Anatomy and Cell Biology

Korean Association of Anatomists (대한해부학회)
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Middle meatal nasal recesses of the maxillary sinuses and dangerously modified nasal anatomy

  • Mugurel Constantin Rusu (Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy) ;
  • Alexandru Nicolae Muresan (Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy) ;
  • Carol Antonio Dandoczi (Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy) ;
  • Alexandra Diana Vrapciu (Division of Anatomy, Department 1, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy)
  • Received : 2024.01.26
  • Accepted : 2024.04.12
  • Published : 2024.09.30
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Abstract

Pneumatisation of the maxillary sinus (MS) is variable. The archived cone-beam computed tomography file of a 54-year-old female was retrospectively evaluated anatomically. Nasal or retrobullar recesses of the MSs (NRMS) were found. The MSs were bicameral. NRMSs extended from the postero-lateral chambers of the MSs into the lateral nasal walls. The right NRMS was reached superior to the middle turbinate and the ethmoidal bulla was applied on its anterior side. The left NRMS had two medial pouch-like ends, one beneath the ethmoidal bulla and the other on the anterior side of the basal lamella of the middle turbinate. Additional anatomical findings were the uncinate bulla, infraorbital recesses of the MS, maxillary recess of the sphenoidal sinus, and atypical posterior insertions of the superior nasal turbinates, maxillo-ethmoido-sphenoidal and ethmoido-sphenoidal. The NRMS is a novel finding and could lead to erroneous endoscopic corridors if not documented before the interventions.

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References

  1. Craiu C, Rusu MC, Hostiuc S, Sandulescu M, Derjac-Arama AI. Anatomic variation in the pterygopalatine angle of the maxillary sinus and the maxillary bulla. Anat Sci Int 2017;92:98-106.  https://doi.org/10.1007/s12565-015-0320-z
  2. Chan HL, Monje A, Suarez F, Benavides E, Wang HL. Palatonasal recess on medial wall of the maxillary sinus and clinical implications for sinus augmentation via lateral window approach. J Periodontol 2013;84:1087-93.  https://doi.org/10.1902/jop.2012.120371
  3. Gunacar DN, Kose TE, Arsan B, Aydin EZ. Radioanatomic study of maxillary sinus palatal process pneumatization. Oral Radiol 2022;38:398-404.  https://doi.org/10.1007/s11282-021-00569-9
  4. Niu L, Wang J, Yu H, Qiu L. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery. Clin Implant Dent Relat Res 2018;20:493-500.  https://doi.org/10.1111/cid.12606
  5. Serindere G, Serindere M, Gunduz K. Evaluation of maxillary palatal process pneumatization by cone-beam computed tomography. J Stomatol Oral Maxillofac Surg 2023;124:101432. 
  6. Carstocea L, Rusu MC, Matesica DS, Sandulescu M. Air spaces neighbouring the infraorbital canal. Morphologie 2020;104:44-50.  https://doi.org/10.1016/j.morpho.2019.07.002
  7. Maru N, Rusu M, Sandulescu M. The conchal recess of the maxillary sinus: a 100 cases CB CT study. Rom J Funct Clin Macro Microsc Anat Anthropol 2013;12:271-5. 
  8. Wang RG, Jiang SC. The embryonic development of the human ethmoid labyrinth from 8-40 weeks. Acta Otolaryngol 1997;117:118-22.  https://doi.org/10.3109/00016489709118002
  9. Marquez S, Tessema B, Clement PA, Schaefer SD. Development of the ethmoid sinus and extramural migration: the anatomical basis of this paranasal sinus. Anat Rec (Hoboken) 2008;291:1535-53.  https://doi.org/10.1002/ar.20775
  10. R SSS, Khan N, Parameswaran R, Boovaraghavan S, Nagi M. Evaluation of dimensional changes in maxillary and frontal sinus in adult patients with anterior open bite and normal overbite: a retrospective cone beam computed tomography (CBCT) study. Cureus 2024;16:e53710. 
  11. Asantogrol F, Cosgunarslan A. The effect of anatomical variations of the sinonasal region on maxillary sinus volume and dimensions: a three-dimensional study. Braz J Otorhinolaryngol 2022;88(Suppl 1):S118-27.  https://doi.org/10.1016/j.bjorl.2021.05.001
  12. Glass M. Duplication of the maxillary antrum symptomatology, diagnosis and treatment. S Afr Med J 1952;26:895-902. 
  13. Yue V, Bleach NR, van Hasselt CA. Double maxillary antrum as a cause of maxillary sinus mucocele. Ear Nose Throat J 1994;73:839-41.  https://doi.org/10.1177/014556139407301109
  14. Bolger WE, Mawn CB. Analysis of the suprabullar and retrobullar recesses for endoscopic sinus surgery. Ann Otol Rhinol Laryngol Suppl 2001;186:3-14.  https://doi.org/10.1177/00034894011100S501
  15. Rusu MC, Hostiuc S, Motoc AGM, Mogoanta CA, Sava JC, Sandulescu M. The sphenoethmoidal sinus and the modified anatomy of the related structures. Rom J Morphol Embryol 2020;61:143-8. https://doi.org/10.47162/RJME.61.1.16