Assesment of Prelacrimal Recess in Patients With Maxillary Sinus Hypoplasia Using Cone Beam Computed Tomography

Abstract

Background

The prelacrimal recess approach, is frequently preferred in creating a minimally invasive surgical corridors.

Objective

The aim of this study was to evaluate the Prelacrimal recess (PLR) anatomy using Cone Beam Computed Tomography in patients with Maxillary Sinus Hypoplasia.

Methods

The paranasal Cone Beam Computed Tomography series of 84 adults were analyzed retrospectively. The antero-posterior and mesio-distal widths of the PLR and the antero-posterior width of the naso-lacrimal duct were measured. The patients were divided into three groups according to the antero-posterior width of PLR to evaluate the feasibility of prelacrimal recess approach as Type 1 (0-3 mm), Type 2 (>3–7 mm) and Type 3 (>7 mm).

Results

The mean antero-posterior width of PLR was 3.11 ± 1.49mm in the patients and 4.77 ± 1.76 mm in the controls. The mean mesio-distal width of PLR was 7.64 ± 1.49 mm in the patients and 3.17 ± 2.05 mm in the controls. The mean antero-posterior width of naso-lacrimal duct was 9.58 ± 2.80 mm in the patients and 9.46 ± 2.42 mm in the controls.

Conclusions

The width of the antero-posterior PLR in patients with Maxillary Sinus Hypoplasia was found to be significantly lower in comparison to individuals with normal maxillary sinuses in the measurements performed on paranasal Cone Beam Computed Tomography scans. Hence, while planning a Functional Endoscopic Sinus Surgery with prelacrimal recess approach for maxillary sinus, the anatomical structure of the naso-sinusoidal region should be carefully analyzed, and individual anatomical variations such as Maxillary Sinus Hypoplasia should not be ignored.

Keywords

prelacrimal recess naso-lacrimal canal cone beam computed tomography maxillary sinus functional endoscopic sinus surgery

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References

Lock PSX, Siow GW, Karandikar A, Goh JPN, Siow JK. Anterior maxillary wall and lacrimal duct relationship in Orientals: CT analysis for prelacrimal access to the maxillary sinus. Eur Archiv Otorhinolaryngol. 2019; 276:2237–2241.

Defreitas

Lucente

FE.

The Caldwell‐Luc procedure: institutional review of 670 cases: 1975–1985

. Laryngoscope. 1988; 98:1297–1300.

Huang

The status of Caldwell-Luc operation. J Clin Otolaryngol Head Neck Surg (Chin). 2003; 17:65–67.

Bing Z, Han D-m, Cui S-j, Huang Q, Wang C-s. Intranasal endoscopic prelacrimal recess approach to maxillary sinus. Chin Med J. 2013; 126:1276–1280.

Zhou

Han

Cui

, et al. Endoscopic nasal lateral wall dissection approach to maxillary sinus. Chin J Otorhinolaryngol Head Neck Surg. 2007; 42:743–748.

Lian

Juan

, Different endoscopic strategies in the management of recurrent sinonasal inverted papilloma. J Craniofac Surg. 2012; 23:e44–e48.

Kashlan

Craig

Dimensions of the medial wall of the prelacrimal recess.

Int Forum Allergy Rhinol. 2018; 8:751–755.

Chen Z, Wang J, Wang Q, Lu Q, Zheng Z. Assessment of the prelacrimal recess in maxillary sinus in different sex and age groups using cone beam computed tomography (CBCT). Eur Archiv Otorhinolaryngol. 2020; 277:777–783.

Sieskiewicz

Buczko

Janica

, et al. Minimally invasive medial maxillectomy and the position of nasolacrimal duct: the CT study. Eur Archiv Otorhinolaryngol. 2017; 274:1515–1519.

10.

Milczuk HA, Dalley RW, Wessbacher FW, Richardson MA. Nasal and paranasal sinus anomalies in children with chronic sinusitis. Laryngoscope. 1993; 103:247–252.

11.

Sirikci A, Bayazit Y, Bayram M, Kanlikana M. A new approach to the classification of maxillary sinus hypoplasia with relevant clinical implications. Surg Radiol Anat. 2001; 22:243–247.

12.

de Lima Navarro

Júnior

AJM

Crespo

AN.

Assessment of the lacrimal recess of the maxillary sinus on computed tomography scans.

Eur J Radiol. 2013; 82:802–805.

13.

de Lima Navarro

Júnior

AJM

Crespo

AN.

Evaluation of the lacrimal recess of the maxillary sinus: an anatomical study.

Braz J Otorhinolaryngol. 2013; 79:35–38.

14.

Duman SB, Duman S, Bayrakdar IS, Yasa Y, Gumussoy I. Evaluation of radix entomolaris in mandibular first and second molars using cone-beam computed tomography and review of the literature. Oral radiology 2019:1–7.

15.

Belgin CA, Colak M, Adiguzel O, Akkus Z, Orhan K. Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. Eur Archiv Otorhinolaryngol. 2019; 276:1493–1499.

16.

Simmen D, Veerasigamani N, Briner HR, Jones N, Schuknecht B. Anterior maxillary wall and lacrimal duct relationship—CT analysis for prelacrimal access to the maxillary sinus. Rhinology. 2017; 55:170–174.

17.

Lund

Stammberger

Nicolai

, et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl. 2010; 22:1–143.

18.

Nicolai P, Tomenzoli D, Lombardi D, Maroldi R. Different endoscopic options in the treatment of inverted papilloma. Oper Tech Otolaryngol Head Neck Surg. 2006; 17:80–86.

19.

Erdem T, Aktas D, Erdem G, Miman MC, Ozturan O. Maxillary sinus hypoplasia. Rhinology. 2002; 40:150–153.

20.

Bolger

Woodruff

Parsons

DS.

CT demonstration of pneumatization of the uncinate process. Am J Neuroradiol. 1990; 11:552–552.

21.

Persing JA, Gampper TJ, Morgan E, Wolcott P. Experimental expansion of the maxillary sinus. J Craniofac Surg. 1994; 5:11–15.

22.

Wang X, Chen X, Zheng M, Liu C, Wang C, Zhang L. The relationships between the nasolacrimal duct and the anterior wall of the maxillary sinus. Laryngoscope. 2019; 129:1030–1034.

23.

Janssen AG, Mansour K, Bos JJ, Castelijns JA. Diameter of the bony lacrimal canal: normal values and values related to nasolacrimal duct obstruction: assessment with CT. Am J neuroradiol. 2001; 22:845–850.

24.

Lee

Ahmad

Kim

, et al. Comparison between endoscopic prelacrimal medial maxillectomy and Caldwell-Luc approach for benign maxillary sinus tumors. Clin Exp Otorhinolaryngol. 2019; 12:287–293.

25.

Sadeghi

Joshi

, Management of the nasolacrimal system during transnasal endoscopic medial maxillectomy. Am J Rhinol Allergy. 2012; 26:e85–e88.

26.

Gumussoy

Duman

, Morphometric analysis of occipital condyles using alternative imaging technique. Surg Radiol Anat. 2020; 42:161–169.

27.

van Steenbergen TR, van der Geest IC, Janssen D, Rovers MM, Fütterer JJ. Feasibility study of intraoperative cone‐beam CT navigation for benign bone tumour surgery. Int J Med Robot Comput Assist Surg. 2019; 15:e1993.