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[Effect of lamina papyracea ingression on orbito-ocular complications after functional endoscopic sinus surgery]. 2016

Y Wang, and Y J Zhang, and H H Zhu
Department of Rhinology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

OBJECTIVE To observe the effect of lamina papyracea ingression on orbito-ocular complications after functional endoscopic sinus surgery (FESS). METHODS Data of computed tomography (CT) and post-FESS complications were analysed in 483 patients undergoing FESS from October 2013 to November 2015. According to the condition of lamina papyracea, these patients were divided into lamina papyracea ingression group (ingression group) and normal group. All data were analyzed to observe the effect of lamina papyracea ingression on orbito-ocular complications. RESULTS The patients with lamina papyracea ingression were found to be 11.2 % (54/483). Of the 54 patients, 18 had grade-Ⅰlamina papyracea ingression, 25 had grade-Ⅱlamina papyracea ingression and 11 had grade-Ⅲ lamina papyracea ingression. The incidence of orbito-ocular complications in normal group was 2.6% (11/429) and the incidence of orbito-ocular complications in the ingression group was 16.7% (9/54). The difference was significant(χ(2)=20.61, P<0.01) CONCLUSION: Before FESS, the paranasal sinus CT should be carefully reviewed to find if there is lamina papyracea ingression, so as to avoid the orbito-ocular complications.

UI MeSH Term Description Entries
D009915 Orbit Bony cavity that holds the eyeball and its associated tissues and appendages. Eye Socket,Eye Sockets,Orbits,Socket, Eye,Sockets, Eye
D010256 Paranasal Sinuses Air-filled spaces located within the bones around the NASAL CAVITY. They are extensions of the nasal cavity and lined by the ciliated NASAL MUCOSA. Each sinus is named for the cranial bone in which it is located, such as the ETHMOID SINUS; the FRONTAL SINUS; the MAXILLARY SINUS; and the SPHENOID SINUS. Nasal Sinuses,Osteomeatal Complex,Ostiomeatal Complex,Ostiomeatal Unit,Sinonasal Tract,Supraorbital Ethmoid Cell,Cell, Supraorbital Ethmoid,Complex, Osteomeatal,Ethmoid Cell, Supraorbital,Osteomeatal Complices,Ostiomeatal Complices,Ostiomeatal Units,Sinonasal Tracts,Sinuses, Nasal,Supraorbital Ethmoid Cells,Tract, Sinonasal
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005004 Ethmoid Bone A light and spongy (pneumatized) bone that lies between the orbital part of FRONTAL BONE and the anterior of SPHENOID BONE. Ethmoid bone separates the ORBIT from the ETHMOID SINUS. It consists of a horizontal plate, a perpendicular plate, and two lateral labyrinths. Cribriform Plate,Horizontal Plate of Ethmoid Bone,Bone, Ethmoid,Bones, Ethmoid,Cribriform Plates,Ethmoid Bones,Plate, Cribriform,Plates, Cribriform
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014057 Tomography, X-Ray Computed Tomography using x-ray transmission and a computer algorithm to reconstruct the image. CAT Scan, X-Ray,CT Scan, X-Ray,Cine-CT,Computerized Tomography, X-Ray,Electron Beam Computed Tomography,Tomodensitometry,Tomography, Transmission Computed,X-Ray Tomography, Computed,CAT Scan, X Ray,CT X Ray,Computed Tomography, X-Ray,Computed X Ray Tomography,Computerized Tomography, X Ray,Electron Beam Tomography,Tomography, X Ray Computed,Tomography, X-Ray Computer Assisted,Tomography, X-Ray Computerized,Tomography, X-Ray Computerized Axial,Tomography, Xray Computed,X Ray Computerized Tomography,X Ray Tomography, Computed,X-Ray Computer Assisted Tomography,X-Ray Computerized Axial Tomography,Beam Tomography, Electron,CAT Scans, X-Ray,CT Scan, X Ray,CT Scans, X-Ray,CT X Rays,Cine CT,Computed Tomography, Transmission,Computed Tomography, X Ray,Computed Tomography, Xray,Computed X-Ray Tomography,Scan, X-Ray CAT,Scan, X-Ray CT,Scans, X-Ray CAT,Scans, X-Ray CT,Tomographies, Computed X-Ray,Tomography, Computed X-Ray,Tomography, Electron Beam,Tomography, X Ray Computer Assisted,Tomography, X Ray Computerized,Tomography, X Ray Computerized Axial,Transmission Computed Tomography,X Ray Computer Assisted Tomography,X Ray Computerized Axial Tomography,X Ray, CT,X Rays, CT,X-Ray CAT Scan,X-Ray CAT Scans,X-Ray CT Scan,X-Ray CT Scans,X-Ray Computed Tomography,X-Ray Computerized Tomography,Xray Computed Tomography
D057605 Natural Orifice Endoscopic Surgery Surgical procedures performed through a natural opening in the body such as the mouth, nose, urethra, or anus, and along the natural body cavities with which they are continuous. Natural Orifice Transluminal Endoscopic Surgery,Natural Orifice Transluminal Endoscopy

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