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The Journal of Laryngology & Otology The Journal of Laryngology & Otology

Article contents

Role of magnetic resonance imaging in evaluating sphenoid sinus and internal carotid artery

Published online by Cambridge University Press:  24 September 2009

H G Hatipoglu ,
M A Cetin ,
A Selvi  and
E Yuksel
H G Hatipoglu*
Affiliation:
Department of Radiology, Ankara Numune Education and Research Hospital, Turkey
M A Cetin
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ankara Numune Education and Research Hospital, Turkey
A Selvi
Affiliation:
Department of Radiology, Ankara Numune Education and Research Hospital, Turkey
E Yuksel
Affiliation:
Department of Radiology, Ankara Numune Education and Research Hospital, Turkey
*
Address for correspondence: Dr Hatice Gul Hatipoglu, Maresal Fevzi Cakmak cad 64/A, Besevler 06500, Ankara, Turkey. Fax: 03122128410 E-mail: gulhatip@yahoo.com
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Abstract

Objective:

This study aimed to determine whether magnetic resonance imaging has a role in the evaluation of the sphenoid sinus and internal carotid artery. In addition, we aimed to establish reference measurements for the minimal distance between the internal carotid arteries.

Method:

The sphenoid sinuses and neighbouring internal carotid arteries of 90 patients were evaluated using sagittal T1-weighted and axial and coronal T2-weighted magnetic resonance images.

Results:

Sphenoid sinus pneumatisation was categorised as occipitosphenoidal (0 per cent), conchal (3.3 per cent), presellar (14.4 per cent) or sellar (82.2 per cent). The internal carotid artery protruded into the sphenoid sinus in 32.8 per cent, with a septum in 9.4 per cent. The incidence of sellar-type sphenoid sinus pneumatisation was higher in patients with protrusion of the internal carotid artery into the sphenoid sinus (p < 0.001). The incidence of presellar pneumatisation was higher in patients without internal carotid artery protrusion (p < 0.001). The minimal distance between the internal carotid arteries varied between 9.04 and 24.26 mm (mean, 15.94 mm).

Conclusion:

Magnetic resonance imaging can provide useful information about the sphenoid sinus and internal carotid artery, prior to endoscopic sphenoidotomy and trans-sphenoidal hypophysectomy.

Keywords

Sphenoid SinusMagnetic Resonance-ImagingInternal Carotid ArteryAnatomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1331 - 1337
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Hudgins, PA. Complications of endoscopic sinus surgery. The role of the radiologist in prevention. Radiol Clin North Am 1993;31:21–32Google ScholarPubMed
2Van Alyea, OE. Sphenoid sinus. Anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch Otolaryngol 1941;34:225–53CrossRefGoogle Scholar
3Hammer, G, Radberg, C. The sphenoid sinus. An anatomic and roentgenologic study with reference to transsphenoid hypophysectomy. Acta Radiol 1961;56:401–22CrossRefGoogle Scholar
4Hamberger, CA, Hammer, G, Norlen, G, Sjogren, B. Transantrosphenoidal hypophysectomy. Arch Otolaryngol 1961;74:2–8CrossRefGoogle ScholarPubMed
5Kinnman, J. Surgical aspects of the anatomy of the sphenoidal sinuses and the sella turcica. J Anat 1977;124:541–53Google ScholarPubMed
6Banna, M, Olutola, PS. Patterns of pneumatization and septation of the sphenoidal sinus. J Can Assoc Radiol 1983;34:291–3Google ScholarPubMed
7Fujii, K, Chambers, SM, Rhoton, AL Jr.Neurovascular relationships of the sphenoid sinus. A microsurgical study. J Neurosurg 1979;50:31–9CrossRefGoogle ScholarPubMed
8Elwany, S, Elsaeid, I, Thabet, H. Endoscopic anatomy of the sphenoid sinus. J Laryngol Otol 1999;113:122–6CrossRefGoogle ScholarPubMed
9Johnson, DM, Hopkins, RJ, Hanafee, WN, Fisk, JD. The unprotected parasphenoidal carotid artery studied by high-resolution computed tomography. Radiology 1985;155:137–41CrossRefGoogle ScholarPubMed
10Kron, TK, Johnson, CM 3rd. Diagnosis and management of the opacified sphenoid sinus. Laryngoscope 1983;93:1319–27CrossRefGoogle ScholarPubMed
11Teatini, G, Simonetti, G, Salvolini, U, Masala, W, Meloni, F, Rovasio, S et al. Computed tomography of the ethmoid labyrinth and adjacent structures. Ann Otol Rhinol Laryngol 1987;96:239–50Google ScholarPubMed
12Basak, S, Karaman, CZ, Akdilli, A, Mutlu, C, Odabasi, O, Erpek, G. Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery. Rhinology 1998;36:162–7Google ScholarPubMed
13Arslan, H, Aydinlioglu, A, Bozkurt, M, Egeli, E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:39–48CrossRefGoogle ScholarPubMed
14Sirikci, A, Bayazit, YA, Bayram, M, Mumbuc, S, Gungor, K, Kanlikama, M. Variations of sphenoid and related structures. Eur Radiol 2000;10:844–8Google ScholarPubMed
15Kazkayasi, M, Karadeniz, Y, Arikan, OK. Anatomic variations of the sphenoid sinus on computed tomography. Rhinology 2005;43:109–14Google ScholarPubMed
16Unal, B, Bademci, G, Bilgili, YK, Batay, F, Avci, E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006;28:195–201CrossRefGoogle ScholarPubMed
17Som, PM, Costantino, PD, Silvers, AR. Imaging central skull base neural tumor spread from paranasal sinus malignancies: a critical factor in treatment planning. Skull Base Surg 1999;9:15–21CrossRefGoogle ScholarPubMed
18Miles, MS, Dhaliwal, RS, Moore, MP, Reed, AL. Association of magnetic resonance imaging findings and histologic diagnosis in dogs with nasal disease: 78 cases (2001-2004). J Am Vet Med Assoc 2008;232:1844–9CrossRefGoogle Scholar
19Buerke, B, Tombach, B, Stoll, W, Heindel, W, Niederstadt, T. Magnetic resonance angiography follow-up examinations to detect iatrogenic pseudoaneurysms following otorhinolaryngological surgery. J Laryngol Otol 2007;121:698–701CrossRefGoogle ScholarPubMed
20Anand, VK, Schwartz, TH, Hiltzik, DH, Kacker, A. Endoscopic transphenoidal pituitary surgery with real-time intraoperative magnetic resonance imaging. Am J Rhinol 2006;20:401–5CrossRefGoogle ScholarPubMed
21Warwick, R, Williams, PL. Gray's Anatomy, 35th edn. London: Longmans, 1973Google Scholar
22Som, P, Shugar, JMA, Brandwein, SM. Anatomy and physiology. In: Som, PM, Curtin, HD, eds. Head and Neck Imaging, 4th edn. St Louis: Mosby, 2003;87–147Google Scholar
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