Relation between anterior ethmoidal artery course on computed tomography and supraorbital ethmoid cell and Keros classification

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dc.contributor.authorSaglam, Tarik
dc.contributor.authorDeniz, Muhammed Akif
dc.contributor.authorTurmak, Mehmet
dc.contributor.authorHattapoglu, Salih
dc.contributor.authorAkbudak, Ibrahim
dc.contributor.authorTekinhatun, Muhammed
dc.date.accessioned2024-04-24T16:01:53Z
dc.date.available2024-04-24T16:01:53Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose The anterior ethmoidal artery (AEA) is an important risk area in endoscopic sinus surgery. This study aimed to evaluate the course of AEA according to the Keros classification and the presence of supraorbital ethmoid cell (SOEC) and to prevent possible complications by emphasizing the importance of preoperative paranasal computed tomography (CT) imaging. This approach will increase the effectiveness of endoscopic sinus surgery and improve patient safety.Methods The paranasal CT scan images of patients aged > 18 years between October 2020 and November 2021 from our center were retrospectively analyzed. The images were primarily evaluated in the coronal plane, and the sagittal and axial planes were utilized to evaluate variations in AEA regarding the skull base. Furthermore, the relation of AEA course with Keros classification and SOEC was evaluated. The study included 1000 patients aged 18-80 years (right and left, a total of 2000 samples).Results Grade 3 AEA was the most common regarding the skull base. Keros Type 2 was the most common classification. Overall, 48.7% patients had SOEC. The incidence of Grade 3 AEA was higher among patients with SOEC and a higher Keros classification compared with those without SOEC and a lower Keros classification. Furthermore, Keros Type 3 was the most associated with SOEC presence.Conclusion Consistent with the literature, the probability of Grade 3 AEA in patients with high Keros classification and SOEC was significantly higher in our study. Therefore, we consider that preoperative imaging according to Keros classification and SOEC presence can predict AEA course and guide surgery.en_US
dc.identifier.doi10.1007/s00405-023-08286-1
dc.identifier.endpage1299en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue3en_US
dc.identifier.pmid37870642
dc.identifier.scopus2-s2.0-85174585331
dc.identifier.scopusqualityQ1
dc.identifier.startpage1293en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-023-08286-1
dc.identifier.urihttps://hdl.handle.net/11468/14451
dc.identifier.volume281en_US
dc.identifier.wosWOS:001090598600001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnterior Ethmoidal Arteryen_US
dc.subjectKeros Classificationen_US
dc.subjectSupraorbital Ethmoid Cellen_US
dc.subjectComputed Tomographyen_US
dc.titleRelation between anterior ethmoidal artery course on computed tomography and supraorbital ethmoid cell and Keros classificationen_US
dc.titleRelation between anterior ethmoidal artery course on computed tomography and supraorbital ethmoid cell and Keros classification
dc.typeArticleen_US

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