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Titolo:
Bone CT evaluation of nasal cavity of acromegalics - Its morphological andsurgical implication in comparison to non-acromegalics
Autore:
Saeki, N; Iuchi, T; Higuchi, Y; Uchino, Y; Murai, H; Isono, S; Yasuda, T; Minagawa, M; Yamaura, A; Sunami, K;
Indirizzi:
Chiba Univ, Sch Med, Dept Neurol Surg, Chuoh Ku, Chiba 2608670, Japan Chiba Univ Chiba Japan 2608670 urol Surg, Chuoh Ku, Chiba 2608670, Japan Chiba Canc Ctr, Chiba, Japan Chiba Canc Ctr Chiba JapanChiba Canc Ctr, Chiba, Japan
Titolo Testata:
ENDOCRINE JOURNAL
, volume: 47, anno: 2000, supplemento:, S
pagine: S65 - S68
SICI:
0918-8959(200003)47:<S65:BCEONC>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Keywords:
acromegaly; transsphenoidal surgery; CT scan; nasal cavity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
5
Recensione:
Indirizzi per estratti:
Indirizzo: Saeki, N Chiba Univ, Sch Med, Dept Neurol Surg, Chuoh Ku, 1-8-1 Inohana, Chiba 2608670, Japan Chiba Univ 1-8-1 Inohana Chiba Japan 2608670 hiba 2608670, Japan
Citazione:
N. Saeki et al., "Bone CT evaluation of nasal cavity of acromegalics - Its morphological andsurgical implication in comparison to non-acromegalics", ENDOCR J, 47, 2000, pp. S65-S68

Abstract

Purpose: In order to numerically compare the morphological differences of the nasal cavity and nasal sinus between acromegalics and non-acromegalics,bone window CT scans sliced parallel to the transsphenoidal surgical routewere performed. Material and cases: Acromegalic patients had small or large macroadenomas and were 13 (7 men and 6 women) in number, aged 53.2+/-16.1years. Non-acromegalic patients had pituitary tumors and were 44 (21 men and 23 women) in number, aged 52.1+/-12.5 years. Results The results of acromegalics are described in comparison to non-acromegalics in parentheses. a)The width of the surgical corridor: piriform aperture, 27.6+/-2.7 (25.9+/-2.6) mm; origin of inferior nasal concha, 29.4+/-9.4 (26.6+/-4.0) mm; and origin of middle nasal concha, 29.8+/-3.2 (26.2 mm+/-4.2) mm. b) The depth of the surgical corridor: the upper lip thickness, 18.1+/-2.7 (13.3+/-1.4) mm; the distances between piriform aperture and sphenoid wall, 52.9+/-4.6 (49+/-4.2) mm; sphenoid wall and sellar floor, 17.3+/-4.1 (18.7+/-4.1)mm; andsellar floor to dorsum sellae, 17.6+/-3.4 (15.6+/-4.0)mm. c) Marked carotid prominence: 7/13=53.4% (8/44=18.25%). d) Sinusitis: 8/13=61.5% (12/44=27.3%). Discussion d; conclusion The data presented above show that morphological differences in bony nasal cavity and soft tissue may be responsible fora deeper and narrower surgical field for acromegalics. Acromegalics had a marked carotid prominence more frequently, which needs special attention toavoid carotid injury, when enlarging the surgical field. Knowing these morphological differences will provide useful information for peri-and intra-operative care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:28:04