Sectional anatomy and clinical significance of fronto-nasofrontal duct area
TUN Ting-Ting, TUN Yue, WANG Gong-Guang, YANG Rui, XU Chong, WANG Beng
Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (5) : 557-561.
Sectional anatomy and clinical significance of fronto-nasofrontal duct area
Objective To provide accurate morphological basis for clinical surgery on fronto-nasofrontal duct area. Methods Three-dimensional continuous thin sections of 0.25 mm was prepared with improved celloidin embedding technique and the specimens of adult decalcified heads and dry cranium were observed. Results The morphology of nasofrontal duct included diagonal elongated line-shape, straight line-shape, arc-shape, inverted “L” shape and “S” shape. The bottom opening of nasofrontal duct was into frontal recess, ethmoidal infundibulum and the superior part of ethmoidal infundibulum, ethmoidal bulla and lateral sinus. The length of nasofrontal duct was (19.81±2.56) mm (left) and (19.90±2.60) mm (right). Frontal sinus was diverse morphology, but triangle is the main type. The thickness of anterior wall of frontal sinus was (22.48±1.72) mm (left) and (22.63±1.38) mm (right). Conclusion Frontal sinus surgery via nasofrontal duct can be carried out through the middle nasal meatus after the bottom opening is found. It is safe and feasible to operate on frontal sinus directly through nasofrontal duct.
Fronto-nasofrontal duct area / Sectional anatomy / Clinical significance
[1] 季俊峰, 王秋萍. 额窦的临床解剖与手术
[J].中国耳鼻咽喉颅底外科杂志, 2007，13(1):77-80.
[2] 袁立友, 王中秋. 薄层冠状倾斜CT对额窦引流通道的显示及意义
[J]. 医学影像学杂志, 2003,13(2):141-142.
[3] 周兵, 韩德民, 张罗, 等. 额窦引流通道的影像学检查及解剖研究
[J].耳鼻咽喉头颈外科, 2001，8(4):233-236.
[4] 王斌全. 耳鼻咽喉—头颈应用解剖学
[M].北京：人民卫生出版社, 2003:20 .
[5] 吴樾，王平. 鼻腔外侧壁断层应用解剖学研究
[J].解剖学杂志，2006，29（增刊）：9.
[6] 郑海宁，吴樾，吕杨波.翼腭窝手术入路的断层与应用解剖学研究
[J].中国临床解剖学杂志，2009，27（4）：379-383.
[7] 吕杨波，赵立武，吴樾.视神经管手术入路断层与应用解剖学研究
[J].中国临床解剖杂志，2010，28（5）：518-522.
[8] Friedman M, Bliznikas D, Vidyasagar R, et al. Frontal sinus surgery 2004: Update of clinical anatomy and surgical techniques
[J]. Otolaryngol Head Neck Surg, 2004, 15(1): 23-31.
[9] Al Kadah B, Schick B. Mini-endoscopy of the frontal sinus to guide endonasal frontal sinus surgery
[J]. Eur Arch Otorhinolaryngol, 2014, 271(2):287-292.
[10] Snyderman CH, Pant H, Carrau RL, et al. What are the limits of endoscopic sinus surgery? the expanded endonasal approach to the skull base
[J]. Keio J Med, 2009, 58(3): 152-160.
[11]Silverman JB, Gray ST, Busaba NY. Role of osteoplastic frontal sinus obliteration in the era of endoscopic sinus surgery
[J]. Int J Otolaryngol, 2012, doi: 10.1155/2012/501896.
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