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筛孔与眶脂肪疝出之间的关系。

The relationship between ethmoidal foramina and orbital fat herniation.

作者信息

Çankal Fatih, Kaya Mustafa, Tekdemir İbrahim

机构信息

Department of Anatomy, Ankara Medipol University School of Medicine, Ankara, Türkiye.

Department of Radiology, Gazi University School of Medicine, Ankara, Türkiye.

出版信息

Turk J Med Sci. 2021 Dec 9;52(2):370-379. doi: 10.3906/sag-2102-88. eCollection 2022.

DOI:10.3906/sag-2102-88
PMID:38812982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10381213/
Abstract

BACKGROUND/AIM: The aims of this study are to determine the incidence and more frequent localizations of orbital fat tissue herniation accompanying dehiscences in the medial orbital wall and to investigate the relationship between orbital fat tissue herniations and the anterior and posterior ethmoidal foramina.

MATERIAL AND METHODS

One thousand two hundred patients who had undergone computed tomography with a preliminary diagnosis of sinusitis and who had no previous facial, orbital, paranasal sinus surgeries or history of trauma were retrospectively analyzed. The localization of the ethmoidal foramina and orbital fat tissue herniations were marked. In patients with orbital fat tissue herniation, the relationship between the localization of orbital fat tissue herniation and the anterior and posterior ethmoidal foramina was investigated.

RESULTS

The incidence of orbital adipose tissue herniation in our study was 7.9%. Of the 98 herniations on the bilateral medial orbital wall, 60 were in zone 3, and the most common herniation site was zone 3. A statistically significant difference was noted between the localization zone of the anterior ethmoidal foramen and the localization zones of orbital fat tissue herniations (Fisher's exact test, p < 0.001).

CONCLUSION

Zone 3 is the weakest area of the medial orbital wall, and zone 3 is the most prone to herniation of fat tissue. The association of orbital fat tissue herniations with the anterior ethmoidal foramen is extremely common. Being cognizant of this finding may help a surgeon better estimate the anatomical view to be met before functional endoscopic sinus surgery as well as to minimize the risk of possible orbital complications, especially anterior ethmoidal artery injury.

摘要

背景/目的：本研究的目的是确定眶内侧壁裂开伴发眶脂肪组织疝出的发生率及更常见的部位，并研究眶脂肪组织疝出与筛前孔和筛后孔之间的关系。

材料与方法

回顾性分析1200例初步诊断为鼻窦炎且既往无面部、眼眶、鼻窦手术史或外伤史的患者的计算机断层扫描结果。标记筛孔和眶脂肪组织疝出的部位。对于有眶脂肪组织疝出的患者，研究眶脂肪组织疝出部位与筛前孔和筛后孔之间的关系。

结果

本研究中眶脂肪组织疝出的发生率为7.9%。在双侧眶内侧壁的98处疝出中，60处位于3区，最常见的疝出部位是3区。筛前孔的定位区与眶脂肪组织疝出的定位区之间存在统计学显著差异（Fisher精确检验，p<0.001）。

结论

3区是眶内侧壁最薄弱的区域，3区最容易发生脂肪组织疝出。眶脂肪组织疝出与筛前孔的关联极为常见。认识到这一发现可能有助于外科医生在功能性鼻内镜鼻窦手术前更好地估计可能遇到的解剖情况，并将可能的眼眶并发症风险降至最低，尤其是筛前动脉损伤。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc7/10381213/615375692c03/turkjmedsci-52-2-370f12.jpg
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