From ethmoidal air cells to ethmoturbinal passages

Copyright © 2021 Elsevier Masson SAS. All rights reserved..

The concept of ethmoidal sinuses composed of ethmoidal air cells does not appear to fit with the embryological origin of the ethmoid. Post-natal formation of the paranasal sinuses, as visualized by MRI, appears to be fundamentally different from the embryological development of the ethmoid sinus. These two organs also appear to have very distinct functions: paranasal sinuses play a role in respiration and sanitization of the respiratory tract, while the ethmoid sinus plays a role in olfaction. However, human acquisition of bipedalism resulted in ethmoidal compartmentalization into olfactory clefts lined by olfactory mucosa and the ethmoidal labyrinth formed by a meshwork of ethmoturbinals that have lost their olfactory mucosa. Ethmoturbinals are septa that increase the surface area of olfactory mucosa in mammalian olfactory chambers. Embryological development of the human ethmoid sinus can be seen as the result of curved stacking of ethmoturbinal septa forming passages. Surgically, these passages can be accessed via the middle, superior and supreme meati. An ethmoidectomy technique following the ethmoturbinal passages can therefore be described. This structure of the ethmoidal labyrinth is both useful and necessary for the teaching of ethmoidal surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:139

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - 139(2022), 1 vom: 07. Jan., Seite 33-37

Sprache:

Englisch

Beteiligte Personen:

Jankowski, R [VerfasserIn]
Gallet, P [VerfasserIn]
Favier, V [VerfasserIn]
Rumeau, C [VerfasserIn]

Links:

Volltext

Themen:

Endoscopic sinus surgery
Ethmoidal cell
Ethmoidectomy
Ethmoturbinals
Journal Article
Surgical simulation

Anmerkungen:

Date Completed 02.02.2022

Date Revised 02.02.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.anorl.2021.04.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324844697