Osteomeatal Complex: A Study of Its Anatomical Variation Among Patients Attending North Bengal Medical College and Hospital
- PMID:26405665
- PMCID: PMC4575670
- DOI: 10.1007/s12070-015-0874-z
Osteomeatal Complex: A Study of Its Anatomical Variation Among Patients Attending North Bengal Medical College and Hospital
Abstract
Lateral nasal wall of each nasal cavity provides the final common pathway of drainage of the mucociliary clearance of frontal, maxillary and anterior ethmoidal air cells. Anatomical variants like concha bullosa, Haller cells, agger nasi cells, enlarged bulla ethmoidalis may obstruct the mucociliary clearance through osteomeatal complex and cause rhino sinusitis. The objectives were to find out the anatomical variation of osteomeatal complex and its dimensions when present. The present study was a descriptive, hospital based cross sectional study carried out in the outpatient departments of North Bengal Medical College and Hospital, West Bengal, India, among patients aged 15 years and above. Coronal CT scan of paranasal sinus and orbit region was done. Data was collected with the help of semi structured predesigned and pretested questionnaire. Of the 44 study patients, 15.9 % had concha bullosa, 11.36 % had paradoxical middle concha, 27.3 % had Haller cell, 18.2 % had agger nasi cell. Lateral attachment and medial free margin of uncinate process were also measured in respect to medial body line. 77.3, 59.1 and 47.7 % had sneezing, rhinorrhoea and headache respectively. The harmony of mucociliary clearance and obstruction free osteomeatal complex is the key factor for ventilation and drainage of maxillary, frontal and anterior ethmoidal air cells.
Keywords: Air cells; Anatomical variation; Medial body line; Osteomeatal complex.
Figures
Similar articles
- A Study of Anatomical Variations of Osteomeatal Complex in Chronic Rhinosinusitis Patients-CT Findings.Aramani A, Karadi RN, Kumar S.Aramani A, et al.J Clin Diagn Res. 2014 Oct;8(10):KC01-4. doi: 10.7860/JCDR/2014/9323.4923. Epub 2014 Oct 20.J Clin Diagn Res. 2014.PMID:25478374Free PMC article.
- Sinonasal Anatomical Variants: CT and Endoscopy Study and Its Correlation with Extent of Disease.Mendiratta V, Baisakhiya N, Singh D, Datta G, Mittal A, Mendiratta P.Mendiratta V, et al.Indian J Otolaryngol Head Neck Surg. 2016 Sep;68(3):352-8. doi: 10.1007/s12070-015-0920-x. Epub 2015 Sep 29.Indian J Otolaryngol Head Neck Surg. 2016.PMID:27508139Free PMC article.
- Prevalence of Anatomical Variations of the Sinonasal Region and their Relationship with Chronic Rhinosinusitis.Karki S , Pokharel M , Suwal S , Poudel R .Karki S , et al.Kathmandu Univ Med J (KUMJ). 2016 Oct.-Dec.;14(56):342-346.Kathmandu Univ Med J (KUMJ). 2016.PMID:29336423
- Anatomical Variations of the Nasal Cavities and Paranasal Sinuses: A Systematic Review.Papadopoulou AM, Chrysikos D, Samolis A, Tsakotos G, Troupis T.Papadopoulou AM, et al.Cureus. 2021 Jan 15;13(1):e12727. doi: 10.7759/cureus.12727.Cureus. 2021.PMID:33614330Free PMC article.Review.
- Deviated Nasal Septum a Risk Factor for the Occurrence of Chronic Rhinosinusitis.Malpani SN, Deshmukh P.Malpani SN, et al.Cureus. 2022 Oct 13;14(10):e30261. doi: 10.7759/cureus.30261. eCollection 2022 Oct.Cureus. 2022.PMID:36381736Free PMC article.Review.
Cited by
- Posterior Ethmomaxillary Cells: Anatomical Variation to be Considered in Endoscopic Sinus Surgery.Poojary N, Meghanandh KR, Patil T.Poojary N, et al.Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):747-750. doi: 10.1007/s12070-022-03298-5. Epub 2022 Dec 3.Indian J Otolaryngol Head Neck Surg. 2023.PMID:37206756Free PMC article.
- Computed Tomographic Comparison of Length, Width and Angulation of Ethmoidal Infundibulum in Patients With and Without Maxillary Sinusitis.Yousefi Z, Dalili Kajan Z, Jalali MM, Khosravifard N, Rafiei E.Yousefi Z, et al.Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1220-1231. doi: 10.1007/s12070-020-02290-1. Epub 2021 Jan 3.Indian J Otolaryngol Head Neck Surg. 2022.PMID:36452627Free PMC article.
- Are of Osteomeatal Complex Variations Related to Nasolacrimal Canal Morphometry.Khojastepour L, Dokohaki S, Paknahad M.Khojastepour L, et al.Iran J Otorhinolaryngol. 2022 Jan;34(120):17-26. doi: 10.22038/IJORL.2021.52612.2784.Iran J Otorhinolaryngol. 2022.PMID:35145932Free PMC article.
- Osteomyelitis of Frontal Sinus: A Rare Sequelae of Acute Bacterial Sinusitis Associated With Anatomical Variations in the Frontal Sinus Drainage Pathway.Wadhwa S, Jain S, Gupta J, Dobariya H, Pantbalekundri N.Wadhwa S, et al.Cureus. 2024 Feb 13;16(2):e54158. doi: 10.7759/cureus.54158. eCollection 2024 Feb.Cureus. 2024.PMID:38496067Free PMC article.
- Anatomical Variants of the Uncinate Process: A Challenge in the Endoscopic Surgery of the Nose and Paranasal Sinuses.Fikir M, Treviño-González JL, González Andrade B, Morales Del Angel JA.Fikir M, et al.Cureus. 2023 Dec 21;15(12):e50914. doi: 10.7759/cureus.50914. eCollection 2023 Dec.Cureus. 2023.PMID:38259420Free PMC article.
References
- Stammberger H, Hawke M. Essentials of endoscopic sinus surgery. St. Louis: Mosby Inc.; 1993. pp. 1–108.
- Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol. 1996;525(Suppl):9–13. - PubMed
- Zinreich J. Imaging of inflammatory sinus disease. Otolaryngol Clin North Am. 1993;26:535–547. - PubMed
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources