Qureshi Maryam Faiz, Usmani Ambreen
Dr. Maryam Faiz Qureshi, MBBS, Postgraduate M.Phil. student. Department of Anatomy, Bahria University Medical and Dental College, Karachi, Pakistan.
Prof. Dr. Ambreen Usmani, Ph.D. (Anatomy), HOD, Principal, Department of Anatomy, Bahria University Medical and Dental College, Karachi, Pakistan.
Pak J Med Sci. 2021 Jan-Feb;37(1):195-200. doi: 10.12669/pjms.37.1.3260.
To determine the incidence of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis.
The study was conducted from January-June 2020 at Radiology Department of PNS Shifa Hospital, Karachi. The study involved 50 symptomatic subjects of sinusitis with age ranges from 18-60 years which were prepared for computed tomography of paranasal sinuses. The scans were reviewed for nasal-septum, turbinates, uncinate process, ethmoid air-cells along with other anatomical variants and were correlated with symptoms of sinusitis.
Out of 50 subjects, 34 were males and 16 were females with mean age of 42.68±18.22 years. Most common anatomical variants observed were agger nasi cells (64%), deviated nasal septum (56%), and concha-bullosa (46%). Statistically significant correlation existed between bilateral agger nasi cells and nasal obstruction (p=0.017, ρ= -0.336).
The anatomy of sinonasal region is highly complex. However, anatomical variants can disturb the sinus mucociliary drainage pathway resulting in patient suffering. Therefore, considering the variable anatomy of sinonasal region, CT-PNS is recommended for every subject in order to avoid surgical hazards.
确定鼻窦区域解剖变异的发生率及其与鼻窦炎症状的相关性。
该研究于2020年1月至6月在卡拉奇PNS Shifa医院放射科进行。研究纳入了50名年龄在18至60岁之间的有症状鼻窦炎患者，他们接受了鼻窦计算机断层扫描。对扫描结果进行评估，观察鼻中隔、鼻甲、钩突、筛窦气房以及其他解剖变异情况，并与鼻窦炎症状进行关联分析。
50名受试者中，男性34名，女性16名，平均年龄为42.68±18.22岁。观察到的最常见解剖变异为鼻丘气（鼻中隔（64%）、鼻中隔偏曲（56%）和泡状鼻甲（46%）。双侧鼻丘气房与鼻塞之间存在统计学显著相关性（p = 0.017，ρ = -0.336）。
鼻窦区域的解剖结构高度复杂。然而，解剖变异可能会扰乱鼻窦黏液纤毛引流途径，导致患者出现症状。因此，考虑到鼻窦区域解剖结构的多样性，建议对每个受试者进行鼻窦计算机断层扫描，以避免手术风险。
