Agger-bullar classification (ABC) of the frontal sinus drainage pathway: validation in a preclinical setting

Autor:	Roberto Maroldi, Luigi Fabrizio Rodella, Piero Nicolai, Davide Lancini, Davide Mattavelli, Marco Ravanelli, Alberto Schreiber, Marco Ferrari, Luca Pianta, Marco Bottazzoli
Rok vydání:	2016
Předmět:	Cone beam computed tomography Frontal sinus medicine.medical_specialty Kappa value medicine.diagnostic_test business.industry Endoscopy 03 medical and health sciences Dissection Inter-rater reliability 0302 clinical medicine medicine.anatomical_structure Otorhinolaryngology Immunology and Allergy Medicine Radiology 030223 otorhinolaryngology business 030217 neurology & neurosurgery Sinus (anatomy) Kappa
Zdroj:	International Forum of Allergy & Rhinology. 6:981-989
ISSN:	2042-6976
DOI:	10.1002/alr.21756
Popis:	Background The anatomy of structures surrounding the frontal sinus drainage pathway (FSDP) is extremely complex and challenging for endoscopic sinus surgeons. The anatomical nomenclature of this area reflects this complexity and lack of agreement regarding anatomical variants of this region is present in the literature. This work presents a new classification system of the air spaces surrounding the FSDP, called the agger-bullar classification (ABC), and compares it with the most widely used anatomical classification of the frontoethmoidal region, the modified Bent and Kuhn classification (MBKC). Methods Fourteen human heads underwent cone beam computed tomography (CT) scan and subsequently endoscopic dissection. Anatomical data were collected by 2 radiologists in consensus, an expert surgeon, and a novice surgeon. The radiologists filled the anatomical report after examining the CT scan, and the expert surgeon had both CT scan and endoscopic dissection available. A record of the dissection was obtained to allow the novice surgeon to compile the report. Interrater agreement regarding each variable of the classification systems was estimated through Cohen's kappa value. Cohen's kappa values of variables referring to the same anatomical subunit were matched to compare ABC with MBKC. Results For both air spaces in front and behind the FSDP, interrater agreement values of the variables of the ABC were significantly higher than the corresponding variables of the MBKC. Conclusion This preclinical study demonstrates the potential of the ABC system. Although the ABC may improve preoperative anatomical assessment of the frontoethmoidal area, validation in a clinical setting is required.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b9701111ba4b87bc6aae76af96fcc5e7 https://doi.org/10.1002/alr.21756 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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