Liao Dahong, Xu Sheng, Zhang Fei, Tian Ying, Liu Yinghua, Duan Chuanxin
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Dec;29(23):2035-8.
To analyze the anatomical and developmental characteristics of nasal sinuses in 1-2 years old children; and provide potential evidence for the diagnosis and treatment of sinusitis in 1-2 years old children.
Coronal CT scans of 60 cases (1-2 years old children) were studied with the imaging station. Reference datas were identified on these images using imaging station. The gasification conditions of the sinuses were identified and measured.
100% of the frontal sinuses were not developed, while 100% of the maxillary sinuses were developed. The mean of the transverse and vertical diameters for the left side of the maxillary sinuse was (13.32 ± 2.88) mm and (13.55 ± 2.43) mm, respectively. While those for the right side were (13.63 ± 2.75) mm and (13.59 ± 2.13) mm, respectively. The anterior and posterior ethmoid sinuses were 100% developed. The mean transverse and vertical diameters for the left side of the anterior ethmoid sinus were (3.94 ± 0.86) mm and (11.92 ± 1.67) mm, respectively. While those mean for its right side were (3.88 ± 0.88) mm and (12.18 ± 1.86) mm, respectively. The mean transverse and vertical diameters for the left side of the posterior ethmoid sinus were (6.02 ± 1.07) mm and (10.51 ± 1.43) mm, respectively. While those for the right side were (5.91 ± 1.20) mm and (10.51 ± 1.55) mm, respectively. 88.3% (106 sides) of the sphenoid sinuses were developed, while 11.7% (14 sides) were not developed. The mean transverse and vertical diameters for the left side of the sphenoid sinus were (5.18 ± 2.15) mm and (5.78 ± 1.86) mm, respectively. While those for the right side were (4.91 ± 2.24) mm and (5.89 ± 2.03) mm, respectively.
The nasal sinuses in 1-2 years old children have been already developed. The development of the maxillary and ethmoid sinuses was clear and definite. The pneumatization of the sphenoid sinus was defined in many babies; however, the pneumatization of the frontal sinus was not defined in all babies. Acute rhinosinusitis in 1-2 years old children is not uncommon. Therefore, definite diagnosis and positive treatment of such cases are essential for avoidance of serious complications.
分析1 - 2岁儿童鼻窦的解剖及发育特点，为1 - 2岁儿童鼻窦炎的诊断与治疗提供潜在依据。
利用影像工作站对60例（1 - 2岁儿童）的冠状位CT扫描图像进行研究。通过影像工作站在这些图像上确定参考数据，明确并测量鼻窦的气化情况。
100%的额窦未发育，而100%的上颌窦已发育。左侧上颌窦的横径和纵径平均值分别为(13.32 ± 2.88) mm和(13.55 ± 2.43) mm，右侧分别为(13.63 ± 2.75) mm和(13.59 ± 2.13) mm。前组筛窦和后组筛窦均100%发育。左侧前组筛窦的横径和纵径平均值分别为(3.94 ± 0.86) mm和(11.92 ± 1.67) mm，右侧分别为(3.88 ± 0.88) mm和(12.18 ± 1.86) mm。左侧后组筛窦的横径和纵径平均值分别为(6.02 ± 1.07) mm和(10.51 ± 1.43) mm，右侧分别为(5.91 ± 1.20) mm和(10.51 ± 1.55) mm。88.3%（106侧）的蝶窦已发育，11.7%（14侧）未发育。左侧蝶窦的横径和纵径平均值分别为(5.18 ± 2.15) mm和(5.78 ± 1.86) mm，右侧分别为(4.91 ± 2.24) mm和(5.89 ± 2.03) mm。
1 - 2岁儿童鼻窦已发育，上颌窦和筛窦的发育清晰明确，许多婴儿蝶窦有气化，但并非所有婴儿额窦都有气化。1 - 2岁儿童急性鼻窦炎并不少见，因此对此类病例进行明确诊断和积极治疗对于避免严重并发症至关重要。
