Paranasal sinus development and choanal atresia.

Autor: Behar PM; Department of Otolaryngology, Emory University School of Medicine, Atlanta, GA 30322, USA., Todd NW
Jazyk: angličtina
Zdroj: Archives of otolaryngology--head & neck surgery [Arch Otolaryngol Head Neck Surg] 2000 Feb; Vol. 126 (2), pp. 155-7.
DOI: 10.1001/archotol.126.2.155
Abstrakt: Background: Although the determinates of paranasal sinus development and sinusitis are not well defined, a candidate factor is blockage of the choana.
Hypothesis: Maxillary sinuses ipsilateral to unilateral choanal atresia are comparatively small and have more evidence of sinusitis than do the contralateral sinuses.
Design: Retrospective.
Setting: Children's hospitals.
Patients: Sixteen nonsyndomic children with isolated unilateral congenital choanal atresia.
Main Outcome Measures: Determination of maxillary sinus volumes and mucoperiosteal thickening on preoperative computed tomograms.
Results: Maxillary sinuses ipsilateral to unilateral choanal atresia have slightly larger volumes than, and mucoperiosteal thickening that is similar to, the contralateral sinuses.
Conclusion: These data suggest that maxillary sinus development and sinusitis are independent of posterior nasal ventilation and drainage.
Databáze: MEDLINE