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01-09-2020 | Computed Tomography | Teaching Anatomy

Sphenoid sinuses: pneumatisation and anatomical variants—what the radiologist needs to know and report to avoid intraoperative complications

Authors: Michaela Cellina, Daniele Gibelli, Chiara Floridi, Tahereh Toluian, Carlo Valenti Pittino, Carlo Martinenghi, Giancarlo Oliva

Published in: Surgical and Radiologic Anatomy | Issue 9/2020

Abstract

Purpose

Sphenoid sinuses are pneumatised structures, placed in the body of the sphenoid bone, with highly variable morphology. The strict relationships with vascular and nervous structures determine the importance of their anatomical variants in otorhinolaryngology and neurosurgery; a precise understanding of the complex anatomy and anatomic variations of these structures is pivotal for radiological diagnosis of paranasal sinuses pathology and for surgical planning, to avoid potential complications.

Our aim is to describe the anatomical variants of sphenoid sinuses, and to help general radiologists and specialists in endoscopic surgery in becoming familiar with these sensitive anatomical structures.

Methods

A literature search of PubMed and Embase (Elsevier) databases was performed using the keywords “sphenoid sinus” and “anatomy, “sphenoid sinus” and “anatomic variants”, “sphenoid sinus”, and “anatomic variations”.

Results

We described the anatomical variants of the sphenoid sinuses anatomy, according to their size, shape, degree of pneumatisation, protrusion of anatomical structures into their lumen, superimposition of ethmoid cells (Onodi cells), and presence of accessory septations

Conclusion

The information provided by this study may help in the identification and description of the anatomical variations of the sphenoid sinuses and their relationship to neurovascular structures.

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Title: Sphenoid sinuses: pneumatisation and anatomical variants—what the radiologist needs to know and report to avoid intraoperative complications
Authors: Michaela Cellina
Daniele Gibelli
Chiara Floridi
Tahereh Toluian
Carlo Valenti Pittino
Carlo Martinenghi
Giancarlo Oliva
Publication date: 01-09-2020
Publisher: Springer Paris
Keywords: Computed Tomography
Computed Tomography
Published in: Surgical and Radiologic Anatomy / Issue 9/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02490-y

At a glance: The STEP trials

Springer Medicine

Sphenoid sinuses: pneumatisation and anatomical variants—what the radiologist needs to know and report to avoid intraoperative complications

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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