Adeel Mohammad, Rajput Muhammad Shaheryar Ahmed, Akhter Shabbir, Ikram Mubasher, Arain Asif, Khattak Yasir Jameel
Department of Otolaryngology and Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2013 Mar;63(3):317-9.
To determine the frequency of anatomic variations on computed tomography scan of para-nasal sinuses.
The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised computed tomography scans of 77 patients who had presented between October 2007 and March 2011. All the scans were reviewed using Picture Archiving Communication System computer software. The scans were reviewed for the presence of deviated nasal septum, paradoxical middle turbinate, Haller cell, Onodi cell, and pneumatisation of the middle turbinate and uncinate process.
The mean age of the patients was 31 +/- 13.15 years. One or more types of anatomical variants were observed in 40 (51.9%) of the patients; the most frequent being the deviated nasal septum 20 (26%) and the Concha bullosa 14 (18.2%).
Considering the wide range of variations in the anatomy, each and every para-nasal sinus case should be planned individually and carefully to avoid dreadful complications and maximise patients' benefit.
确定鼻窦计算机断层扫描中解剖变异的发生率。
本回顾性研究在卡拉奇的阿迦汗大学医院进行，纳入了2007年10月至2011年3月期间77例患者的计算机断层扫描。所有扫描均使用图像存档与通信系统计算机软件进行回顾。对扫描结果进行评估，以确定是否存在鼻中隔偏曲、反常中鼻甲、哈勒氏气房、Onodi气房以及中鼻甲和钩突的气化情况。
患者的平均年龄为31±13.15岁。40例（51.9%）患者观察到一种或多种类型的解剖变异；最常见的是鼻中隔偏曲20例（26%）和泡状鼻甲14例（18.2%）。
鉴于解剖结构存在广泛变异，每例鼻窦病例都应单独且仔细地进行规划，以避免严重并发症并使患者受益最大化。
