与过敏真菌鼻炎相关的放射变异:手术前规划的关键差异
Dylan Z Erwin1, Matthew Y Liu1, Mason R Krysinski2
1Department of Otolaryngology & Head and Neck Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
The Annals of otology, rhinology, and laryngology
|October 29, 2024
概括
过敏性真菌鼻炎 (AFRS) 涉及较长的前额动脉到头骨底部的长度,与带鼻息肉的慢性鼻炎 (CRSwNP) 相比. 这种解剖学上的差异对于在AFRS的内镜鼻手术期间预防前额动脉损伤至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 过敏性真菌鼻炎 (AFRS) 可以延伸到鼻外,在内镜鼻手术 (ESS) 期间可能损伤关键结构,如前额动脉 (AEA).
- 了解解剖学变异对于在鼻疾病中进行手术的安全性至关重要.
研究的目的:
- 在患有AFRS的患者中,比较前额肌动脉至头骨底部 (AEA-SB) 长度与具有鼻息肉的慢性鼻炎 (CRSwNP).
- 评估这些患者群体中的其他解剖变异,以评估手术风险.
主要方法:
- 对于AFRS和CRSwNP进行ESS的患者的回顾性图表审查.
- 两组之间的AEA-SB长度和其他解剖变异 (Keros分类,ethmoid空气细胞,concha bullosa) 的比较.
主要成果:
- 与CRSwNP组相比,AFRS组更年轻,并且表现出明显更长的AEA-SB长度.
- 两组之间在Keros测量,concha bullosa或ethmoid空气细胞变异方面没有发现显著差异.
- 在任何一个队列中都没有观察到AEA-SB长度和Keros类之间的关联.
结论:
- 与CRSwNP相比,AFRS与明显的解剖特征有关,特别是较长的AEA-SB长度.
- 这种解剖学差异需要仔细的手术前规划,以减轻AFRS患者在ESS期间AEA损伤的风险.
关键词:
过敏的真菌鼻炎过敏的真菌鼻炎前方乙状动脉的前方乙状动脉慢性犀牛鼻炎 慢性鼻炎计算机断层扫描 (CT) 是一种计算机断层扫描.内镜内腔外科手术是指内镜外科手术.术后并发症 术后并发症术前手术规划 术前手术规划放射学 放射学是指放射学鼻腔的解剖学 鼻腔的解剖学更多相关视频
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