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

Published online by Cambridge University Press:  10 April 2019

H Odat ,
D Almardeeni ,
M Tanash  and
M Al-Qudah
H Odat*
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
D Almardeeni
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
M Tanash
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
M Al-Qudah
Affiliation:
Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
*
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
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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.

Keywords

Sphenoid SinusSinusitisComputed TomographyX-RayVidian NerveEndoscopic Surgical ProceduresSella Turcica

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 6 , June 2019 , pp. 482 - 486
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

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

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