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Anatomical variation of the sphenoid sinus in paediatric patients and its association with age and chronic rhinosinusitis

  • H Odat (a1), D Almardeeni (a1), M Tanash (a1) and M Al-Qudah (a1)
  • Please note a correction has been issued for this article.

Abstract

Objective

To report the prevalence of different anatomical variations of the sphenoid sinus and its related structures among paediatric patients with or without chronic rhinosinusitis.

Methods

Computed tomography scans of 50 paediatric patients with chronic rhinosinusitis were reviewed and compared to 50 scans of paediatric patients without chronic rhinosinusitis. The type of sphenoid sinus pneumatisation and the surrounding structures were thoroughly analysed. The patients were divided into three groups according to age.

Results

Mean age was 10.9 years (range, 4–16 years). The sellar configuration was the commonest in all groups, while the conchal type was the least common. There were significant differences between paediatric patients with or without sinusitis in: sphenoid sinus pneumatisation type, vidian canal type and Onodi cell presence. In addition, there were significant differences between age groups in: sphenoid sinus pneumatisation type, single sinus septum and multiple septa presence, and internal carotid artery bulging.

Conclusion

Age and sinusitis have a significant impact on sphenoid pneumatisation type and surrounding structure variation. Recognition of these variations can be useful for mapping this region, and enables a safer and more efficient endoscopic surgical procedure.

Copyright

Corresponding author

Author for correspondence: Dr Haitham Odat, Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030, Irbid, Jordan E-mail: dr.haithamodat@gmail.com Fax: +962 2709 5123 96

Footnotes

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Dr H Odat takes responsibility for the integrity of the content of the paper

Footnotes

References

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1Tomovic, S, Esmaeili, A, Chan, NJ, Shukla, PA, Choudhry, OJ, Liu, JK et al. High-resolution computed tomography analysis of variations of the sphenoid sinus. J Neurol Surg B Skull Base 2013;74:8290
2Aoki, S, Dillon, W, Barkovich, AJ, Norman, D. Marrow conversion before pneumatization of the sphenoid sinus: assessment with MR imaging. Radiology 1989;172:373–5
3Barghouth, G, Prior, JO, Lepori, D, Duvoisin, B, Schnyder, P, Gudinchet, F. Paranasal sinuses in children: size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. Eur Radiol 2002;12:1451–8
4Gilani, S, Shin, JJ. The burden and visit prevalence of pediatric chronic rhinosinusitis. Otolaryngol Head Neck Surg 2017;157:1048–52
5Heath, J, Hartzell, L, Putt, C, Kennedy, JL. Chronic rhinosinusitis in children: pathophysiology, evaluation, and medical management. Curr Allergy Asthma Rep 2018;18:37
6Silviu-Dan, F. Pediatric chronic rhinosinusitis. Pediatr Ann 2014;43:e2019
7Al-Qudah, M. Image-guided sinus surgery in sinonasal pathologies with skull base/orbital erosion. J Craniofac Surg 2015;26:1606–8
8Hamberger, CA, Hammer, G, Norlen, G. Transantrosphenoidal hypophysectomy. Arch Otolaryngol 1961;74:28
9Lee, JC, Kao, CH, Hsu, CH, Lin, YS. Endoscopic transsphenoidal vidian neurectomy. Eur Arch Otorhinolaryngol 2011;268:851–6
10Kim, YH, Kim, JE, Kim, MJ, Cho, JH. New landmark for the endoscopic endonasal transsphenoidal approach of pituitary surgery. J Korean Neurosurg Soc 2013;53:218–22
11Al-Qudah, M. The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children. Int J Pediatr Otorhinolaryngol 2008;72:817–21
12Sirikci, A, Bayazit, YA, Bayram, M, Mumbuc, S, Gungor, K, Kanlikama, M. Variations of sphenoid and related structures. Eur Radiol 2000;10:844–8
13Szolar, D, Preidler, K, Ranner, G, Braun, H, Kern, R, Wolf, G et al. Magnetic resonance assessment of age-related development of the sphenoid sinus. Br J Radiol 1994;67:431–5
14Callahan, MJ, MacDougall, RD, Bixby, SD, Voss, SD, Robertson, RL, Cravero, JP. Ionizing radiation from computed tomography versus anesthesia for magnetic resonance imaging in infants and children: patient safety considerations. Pediatr Radiol 2018;48:2130
15Vaezi, A, Cardenas, E, Pinheiro-Neto, C, Paluzzi, A, Branstetter, BF 4th, Gardner, PA et al. Classification of sphenoid sinus pneumatization: relevance for endoscopic skull base surgery. Laryngoscope 2015;125:577–81
16Fujioka, M, Young, LW. The sphenoidal sinuses: radiographic patterns of normal development and abnormal findings in infants and children. Radiology 1978;129:33
17Kim, HJ, Friedman, EM, Sulek, M, Duncan, NO, McCluggage, C. Paranasal sinus development in chronic sinusitis, cystic fibrosis, and normal comparison population: a computerized tomography correlation study. Am J Rhinol 1997;11:275–81
18Wiebracht, ND, Zimmer, LA. Complex anatomy of the sphenoid sinus: a radiographic study and literature review. J Neurol Surg B Skull Base 2014;75:378–82
19Vescan, AD, Snyderman, CH, Carrau, RL, Mintz, A, Gardner, P, Branstetter, B 4th et al. Vidian canal: analysis and relationship to the internal carotid artery. Laryngoscope 2007;117:1338–42
20Aksoy, F, Yenigun, A, Goktas, SS, Ozturan, O. Association of accessory sphenoid septa with variations in neighbouring structures. J Laryngol Otol 2017;131:51–5
21Sareen, D, Agarwal, A, Kaul, J, Sethi, A. Study of sphenoid sinus anatomy in relation to endoscopic surgery. Int J Morphol 2005;23:261–6
22Chmielik, LP, Chmielik, A. The prevalence of the Onodi cell – most suitable method of CT evaluation in its detection. Int J Pediatr Otorhinolaryngol 2017;97:202–5
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  • ISSN: 0022-2151
  • EISSN: 1748-5460
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