中国耳鼻咽喉头颈外科2024，Vol.31Issue(4)：242-247,6.DOI:10.16066/j.1672-7002.2024.04.008
额窦相关头痛患者额隐窝气房发育的影像学特点分析
Anatomical variations and it's imaging characteristics of frontal recess cells in patients with frontal sinus related headache
摘要
Abstract
OBJECTIVE To determine the prevalence of frontal recess cells variations in patients with frontal sinus associated headache according to the International Frontal Sinus Anatomy Classification(IFAC).METHODS A retrospective study was conducted on the CT scans of sinuses in patients with frontal sinus associated headache.We reviewed 46 patients with frontal sinus-related headache who had clinical symptoms and were relieved after nasal endoscopic surgery.The development of frontal recess cells in the frontal recess drainage area was analyzed,and the variation of middle meatus and sinus involvement were analyzed in the same time.The Anatomical variations and imaging characteristics of frontal recess cells development in patients with frontal sinus associated headache were analyzed.RESULTS A total of 92 sinus CT profiles were analyzed in 46 patients.The most common cells were agger nasi cell(ANC)(100%,92/92),followed by supra bulla cell(SBC)(78.3%,72/92),supra agger cell(SAC)(67.4%,62/92),supra bulla frontal cell(SBFC)(27.2%,25/92),supra agger frontal cell(SAFC)(20.7%,19/92),frontal septal cell(FSC)(8.7%,8/92)and supraorbital ethmoid cell(SOEC)(0%,0/92).In the conventional frontal sinus drainage area,SAFC(P=0.0108),SAC(P=0.0104)and SAFC(P=0.0088)in the IFAC classification were significantly associated with the occurrence of frontal sinus associated headache.At the same time,the middle concha bullosa also showed a significant correlation with the occurrence of frontal sinus associated headache in the lower segment of the frontal recess drainage channel(P=0.0390).CONCLUSION In the frontal recess drainage channel,the abnormal development of SAC,SAFC,SBFC and the middle concha bullosa are significantly correlated with frontal sinus associated headache.关键词
额窦/头痛/额隐窝/国际额窦解剖分类/泡状中鼻甲Key words
Frontal Sinus/Headache/frontal recess cells/International Frontal Sinus Anatomy Classification/middle concha bullosa引用本文复制引用
刘承耀,王向东,许庆刚,崔世磊,刘仲燕,赵岩,张罗..额窦相关头痛患者额隐窝气房发育的影像学特点分析[J].中国耳鼻咽喉头颈外科,2024,31(4):242-247,6.基金项目
国家重点研发计划(2022YFC2504100) （2022YFC2504100）
教育部长江学者创新团队(IRT13082) （IRT13082）
中国医学科学院医学与健康科技创新工程项目资助(2019-I2M-5-022) （2019-I2M-5-022）
首都卫生发展科研专项重点攻关项目(2022-1-1091) （2022-1-1091）
