PARANASAL SINUS ANATOMICAL DIFFERENCES IN ELDERLY PATIENTS

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dc.authoridMulazimoglu, Selcuk/0000-0002-3903-9776
dc.authoridYilmaz, Nihat/0000-0003-1575-1280
dc.authoridOner, Serkan/0000-0002-7802-880X
dc.contributor.authorYilmaz, Nihat
dc.contributor.authorMulazimoglu, Selcuk
dc.contributor.authorOner, Serkan
dc.contributor.authorNacar, Erkay
dc.contributor.authorYilmaz, Orhan
dc.date.accessioned2024-09-29T16:07:55Z
dc.date.available2024-09-29T16:07:55Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractIntroduction: Endonasal endoscopic sinus surgeries performed on elderly patients can be challenging due to anatomical variations, and can be studied using preoperative computed tomography. The aim of the present study was to evaluate paranasal sinus anatomical differences in elderly patients compared to a younger control group. Materials and Methods: We retrospectively evaluated paranasal computed tomography scans of 47 elderly patients (>65 years old) (Elderly group) and 47 younger patients (Control group) for midfacial skeletal size (interzygomatic buttress distance, nasion-basion distance), anatomical variations, dimensions, and paranasal sinus volumes. Results: The mean age of the Elderly group was 69.89 years (65- 81 years) and the mean age of the Control group was 33.15 years (20-49 years). There was no significant difference in midfacial size between the two groups. The prevalence of Keros Type Ill olfactory fossa was significantly higher in the Elderly group than in the Control group (p<0.05). The Elderly group had a significantly lower mean maxillary sinus volume (p<0.01) and mean anteroposterior diameter of the sphenoid sinus (p<0.01) compared to the Control group. Furthermore, there was no significant difference in the maxillary sinus volume between the elderly edentulous and dentulous patients(p>0.05). Conclusion: Elderly patients have more Keros Type Ill olfactory fossa, which confers a higher risk of iatrogenic cerebrospinal fluid leakage during endoscopic sinus surgery. The preoperative detailed evaluation of computed tomography scans of elderly patients should include, but not be limited to, the ethmoid roof for deep olfactory fossa, and the sphenoid sinus for its narrow anterioposterior dimention.en_US
dc.identifier.doi10.31086/tjgeri.2020.146.2020
dc.identifier.endpage137en_US
dc.identifier.issn1304-2947
dc.identifier.issn1307-9948
dc.identifier.issue1en_US
dc.identifier.startpage129en_US
dc.identifier.urihttps://doi.org/10.31086/tjgeri.2020.146.2020
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7237
dc.identifier.volume23en_US
dc.identifier.wosWOS:000521753400016en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGunes Kitabevi Ltd Stien_US
dc.relation.ispartofTurkish Journal of Geriatrics-Turk Geriatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAgeden_US
dc.subjectParanasal Sinusesen_US
dc.subjectEndoscopyen_US
dc.subjectAnatomyen_US
dc.subjectNoseen_US
dc.subjectNasal Cavityen_US
dc.subjectComputed Tomographyen_US
dc.titlePARANASAL SINUS ANATOMICAL DIFFERENCES IN ELDERLY PATIENTSen_US
dc.typeArticleen_US

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