Section:
Science articles
Anatomical and histological features of the state of ostiomeatal complex structures in patients with cystic lesions of the maxillary sinus
A. I. Kryukov (1), G. Yu. Tsarapkin (1), O. V. Zairatyants (2), A. S. Tovmasyan (1), S. G. Arzamazov (1), E. V. Gorovaya (1), K. M. Fedotkina (1)
(1) Scientific and Research Clinical Institute of Otorhinolaryngology named after L. I. Sverzhevskiy Moscow Healthcare Department, Moscow, 117152, Russia (2) Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, 127473, Russia
UDK: 616.216.1-002.191-018-091
DOI: https://doi.org/10.18692/1810-4800-2016-2-60-65
ABSTRACT
The article provides the study of anatomomorphological features of ostiomeatal complex structures condition based on complex examination of 102 patients with chronic cyst sinusitis. The vector analysis of paranasal sinuses СT with the measurement of the ethmoidal infundibulum gleam and diameter of natural anastomosis of the maxillary sinus is made, and histologic research of a mucous membrane of ostiomeatal complex structures is provided. As a result of the research it was determined that the damage of mucous membrane in the area of ethmoidal infundibulum and the natural anastomosis of the maxillary sinus had chronic nature with sclerosis of the genuine plate of mucous membrane and, quite often, hyperplasia and hypersecretion of mucous glands. The gleam of the complex system of the sinus communication with the nasal cavity remains over the whole perios constituting 1.31±0.03 mm – in the area of ethmoidal infundibulum, and 2.09±0.02 mm – in thearea of natural anastomosis of the maxillary sinus (p < 0.01).
Publication date:
31.03.2016
Keywords:
chronic sinusitis, ostiomeatal complex, retention cyst, microgaymorotomy, FESS (functional endoscopic sinus surgery). For citation:
Kryukov A. I., Tsarapkin G. Yu., Zairatyants O. V., Tovmasyan A. S., Arzamazov S. G., Gorovaya E. V., Fedotkina K. M. Anatomical and histological features of the state of ostiomeatal complex structures in patients with cystic lesions of the maxillary sinus. Rossiiskaya otorinolaringologiya. 2016;2:60-65. https://doi.org/10.18692/1810-4800-2016-2-60-65