1. Radiological Anatomy of the Olfactory Fossa: Is Skull Base Anatomy Really Ever 'Safe'?
- Author
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Amr F. Hamour, John Lee, Lukas Kus, Eric Monteiro, Allan Vescan, and Patrick Scheffler
- Subjects
0303 health sciences ,Fossa ,biology ,business.industry ,Iatrogenic injury ,Anatomy ,biology.organism_classification ,Radiological anatomy ,03 medical and health sciences ,Skull ,0302 clinical medicine ,medicine.anatomical_structure ,Posterior skull base ,Paranasal sinuses ,030301 anatomy & morphology ,Medicine ,Statistical analysis ,Neurology (clinical) ,Tomography ,030223 otorhinolaryngology ,business - Abstract
Objective Computed tomography (CT) is a powerful tool for delineating the anatomy of the anterior skull base. The goal of this study is to further characterize the relevant anatomical features of this area, along with other parameters important for endoscopic sinus surgery. Design Retrospective case review. Setting Tertiary care hospital. Participants Thirty patients who had CT scans of the paranasal sinuses. Main Outcome Measures The following features were assessed using image analysis software: olfactory fossa depth, the length and angle of the lateral lamella, fovea ethmoidalis length and shape, ethmoid roof height and slope, and the position and course of the anterior ethmoid artery. Statistical analysis was performed assessing for differences in the above parameters. Results The mean olfactory fossa depth of the anterior and posterior skull base was 3.4 ± 1.1 and 2.4 ± 0.9 mm, respectively (p Conclusion Thorough preoperative assessment of CT scans is crucial to understanding the inherent variability of skull base anatomy. Even “safe” anatomy can still contain features such as long and acutely angled lateral lamella, which may predispose patients to iatrogenic injury.
- Published
- 2020