A Radiological and Surgical Analysis of Anatomical Variations of Frontal Sinus Recess and Its Surgical Importance in the Management of Frontal Sinus Disorders During Endoscopic Sinus Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Size distribution of Agar nasi cells
研究概览
简要总结
Introduction
The frontal recess is a narrow and anatomically variable region that forms the frontal sinus drainage pathway. Variations in its anatomy, particularly those related to the agger nasi cell and other frontal recess cells, can impair frontal sinus drainage and contribute to the development of frontal sinus disease. High-resolution computed tomography and endoscopic evaluation are essential for identifying these variations and planning endoscopic sinus surgery. A thorough understanding of frontal recess anatomy is crucial for achieving adequate frontal sinus drainage, improving surgical outcomes, and minimizing complications due to the close proximity of the orbit and skull base.
The Study aim to evaluate the anatomical variations of the frontal recess using radiological and surgical assessment and determine their significance in the management of frontal sinus disorders during endoscopic sinus surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age : (20 -60 years old ).
- •Sex: both males and females.
- •Patients were selected from the otorhinolaryngology outpatient clinic of Al-Azhar University Hospital in Assiut in a consecutive manner.
- •All patients were generally well and fit for surgery.
排除标准
- •Patients with massive inflammatory disease of specific in
- •infections (e.g., rhinoscleroma).
- •Malignancy.
- •Severe nasal trauma.
- •Foreign body.
- •Previous nasal surgery.
- •Atrophic diseases or systemic diseases and patients not fit for surgery.
研究组 & 干预措施
patients presneted with chronic frontal sinusitis refreactory to medical treatment
Patients who fulfill the inclusion criteria will undergo endoscopic sinus surgery and a CT scan to detect the anatomical variation of the frontal sinus, frontal recess, and the correlation of this viarations on surgical easiness
干预措施: endosocpic sinus surgery (Procedure)
结局指标
主要结局
Size distribution of Agar nasi cells
时间窗: Baseline
Distribution of different sizes of agar nasi cells among the participants: small, medium, and large
Prevalence of aggar nasi cell
时间窗: Baseline
The frequency of presence of aggar nasi cells on one side, bilateral, or absent
次要结局
未报告次要终点
研究者
Ahmed Nabil Selim
ENT Specialist
Al-Azhar University