Abstract:

Chronic sinusitis is an increasing disease in the pediatric age group. The recognition of anatomical variations and dangerous areas that occur in the development of paranasal sinus and nasal cavity in children with age plays an important role in deciding on functional endoscopic sinus surgery (FESC) treatment. Therefore, the assessment of the FESC pre-anatomy requires a paranasal sinus computer tomography (BT) examination in cases. The aim of this study is to evaluate certain anatomical variations and dangerous areas that can be radiologically determined in the pediatric age group, their frequency of appearance and differences from adult events accompanied by literature. Method and means: 267 pediatric outcomes (137 men, 130 girls) of 3-15 years of age who do not respond to medical treatment and clinically show chronic sinusitis symptoms, paranasal sinus BT examinations were evaluated as retrospective in terms of anatomical variations and dangerous areas of paranasal sinus and nasal cavity. The findings: The most frequently observed anatomical variations were septal deviation and conca bullose, while the dangerous areas increased the depth of lamina cribrosis and nasal septum pneumothesis. The result: FESC is applied in children's cases selected for chronic sinusitis that develops secondary to rare anatomical variations today. The correct assessment of the anatomical variations and dangerous areas by the radiologist in the preoperative assessment will ensure that the surgical results are better and the complications are reduced.

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