전두동 개구부 봉소가 전두동염의 발생에 미치는 영향

정주환; 진봉준; 정진혁; 조석현; 이승환; 김경래

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자료유형: 학술저널

저자정보: 정주환 진봉준 정진혁 조석현 이승환 김경래

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제55권 제11호

발행연도: 2012.1

수록면: 693 - 700 (8page)

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Background and Objectives Frontal recess anatomy can be very complex, with accessory cells extending to the frontal sinus and possibly contributing to the obstruction of the frontal sinus. However, there is still controversy on the effect of the frontal recess cells. We designed this study to assess the effect of frontal recess cells on frontal sinusitis. Subjects and Method We retrospectively reviewed chart and collected data of those who visited the outpatient clinic between January and June, 2011. Parnasal sinus CT was taken with Brillance 64-slice computed tomography scanners. The image was reviewed by two or more otolaryngologists to identify the frontal recess cells. The nasofrontal isthmus diameter and the area of nasofrontal isthmus was reconstructed and measured with workstation. Then, we compared the radiological results of frontal recess cells with the frequency of frontal sinusitis. Results The presence of anterior group of frontal recess cells showed no influence on the frontal recess anatomy. The presence of frontal bullar cell was significantly associated with the development of frontal sinusitis by simple (p=0.001) and multiple (p=0.038) logistic regression models. It was shown that the narrower the area of frontal isthmus the more developed were the frontal sinusitis, showing statistically significance in the simple (p=0.013) and multiple (p= 0.017) logistic regression models. Conclusion Our results also showed that similar results compared to previous Asianreport. The narrowness of nasofrontal isthmus could be the cause of frontal sinusitis. The frontal bullar cell could be the cause of frontal sinusitis encroaching on the frontal recess and affect the nasofrontal pathway.

#Frontal recess cells #Frontal sinusitis #Koreans

참고문헌 (14)

참고문헌 신청

Al-Qudah M / 2008 / The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children / Int J Pediatr Otorhinolaryngol 72 (

Bradley DT / 2004 / The role of agger nasi air cells in patients requiring revision endoscopic frontal sinus surgery / Otolaryngol Head Neck Surg 131 (4) : 525 ~ 527

DelGaudio JM / 2005 / Multiplanar computed tomographic analysis of frontal recess cells: effect on frontal isthmus size and frontal sinusitis / Arch Otolaryngol Head Neck Sur

Han D / 2008 / Multiplanar computed tomographic analysis of the frontal recess region in Chinese subjects without frontal sinus disease symptoms / ORL J Otorhinolaryngol Rela

Lee WT / 2004 / 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis / Otolaryngol Head Neck Surg 131 (3) : 164 ~ 173