Al-Shouk Asaad A A M
Hacettepe University, Faculty of Medicine, Ankara, Turkey.
Surg Radiol Anat. 2018 May;40(5):599-601. doi: 10.1007/s00276-018-2001-9. Epub 2018 Mar 24.
The sphenoid sinus one of the posterior group of sinus, considered one of the most difficult sinuses due to its deep location in the skull. The interest in the understanding of the anatomy of the sphenoid sinus increased markedly during the last decades due to the development of endoscopic transsphenoidal approaches to the intracranial structures. The important anatomical relations of the sphenoid sinus make it one of the difficult and challenging structures for the surgeons. In this case report, we present one of the anatomical variations that was found during cadaveric dissection of the head. In this case we found abnormal bony defect in the lateral wall of the sinus, the defect closed just by the lining mucosa of the sinus and the dura from its intracranial side. A point may be of clinical importance to the related nearby structures.
蝶窦是鼻窦后组之一，因其在颅骨中的位置较深，被认为是最难处理的鼻窦之一。在过去几十年中，由于内镜经蝶窦入路治疗颅内结构的发展，对蝶窦解剖结构的认识兴趣显著增加。蝶窦重要的解剖关系使其成为外科医生面临的困难且具有挑战性的结构之一。在本病例报告中，我们展示了在头部尸体解剖过程中发现的一种解剖变异。在该病例中，我们发现蝶窦外侧壁存在异常骨缺损，该缺损仅由鼻窦内衬黏膜和颅内侧的硬脑膜封闭。这一点对附近相关结构可能具有临床重要性。
