Prevalence of Dangerous Ethmoid in a Tertiary Center in Eastern Nepal

  • Sudeep Mishra Department of Otolaryngology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Shyam Thapa Chhetri Department of Otolaryngology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Ashok Raj Pant Department of Radio Diagnosis, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Shankar Prasad Shah Department of Otolaryngology, BP Koirala Institute of Health Sciences, Dharan, Nepal
  • Sriti Manandhar Department of Otolaryngology, BP Koirala Institute of Health Sciences, Dharan, Nepal
Keywords: computed tomography; endoscopy; ethmoid sinus.

Abstract

Introduction: Endoscopic sinus surgery is a well-known approach for sino-nasal pathologies. Due to close proximity to the brain and orbit, the surgeon should be aware of the sino-nasal anatomy and its associated variations. Detailed preoperative assessment of the sinus computed tomography scans reduces the frequency of severe complications in patients undergoing an endoscopic sinus surgery. So, the aim of this study is to find the prevalence of dangerous ethmoid in a tertiary center in eastern Nepal.


Methods: A descriptive cross-sectional study was performed in a Computed tomography scan of 50 patients with chronic sinusitis undergoing endoscopic sinus surgery from February 2018 to August 2018 in the department of Otolaryngology and Radiology of BP Koirala institute of health sciences after taking ethical approval from Institutional Review Committee of the institute. Measurements are taken in the coronal plane. The depth of the lateral lamella of the cribriform plate was defined according to the Keros classification which defines the dangerous ethmoid. and side. Data entered in MS excel. Statistical analysis was performed in SPSS version 11.5.


Results: Keros type I, II, and III were noted in 17 (17%), 54 (54%) and 29 (29%) of cases respectively. The mean width of the olfactory fossa, medial orbital wall distance and distance from medial nasal concha were 3.57mm, 8.77mm & 17.78mm respectively. Conclusions: The most common type of dangerous ethmoid was keros type II.

Conclusions: The most common type of dangerous ethmoid was keros type II.

Published
2019-10-31
How to Cite
Mishra, S., Thapa Chhetri, S., Pant, A. R., Shah, S. P., & Manandhar, S. (2019). Prevalence of Dangerous Ethmoid in a Tertiary Center in Eastern Nepal . Journal of Nepal Medical Association, 57(219). https://doi.org/10.31729/jnma.4637
Section
Original Article