乙状前动脉与前颅底的不对称:对 500 条动脉的人口研究

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Brazilian Journal of Otorhinolaryngology Pub Date : 2024-03-01 DOI:10.1016/j.bjorl.2024.101412
Bernard Beraldin , Gustavo Rassier Isolan , Lucas Rodrigues Mostardeiro , Vagner Antonio Rodrigues Silva , Joel Lavinsky
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引用次数: 0

摘要

使用计算机断层扫描分析拉丁美洲人群中乙状前动脉(AEA)与前颅底(SB)之间距离的变化以及侧向不对称的频率。共分析了 250 张冠状面重建的副鼻窦计算机断层扫描图像(500 张 AEA)。在确定动脉解剖视图最佳的图像后,测量动脉中点与乙状窦顶之间的距离,并由两名医生对图像进行独立解读。在 500 条 AEA 中,有 279 条(55.8%)与 SB 相连或穿过 SB,距离为 0 毫米。共有 221 个 AEA(44.2%)与 SB 保持一定距离,其中 107 个(48.4%)位于右侧,距离在 1.18 到 6.75 毫米之间,114 个(51.5%)位于左侧,距离在 1.15 到 6.04 毫米之间。AEA 和 SB 之间的总平均距离为 1.22(SD = 1.57)毫米,如果不包括附着在 SB 上的动脉,则增加到 2.77(SD = 1.14)毫米。76人(30.4%)的横向距离变化大于1毫米。我们的研究包括了通过计算机断层扫描分析鼻旁窦 AEA 的最大样本。几乎半数患者的 AEA 与 SB 之间存在一定距离,我们发现横向距离变化大于 1 毫米的比例很高。第 3 级。
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Asymmetry of the anterior ethmoidal artery in relation to the anterior skull base: a population-based study of 500 arteries

Objective

To analyze variability in the distance between the Anterior Ethmoidal Artery (AEA) and the anterior Skull Base (SB), as well as the frequency of lateral asymmetry in a Latin American population using computed tomography.

Methods

A total of 250 computed tomography scans of paranasal sinuses in coronal reconstruction (500 AEAs) were analyzed. After determining the image with the best anatomical view of the artery, the distance between its midpoint and the ethmoidal roof was measured, and the images were independently interpreted by 2 physicians.

Results

Of the 500 AEAs, 279 (55.8%) adhered to or passed through the SB at a distance of 0 mm. A total of 221 AEAs (44.2%) were at some distance from the SB, of which 107 (48.4%) were on the right side, ranging from 1.18 to 6.75 mm, and 114 (51.5%) were on the left side, ranging from 1.15 to 6.04 mm. The overall mean distance between the AEA and SB was 1.22 (SD = 1.57) mm, increasing to 2.77 (SD = 1.14) when the arteries adhered to the SB were excluded. Seventy-six individuals (30.4%) had a lateral distance variation > 1 mm.

Conclusion

Our study includes the largest sample of AEA analyzed with computed tomography scans of paranasal sinuses. There was some distance between the AEA and SB in almost half the patients, and we found a high rate of lateral variability >1 mm.

Level of evidence

Level 3.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
205
审稿时长
4-8 weeks
期刊介绍: Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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