Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 4/2020

01-04-2020 | Computed Tomography | Rhinology

Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT

Author: Eda Didem Yalcin

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2020

Login to get access

Abstract

Purpose

The aim of this study is to examine the sphenoid sinus morphology and variations in patients with cleft lip and palate (CLP) on cone-beam computed tomography (CBCT) images, and to compare them with healthy controls.

Methods

CBCT images of 54 patients (28 males and 26 females,) with CLP and 54 age- and gender-matched healthy individuals (28 males and 26 females) were retrospectively evaluated. Sphenoid sinus main types (conchal, presellar, sellar, postsellar), sellar subtypes, clival and lateral extensions, and sinus septation were analyzed in CLP and control groups. The data were statistically analyzed using Chi-square test to compare the groups.

Results

A statistically significant difference was found between CLP and control groups for sphenoid sinus main types (p < 0.05). Presellar type was more commonly observed in CLP group (18.5%), while the postsellar (31.5%) and clival (17.7%) types were more frequent in control group. There was a significant difference between the groups among different sellar sinus subtypes (p < 0.05). A significant difference was detected between the groups for clival extensions of sphenoid sinus (p < 0.05), but no difference was found for the lateral extensions (p > 0.05). No significant difference was determined between groups for sphenoid sinus septation (p > 0.05).

Conclusion

Significant differences were found between the CLP and control groups in terms of sphenoid sinus main types, sellar subtypes and the clival extensions. Knowledge of sphenoid sinus pneumatization in patients with CLP is important for preventing complications during transsphenoidal surgery.
Literature
1.
Wang J, Bidari S, Inoue K, Yang H, Rhoton A Jr (2010) Extensions of the sphenoid sinus: a new classification. Neurosurgery 66:797–816CrossRef
2.
Tan HKK, Ong YK, Teo MSK, Fook-Chong SMC (2003) The development of sphenoid sinus in Asian children. Int J Pediatr Otorhinolaryngol 67:1295–1302CrossRef
3.
Hewaidi GH, Omami GM (2008) Anatomic variation of sphenoid sinus and related structures in Libyan population: CT scan study. Libyan J Med 3:1–9CrossRef
4.
Terra ER, Guedes FR, Manzi FR (2006) Boscolo Pneumatization of the sphenoid sinus. Dentomaxillofac Radiol 35:47–49CrossRef
5.
Štoković N, Trkulja V, Dumić-Čule I, Čuković-Bagić I, Lauc T, Vukičević S et al (2016) Sphenoid sinus types, dimensions and relationship with surrounding structures. Ann Anat 203:69–76CrossRef
6.
White SC, Pharoah MJ (2014) Oral Radiology: Principles and Interpretation. In: Murdoch-Kinch CA (ed) Craniofacial anomalies, 7th edn. MO, Mosby Elsevier, St. Louis, pp 612–629
7.
de Rezende Barbosa GL, Pimenta LA, Pretti H, Golden BA, Roberts J, Drake AF (2014) Difference in maxillary sinus volumes of patients with cleft lip and palate. Int J Pediatr Otorhinolaryngol 78:2234–2236CrossRef
8.
Güldner C, Pistorius SM, Diogo I, Bien S, Sesterhenn A, Werne JA (2012) Analysis of pneumatization and neurovascular structures of the sphenoid sinus using cone-beam tomography (CBT). Acta Radiol 53:214–219CrossRef
9.
Wortche R, Hassfeld S, Lux CJ, Müssig E, Hensley FW, Krempien R et al (2006) Clinical application of cone beam digital volume tomography in children with cleft lip and palate. Dentomaxillofac Radiol 35:88–94CrossRef
10.
11.
Hamid O, El Fiky L, Hassan O, Kotb A, El Fiky S (2008) Anatomic variations of the sphenoid sinus and their impact on trans-sphenoid pituitary surgery. Skull Base 18:9–15CrossRef
12.
Şirikci A, Bayazıt YA, Bayram M, Mumbuç S, Güngör K, Kanlikama M (2000) Variations of sphenoid and related structures. Eur Radiol 10:844–848CrossRef
13.
Akgül MH, Muluk NB, Burulday V, Kaya A (2016) Is there a relationship between sphenoid sinus types, septation and symmetry; and septal deviation? Eur Arch Otorhinolaryngol 273:4321–4328CrossRef
14.
Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L et al (2010) A comparative evaluation of cone beam computed tomography (CBCT) and multi-slice CT (MSCT): Part I. On subjective image quality. Eur J Radiol 75:265–269CrossRef
15.
Rahmati A, Ghafari R, AnjomShoa M (2016) Normal variations of sphenoid sinus and the adjacent structures detected in cone beam computed tomography. J Dent (Shiraz) 17:32–37
16.
Hiremath SB, Gautam AA, Sheeja K, Benjamin G (2018) Assessment of variations in sphenoid sinus pneumatization in Indian population: A multidetector computed tomography study. Indian J Radiol Imaging 28:273–279CrossRef
17.
Lu Y, Pan J, Qi S, Shi J, Zhang X, Wu K (2011) Pneumatization of the sphenoid sinus in Chinese: the differences from Caucasian and its application in the extended transsphenoidal approach. J Anat 219:132–142CrossRef
18.
Anusha B, Baharudin A, Philip R, Harvinder S, Shaffie BM, Ramizan RR (2015) Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients. Surg Radiol Anat 37:1183–1190CrossRef
19.
Vaezi A, Cardenas E, Pinheiro-Neto C, Paluzzi A, Branstetter BF 4th, Gardner PA et al (2015) Classification of sphenoid sinus pneumatization: relevance for endoscopic skull base surgery. Laryngoscope 125:577–581CrossRef
20.
Zada G, Agarwalla PK, Mukundan S Jr, Dunn I, Golby AJ, Laws ER Jr (2011) The neurosurgical anatomy of the sphenoid sinus and sellar floor in endoscopic transsphenoidal surgery. J Neurosurg 114:1319–1330CrossRef
21.
ELKammash TH, Enaba MM, Awadalla AM (2014) Variability in sphenoid sinus pneumatization and its impact upon reduction of complications following sellar region surgeries. Egypt J Radiol Nuclear Med 45:705–714CrossRef
22.
Dedeoglu N, Altun O, Kucuk EB, Altindis S, Hatunoglu E (2016) Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography. Bratisl Lek Listy 117:691–696PubMed
23.
Nejaim Y, Gomes AF, Valadares CV, Costa ED, Peroni LV, Groppo FC et al (2019) Evaluation of volume of the sphenoid sinus according to sex, facial type, skeletal class, and presence of a septum: a cone-beam computed tomographic study. Br J Oral Maxillofac Surg 57:336–340CrossRef
24.
Kazkayasi M, Karadeniz Y, Arikan OK (2005) Anatomic variations of the sphenoid sinus on computed tomography. Rhinology 43:109–114PubMed
25.
Yalcin ED (2020) Morphometric analysis of sella turcica using cone-beam computed tomography in patients with cleft lip and palate. J Craniofac Surg 31:306–309CrossRef
26.
de Rezende L, Barbosa G, Pimenta LA, Pretti H, Golden BA, Roberts J, Drake AF (2014) Difference in maxillary sinus volumes of patients with cleft lip and palate. Int J Pediatr Otorhinolaryngol 78:2234–2236CrossRef
Metadata
Title
Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT
Author
Eda Didem Yalcin
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 4/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-05810-5

Other articles of this Issue 4/2020

European Archives of Oto-Rhino-Laryngology 4/2020 Go to the issue

Head and Neck

Psychological distress and nutritional status in head and neck cancer patients: a pilot study

Laryngology

Factors influencing time-dependent decannulation after pediatric tracheostomy according to the Kaplan–Meier method

Otology

Osteogenesis imperfecta and hearing loss: an analysis of patients attended at a benchmark treatment center in southern Brazil

Letter to the Editor

Letter to the editor “Associations among sleep symptoms, physical examination, and polysomnographic findings in children with obstructive sleep apnea”

Head and Neck

Expression of podoplanin correlates with prognosis in nasopharyngeal carcinoma

Short Communication

Otorhinolaryngologists nominated for the Nobel Prize 1901–1940