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Imaging anatomy of the ethmoid maxillary sinus pneumatae and its correlation with the vesicular middle turbinate |
ZHOU Fangwei LYU Hao XU Yu▲ |
Department of Otolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China |
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Abstract Objective To analyze the imaging anatomy of ethmoidal maxillary sinus (EMS) air chamber and to explore its correlation with ipsilateral vesicular middle turbinate. Methods The CT scan results of 580 patients in Renmin Hospital of Wuhan University from January to December 2019 were retrospectively analyzed. The incidence of EMS gas chamber was observed, and the maximum diameter of EMS gas chamber in the coronal position was measured, type by maximum diameter. The correlation between EMS gas chamber and ipsilateral vesicular middle turbinate were explored. Results The incidence of EMS gas chamber was 10.2%. Among them, unilateral account for 3.8%, bilateral account for 6.4%. The incidence of alveolar middle turbinate on the affected side of EMS gas chamber was significantly higher than that on the affected side of non-EMS gas chamber (P < 0.05). The maximum diameter of EMS gas chamber on the coronal plane was 3.48-26.18 mm, with an average diameter of (11.27±5.02) mm. The difference between the three types of EMS bubble middle turbinate gasification index was highly statistically significant (P < 0.05). Compared with type Ⅰ, type Ⅱ was significantly increased (P < 0.05). Type Ⅲ was significantly higher than type Ⅱ (P < 0.05). Conclusion EMS gas chamber is a common anatomic variation associated with ipsilateral vesicular middle turbinate. The greater the degree of EMS gasification, the greater the degree of ipsilateral vesicular middle turbinate gasification.
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