Lamina papyracea position in patients with allergic nasal polypi: A computed tomography analysis

Raafat Fawzy; Ahmed Seleim; Ibrahim Eldsoky; Tarek Alzayat

doi:10.53730/ijhs.v6nS1.8082

Authors

Raafat Fawzy
raafatfawzymedical@gmail.com
M.B.,B.Ch, Faculty of Medicine Cairo University, Egypt
Ahmed Seleim Professor of Otorhinolaryngology and former Dean of Faculty of Medicine AL-Azhar University, Egypt
Ibrahim Eldsoky Professor of Otorhinolaryngology, Faculty of Medicine AL-Azhar University, Egypt
Tarek Alzayat Professor of Diagnostic Radiology, Faculty of Medicine AL-Azhar University, Egypt

Keywords:

allergic rhinitis, nasal polyps, Endoscopic sinus surgery, Laminal papyracea, Orbital complications

Abstract

Objective: This study aimed to describe the variations of the position of lamina papyracea (LP) in patients with allergic nasal polyposis candidate for functional endoscopic sinus surgery (FESS), by computed tomography (CT) analysis. Méthod: Paranasal CT scan of patients diagnosed to have allergic nasal polypi were included in this study and positions of lamina papyracea were registered then analyzed in relation to allergic sinonasal polypi grading. Results: fifty subjects (100 nasal sides) were included in the current study. Grade of nasal polypi was not necessarily associated with certain grade of lamina payracea. Conclusion: This study improves surgeons’ awareness of LP position in different grades of allergic sinonasal polypi and highlights that meticulous preoperative reading of every CT is the key to avoid LP injury during FESS.

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References

Soler ZM, Mace J, Smith TL. Symptom-based presentation of chronic rhinosinusitis and symptom-specific outcomes after endoscopic sinus surgery. Am J Rhinol. 2008;22(3):297–301.

Graham SM, Nerad JA. Orbital complications in endoscopic sinus surgery using powered instrumentation. Laryngoscope. 2003;113(5):874–8.

Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications of Primary and Revision Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis. 2014;(April):838–45.

FA: Mohammed, R. A., Saifaddin, A. L., Mahmood, H. F., & Habibi, N. (2022). Seismic Performance of I-shaped Beam-column Joint with Cubical and Triangular Slit Dampers Based on Finite Element Analysis. Journal of Studies in Science and Engineering, 2(1), 17-31.

FA: Hersh F. Mahmood, Hooshang Dabbagh, Azad A. Mohammed, Comparative study on using chemical and natural admixtures (grape and mulberry extracts) for concrete, Case Studies in Construction Materials, Volume 15, 2021,

Kumar, S. (2022). A quest for sustainium (sustainability Premium): review of sustainable bonds. Academy of Accounting and Financial Studies Journal, Vol. 26, no.2, pp. 1-18

Allugunti, V.R. (2019). Diabetes Kaggle Dataset Adequacy Scrutiny using Factor Exploration and Correlation. International Journal of Recent Technology and Engineering, Volume-8, Issue-1S4, pp 1105-1110.

Meyers RM, Valvassori G. Interpretation of anatomic variations of computed tomography scans of the sinuses: A surgeon’s perspective. Laryngoscope. 1998;108(3):422–5.

Chong VFH, Fan YF, Lau D, Sethi DS. Functional endoscopic sinus surgery (FESS): What radiologists need to know. Clin Radiol. 1998;53(9):650–8.

Castro E, Seeley M, Kosmorsky G, Foster JA. Orbital compartment syndrome caused by intraorbital bacitracin ointment after endoscopic sinus surgery. Am J Ophthalmol. 2000;130(3):376–8.

Herzallah IR, Marglani OA, Shaikh AM. Variations of lamina papyracea position from the endoscopic view: A retrospective computed tomography analysis. Int Forum Allergy Rhinol. 2015;5(3):263–70.

Maharjan S. Nasal Polyposis: A Review. Glob J Otolaryngol. 2017;8(2):8–11.

Aouad RK, Chiu AG. State of the art treatment of nasal polyposis. Am J Rhinol Allergy. 2011;25(5):291–8.

Bhatti MT, Stankiewicz JA. Ophthalmic complications of endoscopic sinus surgery. Surv Ophthalmol. 2003;48(4):389–402.

El-anwar MW, Omar A, Bakry D. Lamina papyracea position in patients with nasal polypi : A computed tomography analysis Lamina papyracea position in patients with nasal polypi : A computed tomography analysis. Auris Nasus Larynx [Internet].2017;45(3):48791.

Passali D, Bernstein JM, Passali FM, Damiani V, Passali GC, Bellusi L. Treatment of recurrent chronic hyperplastic sinusitis with nasal poly- posis. Arch Otol Head Neck 2003;129:656–9.