Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-05T15:21:10.117Z Has data issue: false hasContentIssue false
  • English
  • Français

Pneumatisation of turbinates and paranasal sinuses in children: case report

Published online by Cambridge University Press:  25 February 2013

K Tsioulos ,
M Martinez Del Pero  and
C Philpott
K Tsioulos*
Affiliation:
Department of Asthma, Allergy & Respiratory Science, Guy's Hospital, London, UK
M Martinez Del Pero
Affiliation:
ENT Department, Addenbrooke's Hospital, Cambridge, UK
C Philpott
Affiliation:
ENT Department, James Paget University Hospital, Great Yarmouth, UK Norwich Medical School, University of East Anglia, Norwich, UK
*
Address for correspondence: Mr Konstantinos Tsioulos, Department of Asthma, Allergy & Respiratory Science, King's College London, 5th Floor, Tower Wing, Guy's Hospital, Great Maze Pond, London SE1 9RT Fax: + 44(0)207 403 8640 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To describe a rare case of multiple anatomical variations in the sinonasal skeleton of an adolescent with chronic rhinosinusitis, together with its successful surgical management.

Case report:

A 15-year-old male adolescent was referred with a 3-year history of nasal blockage and hyposmia. His symptoms did not improve on maximal medical therapy. A pre-operative computed tomography scan revealed numerous anatomical variations in his nose and paranasal sinuses. He underwent neuronavigation-assisted endoscopic sinus surgery without complication, and with subsequent resolution of his symptoms at 10 months.

Conclusion:

Chronic rhinosinusitis in children offers its own set of unique surgical challenges. The effectiveness and safety of sinus surgery in this population can be improved through the knowledge of anatomical variants, and is aided by the use of image guidance systems.

Keywords

NeuronavigationParanasal SinusesPaediatricsSurgical Procedures, OperativeTomography, X-ray Computed
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 419 - 422
Copyright
Copyright © JLO (1984) Limited 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Kim, HJ, Cho, MJ, Lee, J, Kim, YT, Kahng, H, Kim, HS et al. The relationship between anatomic variations of paranasal sinuses and chronic sinusitis in children. Acta Otolaryngol 2006;126:1067–72Google ScholarPubMed
2Nouraei, SAR, Elisay, AR, DiMarco, A, Abdi, R, Majidi, H, Madani, SA et al. Variations in paranasal sinus anatomy: implications for the pathophysiology of chronic rhinosinusitis and safety of endscopic surgery. J Otolaryngol Head Neck Surg 2009;38:32–7Google Scholar
3Arslan, H, Aydinhoglu, A, Bozhurt, M, Egeli, E.Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:39–48CrossRefGoogle ScholarPubMed
4Bent, JP, Cuilty-Siller, C, Kuhn, FA.The frontal cell as a cause of frontal sinus obstruction. Am J Rhinol 1994;8:185–91CrossRefGoogle Scholar
5Owen, RG, Kuhn, FA.Supraorbital ethmoid cell. Otolaryngol Head Neck Surg 1997;116:254–61CrossRefGoogle ScholarPubMed
6Bolger, WE, Butzin, CA, Parsons, DS.Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56–64CrossRefGoogle ScholarPubMed
7Meyers, RM, Valvassori, G.Interpretation of anatomic variations of computed tomography scans of the sinuses: a surgeon's perspective. Laryngoscope 1998;108:422–5CrossRefGoogle ScholarPubMed
8Lieser, JD, Derkay, CS.Paediatric sinusitis: when do we operate? Curr Opin Otolaryngol Head Neck Surg 2005;13:60–6CrossRefGoogle ScholarPubMed
9Criddle, MW, Stinson, A, Savliwala, M, Cottichia, J.Paediatric chronic rhinosinusitis: a retrospective review. Am J Otolaryngol 2008;29:372–8CrossRefGoogle ScholarPubMed
10Bhattacharrya, N, Jones, DT, Hill, M, Shapiro, NL.The diagnostic accuracy of computed tomography in pediatric chronic rhinosinusitis. Arch Otolaryngol Head Neck Surg 2004;130:1029–32CrossRefGoogle Scholar
11Maspero, JF, Rosenblut, A, Finn, A Jr, Lim, J, Wu, W, Philpot, E.Safety and efficacy of fluticasone furoate in pediatric patients with perennial allergic rhinitis. Otolaryngol Head Neck Surg 2008;138:30–7CrossRefGoogle ScholarPubMed