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Published in: European Archives of Oto-Rhino-Laryngology 11/2018

01-11-2018 | Rhinology

The lamellar cell: a radiological study and a new classification proposal

Authors: Christian Calvo-Henríquez, Alberto Ruano-Ravina, Gabriel Martinez-Capoccioni, Marco Huaranca, Kaelon Lattomus, Carlos Martin-Martin

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2018

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Abstract

Purpose

A pneumatized middle turbinate is called concha bullosa. Bolger classified it in bulbous, lamellar, and extensive. Lamellar cells could have a variable extension. We propose the first radiologic classification of lamellar cells.

Methods

195 CT sinonasal scans were included in the study. Lamellar cells were classified into four categories according to their degree of aeration.

Results

Lamellar cells were found in 47.7% of patients: unilateral in 14.9% of cases and bilateral in the remaining 32.8%. The most common lamellar cell is type 1, followed by types 3, 2, and 4; there were no statistically significant differences regarding side. A subgroup analysis was performed in 106 patients with no inflammatory diseases of the nasal cavity; there were no significant differences.

Conclusion

Cell types 3 and 4 are a complete pneumatization of the insertion of the middle turbinate; these cells are rare and could be associated with middle turbinate instability.
Literature
1.
go back to reference Tewfik MA, Wormald P-J (2010) Ten pearls for safe endoscopic sinus surgery. Otolaryngol Clin N Am 43(4):933–944CrossRef Tewfik MA, Wormald P-J (2010) Ten pearls for safe endoscopic sinus surgery. Otolaryngol Clin N Am 43(4):933–944CrossRef
2.
go back to reference Casiano R, Herzallah IR, Anstead AS, Eloy JA, Folbe A, Lemonnier LA et al (2012) Basic endoscopic sinonasal dissection. Endoscopic sinonasal dissection guide. Thieme, New York, pp 19–58 Casiano R, Herzallah IR, Anstead AS, Eloy JA, Folbe A, Lemonnier LA et al (2012) Basic endoscopic sinonasal dissection. Endoscopic sinonasal dissection guide. Thieme, New York, pp 19–58
3.
go back to reference Lee JY, Lee SW (2007) Preventing lateral synechia formation after endoscopic sinus surgery with a silastic sheet. Arch Otolaryngol Head Neck Surg 133(8):776–779CrossRef Lee JY, Lee SW (2007) Preventing lateral synechia formation after endoscopic sinus surgery with a silastic sheet. Arch Otolaryngol Head Neck Surg 133(8):776–779CrossRef
4.
go back to reference Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101(1 Pt 1):56–64PubMed Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101(1 Pt 1):56–64PubMed
5.
go back to reference Grunwald L (1925) Anatomie und Entwicklungsgeschichte. Die Krankheiten der Luftwege und Mundhöhle, 1st edn. Springer, Berlin, pp 1–95CrossRef Grunwald L (1925) Anatomie und Entwicklungsgeschichte. Die Krankheiten der Luftwege und Mundhöhle, 1st edn. Springer, Berlin, pp 1–95CrossRef
6.
go back to reference Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P et al (2014) European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinology 24:1–34PubMed Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P et al (2014) European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinology 24:1–34PubMed
7.
go back to reference Bolger WE (2001) Anatomy of the paranasal sinuses. Disease of the sinuses: diagnosis and management, 1st edn. BC Decker Inc, London, pp 1–11 Bolger WE (2001) Anatomy of the paranasal sinuses. Disease of the sinuses: diagnosis and management, 1st edn. BC Decker Inc, London, pp 1–11
8.
go back to reference Ramon E. Figueroa (2007) Radiologic anatomy of the paranasal sinuses. Rhinologic and sleep apnea surgical techniques, 1st edn. Springer, Heidelberg, pp 3–16 Ramon E. Figueroa (2007) Radiologic anatomy of the paranasal sinuses. Rhinologic and sleep apnea surgical techniques, 1st edn. Springer, Heidelberg, pp 3–16
9.
go back to reference Tomblinson CM, Cheng M-R, Lal D, Hoxworth JM (2016) The impact of middle turbinate Concha Bullosa on the severity of inferior turbinate hypertrophy in patients with a deviated nasal septum. AJNR Am J Neuroradiol 37(7):1324–1330CrossRef Tomblinson CM, Cheng M-R, Lal D, Hoxworth JM (2016) The impact of middle turbinate Concha Bullosa on the severity of inferior turbinate hypertrophy in patients with a deviated nasal septum. AJNR Am J Neuroradiol 37(7):1324–1330CrossRef
10.
go back to reference Vaid S, Vaid N (2015) Normal anatomy and anatomic variants of the paranasal sinuses on computed tomography. Neuroimaging Clin N Am 25(4):527–548CrossRef Vaid S, Vaid N (2015) Normal anatomy and anatomic variants of the paranasal sinuses on computed tomography. Neuroimaging Clin N Am 25(4):527–548CrossRef
11.
go back to reference Moukarzel N, Nehmé A, Mansour S, Yammine FG, Moukheiber A (2000) Middle turbinate medialization technique in functional endoscopic sinus surgery. J Otolaryngol 29(3):144–147PubMed Moukarzel N, Nehmé A, Mansour S, Yammine FG, Moukheiber A (2000) Middle turbinate medialization technique in functional endoscopic sinus surgery. J Otolaryngol 29(3):144–147PubMed
Metadata
Title
The lamellar cell: a radiological study and a new classification proposal
Authors
Christian Calvo-Henríquez
Alberto Ruano-Ravina
Gabriel Martinez-Capoccioni
Marco Huaranca
Kaelon Lattomus
Carlos Martin-Martin
Publication date
01-11-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5111-4

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