Assessment of the prelacrimal recess in different maxillary sinus pneumatizations in relation to endoscopic prelacrimal recess approaches: a computed tomography study

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dc.contributor.authorSoyal, Rukiye
dc.contributor.authorAcar, Gulay
dc.contributor.authorCicekcibasi, Aynur Emine
dc.contributor.authorGoksan, Ahmet Safa
dc.contributor.authorAydogdu, Demet
dc.date.accessioned2024-02-23T13:43:42Z
dc.date.available2024-02-23T13:43:42Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractPurposeTo assist in planning before the endoscopic prelacrimal recess (PLR) approach, we aimed to investigate the relationship between morphometry and variations of PLR in maxillary sinus (MS) pneumatizations.MethodsRetrospective analysis of the paranasal sinus computed tomography images of 150 patients was conducted to determine the pneumatization patterns of the MS, PLR variations, and the applicability of the PLR approach. The results were compared based on lateralization, gender, and age groups.ResultsThe PLRwidth, the anteroposterior diameter of the nasolacrimal duct (NLD), the vertical and horizontal diameters of the MS were the highest in hyperplasic MS, and decreased significantly with increasing age (p = 0.005, p = 0.017, p = 0.000), respectively. Most of the morphometric measurements were higher in hyperplasic MS, while the medial wall thickness of PLR was higher in hypoplasic MS. The PLRwidth for feasibility of the PLR approach were Type I (48%) in hypoplasic MS and Type III (80%) in hyperplasic MS (p < 0.001), respectively. The PLR medial wall thickness was higher in Type I, while the piriform aperture angle (PAA), MS volume, length, and slope of the NLD were higher in Type III PLRwidth (p = 0.000), respectively. The highest anterior and separation-type variations of the PLR were observed in hyperplasic MS, whereas 31.0% of hypoplasic MS had no PLR (p < 0.001).ConclusionThis study revealed that PLRwidth and PAA were the highest in hyperplasic MS, which allows the endoscopic PLR approach to be performed more easily. For safer and uncomplicated surgery, surgeon should be aware of the PLR anatomy in different MS pneumatization patterns.en_US
dc.identifier.doi10.1007/s00276-023-03181-0
dc.identifier.endpage972en_US
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue8en_US
dc.identifier.pmid37306725en_US
dc.identifier.scopus2-s2.0-85163124202en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage963en_US
dc.identifier.urihttps://doi.org/10.1007/s00276-023-03181-0
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10874
dc.identifier.volume45en_US
dc.identifier.wosWOS:001004768300001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Franceen_US
dc.relation.ispartofSurgical And Radiologic Anatomyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComputed Tomographyen_US
dc.subjectEndoscopic Approachen_US
dc.subjectMaxillary Sinus Pneumatization Patternsen_US
dc.subjectNasolacrimal Ducten_US
dc.subjectPrelacrimal Recessen_US
dc.titleAssessment of the prelacrimal recess in different maxillary sinus pneumatizations in relation to endoscopic prelacrimal recess approaches: a computed tomography studyen_US
dc.typeArticleen_US

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