦图像上的各种额窦前隐窝细胞。排除标准包括既往鼻窦手术、鼻息肉、年龄小于 18 岁、颌面骨折、CT 不完整部分和鼻旁恶性肿瘤。我们使用逻辑回归分析比较了额窦炎患者和无额窦炎患者的各种额窦前隐窝细胞的分布。
共有 192 名患者符合标准，只有 363 侧可区分。眶上筛窦细胞、眶上额窦细胞、额窦泡细胞和终末隐窝的存在通过多元逻辑回归模型与额窦炎的发展显著相关。
在台湾成年患者中分析的额窦前隐窝细胞的频率与在其他亚洲成年人群（中国和韩国）中分析的频率相似。额窦前隐窝后和后外侧的额筛窦细胞（眶上筛窦细胞、额窦泡细胞和眶上额窦细胞）与额窦炎的发展可能比额窦前隐窝的细胞（前鼻道细胞、额窦 1-3 型）更显著相关。眶上筛窦细胞在 CT 图像上的存在可能预示着额窦炎的可能性最高，其次是眶上筛窦细胞、额窦泡细胞和终末隐窝的存在。
