Department of Sensory Organs, "Sapienza" University, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2012 Jul;16(7):912-8.
Frontal recess is the anatomical region most difficult to manage in endoscopic frontal sinus surgery due to the extreme variability of the cell patterns that may be observed in this area. CT has always been the gold standard in preoperative evaluation, but especially in the assessment of the causes of frontal recess obstruction and surgical failure. In recent years, this accredited and reliable method has been complemented by computed tomography cone beam (CBCT), which provides similarly detailed anatomical information with a lower dose of radiation.
The purpose of this paper is to analyze and validate the use of CBCT in the study of frontal recess, and especially its anatomical variants in a youth population.
We analyzed 500 CBCT images of paranasal sinuses of young subjects with sinus inflammation pathology between 2009 and 2011.
We observed that the method is very sensitive in detecting anterior and posterior recess cells, also in a youth population and then report on some significant images.
We confirm the validity of CBCT, which by virtue of its sensitivity and specificity may be used in the analysis of frontal recess pathologies, especially when a young population is involved.
由于额窦前隐窝的细胞形态变化多样，该解剖区域是内镜鼻窦手术中最难处理的部位。CT 一直是术前评估的金标准，但在评估额窦前隐窝阻塞和手术失败的原因方面尤其如此。近年来，这种经过认证且可靠的方法得到了锥形束 CT（CBCT）的补充，后者提供了类似详细的解剖学信息，辐射剂量更低。
本文旨在分析和验证 CBCT 在额窦前隐窝研究中的应用，特别是在年轻人群中的解剖变异。
我们分析了 2009 年至 2011 年间患有鼻窦炎症性病变的 500 例年轻患者的鼻窦 CBCT 图像。
我们观察到该方法在检测额窦前、后隐窝细胞方面非常敏感，即使在年轻人群中也是如此，然后报告了一些有意义的图像。
我们证实了 CBCT 的有效性，该方法具有较高的敏感性和特异性，可用于分析额窦前隐窝病变，特别是在涉及年轻人群时。
