An endoscopic cadaveric study: Accessory maxillary ostia
Objective: Endoscopy is now being used for diagnosis and surgical treatment of disorders of the nose and paranasal sinuses. Direct observations of mucociliary clearance patterns have shown that there are clear cut pathways in the sinuses, with secretions always trying to leave through the natural o...
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Dicle University Medical School
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doaj-b3486d1cff68430bb415f36f429beb912020-11-25T01:27:32ZengDicle University Medical SchoolDicle Medical Journal 1300-29451308-98892014-06-0141226226710.5798/diclemedj.0921.2014.02.0413An endoscopic cadaveric study: Accessory maxillary ostiaAlper Sindel0Murat Turhan1Eren Ogut2Mehmet Akdag3Aslı Bostancı4Muzaffer Sindel5Akdeniz Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı, Antalya, TürkiyeAkdeniz Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Antalya, TürkiyeAkdeniz Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, AntalyaAkdeniz Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Antalya, TürkiyeAkdeniz Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Antalya, TürkiyeAkdeniz Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, Antalya Objective: Endoscopy is now being used for diagnosis and surgical treatment of disorders of the nose and paranasal sinuses. Direct observations of mucociliary clearance patterns have shown that there are clear cut pathways in the sinuses, with secretions always trying to leave through the natural ostia.' Maxillar ostia is exists behind the upper part of the medial wall and often at intersection region of the rear lower infindubulum and lower front surface of the ethmoid bulla. Accessory ostium exists at the 25-30% of the general population instead of the natural ostium. There are some features that differentiate the accessory ostium and natural ostium. Methods: To determine the incidence and location of the accessory ostium 29 fromaldehyde fixed adult cadaver was examined with endoscope. Results: The accessory ostium is encountered at 8 cases (13.8%). These are located at rare-middle, front-middle and rear in 2 (0.03%), 3 (0.05%), 3 (0.05%) cases respectively. Recognition of the maxillary ostia is tedious while performing endoscopic procedures which accounts for a high rate of orbital complications for a novice performing surgery in this region. Conclusion: It is therefore imperative to know the landmarks in this regions which may be obliterated by disease. Radiologist should be aware of this entity as it can appear as communication between the maxillary sinus and nasal cavity on sinus imaging examinations.http://www.diclemedj.org/upload/sayi/32/Dicle%20Med%20J-01928.pdfAccessory maxillary ostiaendoscopic study |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alper Sindel Murat Turhan Eren Ogut Mehmet Akdag Aslı Bostancı Muzaffer Sindel |
spellingShingle |
Alper Sindel Murat Turhan Eren Ogut Mehmet Akdag Aslı Bostancı Muzaffer Sindel An endoscopic cadaveric study: Accessory maxillary ostia Dicle Medical Journal Accessory maxillary ostia endoscopic study |
author_facet |
Alper Sindel Murat Turhan Eren Ogut Mehmet Akdag Aslı Bostancı Muzaffer Sindel |
author_sort |
Alper Sindel |
title |
An endoscopic cadaveric study: Accessory maxillary ostia |
title_short |
An endoscopic cadaveric study: Accessory maxillary ostia |
title_full |
An endoscopic cadaveric study: Accessory maxillary ostia |
title_fullStr |
An endoscopic cadaveric study: Accessory maxillary ostia |
title_full_unstemmed |
An endoscopic cadaveric study: Accessory maxillary ostia |
title_sort |
endoscopic cadaveric study: accessory maxillary ostia |
publisher |
Dicle University Medical School |
series |
Dicle Medical Journal |
issn |
1300-2945 1308-9889 |
publishDate |
2014-06-01 |
description |
Objective: Endoscopy is now being used for diagnosis and surgical treatment of disorders of the nose and paranasal sinuses. Direct observations of mucociliary clearance patterns have shown that there are clear cut pathways in the sinuses, with secretions always trying to leave through the natural ostia.' Maxillar ostia is exists behind the upper part of the medial wall and often at intersection region of the rear lower infindubulum and lower front surface of the ethmoid bulla. Accessory ostium exists at the 25-30% of the general population instead of the natural ostium. There are some features that differentiate the accessory ostium and natural ostium.
Methods: To determine the incidence and location of the accessory ostium 29 fromaldehyde fixed adult cadaver was examined with endoscope.
Results: The accessory ostium is encountered at 8 cases (13.8%). These are located at rare-middle, front-middle and rear in 2 (0.03%), 3 (0.05%), 3 (0.05%) cases respectively. Recognition of the maxillary ostia is tedious while performing endoscopic procedures which accounts for a high rate of orbital complications for a novice performing surgery in this region.
Conclusion: It is therefore imperative to know the landmarks in this regions which may be obliterated by disease. Radiologist should be aware of this entity as it can appear as communication between the maxillary sinus and nasal cavity on sinus imaging examinations. |
topic |
Accessory maxillary ostia endoscopic study |
url |
http://www.diclemedj.org/upload/sayi/32/Dicle%20Med%20J-01928.pdf |
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