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Radiological and clinical correlations of the anterior ethmoidal artery in functional endoscopic sinus surgery

Published online by Cambridge University Press:  03 November 2021

A Gupta ,
S Ghosh  and
A Roychoudhury
A Gupta*
Affiliation:
Consultant ENT, Lok Clinic and Hospital, New Delhi, India
S Ghosh
Affiliation:
Department of ENT and Head Neck Surgery, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, India
A Roychoudhury
Affiliation:
Department of ENT and Head Neck Surgery, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, India
*
Author for correspondence: Dr Abhishek Gupta, A-2-132, Ground Floor, Janakpuri, New Delhi110058, India E-mail: [email protected]
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Abstract

Objectives

To correlate computed tomography findings and endoscopic localisation of the anterior ethmoidal artery during surgery, and to analyse the intranasal landmarks and abnormalities of the artery.

Method

The anterior ethmoidal artery was studied with high-resolution computed tomography and endoscopic surgery in 30 patients undergoing functional endoscopic sinus surgery (group A), and with endoscopic dissection on 30 human cadavers (group B).

Results

The anterior ethmoidal artery was demonstrated on computed tomography in 25 patients and intra-operatively in 12 (group A). It was identified in 26 cadavers (group B). Dehiscence of bony canal and branching was noted in 10.53 per cent of cases. The mean (± standard deviation) intranasal length of the anterior ethmoidal artery was 7.29 (± 1.21) mm, the distance of the artery from the axilla of the middle turbinate was 16.24 (± 2.75) mm, and the mean distance from the ground lamella was 8.97 (± 1.46) mm.

Conclusion

High-resolution computed tomography scanning prior to functional endoscopic sinus surgery is mandatory to identify the anterior ethmoidal artery. Endoscopically, the axilla of the middle turbinate and the ground lamella can serve as dependable reference points to identify the artery. Cadaver dissection improves understanding of anatomy.

Keywords

Anterior Ethmoidal ArteryEndoscopic Sinus Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 2 , February 2022 , pp. 154 - 157
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Gupta takes responsibility for the integrity of the content of the paper

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