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Published in: Surgical and Radiologic Anatomy 2/2019

01-02-2019 | Original Article

Analysis of the development of human foetal nasal turbinates using CBCT imaging

Authors: Rieko Asaumi, Yoko Miwa, Taisuke Kawai, Iwao Sato

Published in: Surgical and Radiologic Anatomy | Issue 2/2019

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Abstract

Purpose

The morphological structure of the nasal cavity (NC) is important for endoscopic surgical treatment. The location of nasal turbinates, including the superior turbinate (ST), middle turbinate (MT) and inferior turbinate (IT), are well presented during the formation of the human NC in cone beam CT (CBCT) images. There is a complex relationship between the nasal sinuses, the maxillary sinus (MS), ethmoidal sinus and sphenoid sinus, during formation of the NC structure at the morphological level. There is a need to clearly define the relationships of these nasal elements at the ossification level, during development.

Methods

We investigated the three-dimensional construction of human foetal NC elements, including ST, MT, IT and vomer, using CBCT images from 16 weeks gestation (E16) to E31 (25 foetuses) and compared it to histochemical observations (E25).

Results

At the stage of ossification, the studied elements are elongated in the posterior region near the sphenoidal bone, showing that the locations of the ST, MT, and IT are important during formation of the NC. CBCT analysis revealed that the horizontal and vertical directions of nasal turbinates affect the formation of the human NC.

Conclusion

The location and elongated development of the MT is one of the most important elements for NC formation. The relationship between the nasal sinus and nasal turbine at the level of ossification may provide useful information in clinical treatment of children.
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Metadata
Title
Analysis of the development of human foetal nasal turbinates using CBCT imaging
Authors
Rieko Asaumi
Yoko Miwa
Taisuke Kawai
Iwao Sato
Publication date
01-02-2019
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 2/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-018-2145-7

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Acknowledgement to Referees

Referees in 2018