嗅窝与新角度测量：外侧薄板 - 筛状板角度
Olfactory Fossa and New Angle Measurements: Lateral Lamella-Cribriform Plate Angle.
作者信息
Asal Neşe, Bayar Muluk Nuray, Inal Mikail, Şahan Mehmet Hamdi, Doğan Adil, Arikan Osman Kürşat
机构信息
Radiology Department.
ENT Department, Kirikkale University, Faculty of Medicine, Kirikkale.
出版信息
J Craniofac Surg. 2019 Sep;30(6):1911-1914. doi: 10.1097/SCS.0000000000005848.
OBJECTIVES
The authors investigated the olfactory fossa (OF) in patients with unilateral nasal septal deviation (NSD) and presented the lateral lamella-cribriform plate angle (LLCPA).
METHODS
Paranasal sinus computed tomography images of 300 adult subjects with unilateral NSD (111 males, 189 females) were evaluated retrospectively. Septal deviation angle (SDA), Keros Classification, OF depth and width, LLCPA; and orbital plate and cribriform plate (OPCP) distance were measured.
RESULTS
The OF depth values (ipsilateral, contralateral) were found as Keros III >Keros II >Keros I (Padjusted <0.0175). The OF width values (ipsilateral) were detected as Keros I >Keros II and Keros I >Keros III (Padjusted <0.0175). In patients with higher SDA values, ipsilateral OF depth values decreased (P <0.05). The LLCPA and OPCP values were higher in Keros I and lower in Keros III (P <0.05).
CONCLUSION
In patients with lower LLCPA and OPCP, endoscopic sinus surgery will be more dangerous for trauma to lateral lamella and intracranial penetration.
目的
作者研究了单侧鼻中隔偏曲（NSD）患者的嗅窝（OF），并提出了外侧板-筛板角（LLCPA）。
方法
回顾性评估300例单侧NSD成年受试者（111例男性，189例女性）的鼻窦计算机断层扫描图像。测量鼻中隔偏曲角（SDA）、Keros分类、OF深度和宽度、LLCPA；以及眶板和筛板（OPCP）距离。
结果
发现OF深度值（同侧、对侧）为Keros III>Keros II>Keros I（校正P<0.0175）。OF宽度值（同侧）检测为Keros I>Keros II且Keros I>Keros III（校正P<0.0175）。SDA值较高患者的同侧OF深度值降低（P<0.05）。Keros I的LLCPA和OPCP值较高，Keros III较低（P<0.05）。
结论
LLCPA和OPCP较低的患者，内镜鼻窦手术对外侧板创伤和颅内穿透的风险更高。
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