Our Summary

This study is about a specific kind of cell called the sphenoethmoidal cell, which is found in the nose and sinuses. Because this cell looks so similar to another cell called the sphenoid sinus, it is important for doctors to be able to tell them apart before doing surgery. If they are not identified properly, it could lead to unnecessary damage to nerves and arteries.

The researchers looked at CT scans of the sinuses from 365 patients and noted the unique characteristics of the sphenoethmoidal cell. They found a special type of this cell in about 1.3% of the cases. Unlike other cells, this one extends in multiple directions and is closely attached to the optic canal and the maxillary nerve. Because of its unique characteristics, the researchers decided to name it the ‘whole lateral type’ of sphenoethmoidal cell.

The study concludes by advising doctors to look out for this special type of cell when examining CT scans before surgery. It is not only important to identify the common types of cells, but also this unique one, as it could affect the outcome of the surgery.

FAQs

  1. What is the sphenoethmoidal cell and why is it important in sinus surgery?
  2. How does the ‘whole lateral type’ of sphenoethmoidal cell differ from other cells?
  3. Why is it important for doctors to identify the ‘whole lateral type’ of sphenoethmoidal cell before surgery?

Doctor’s Tip

Additionally, a doctor might recommend to the patient to follow post-operative care instructions closely, such as keeping the nasal passages clear and avoiding activities that could increase pressure in the sinuses. It is also important to attend follow-up appointments to monitor healing progress and address any concerns or complications that may arise.

Suitable For

Patients who are typically recommended sinus surgery include those who have chronic sinusitis that does not improve with medication, nasal polyps that obstruct the sinuses, a deviated septum that blocks airflow, sinus tumors, or recurrent sinus infections. In some cases, patients with severe sinus issues may also be recommended for sinus surgery. It is important for doctors to carefully evaluate each patient’s condition and determine if surgery is the best course of action.

Timeline

  • Before sinus surgery: The patient may experience chronic sinusitis symptoms such as facial pain, pressure, congestion, and difficulty breathing. They may undergo a series of diagnostic tests, including CT scans, to determine the cause of their symptoms. In some cases, the presence of a sphenoethmoidal cell may be identified during these scans.

  • During sinus surgery: If the presence of a sphenoethmoidal cell is identified, the surgeon will take extra precautions to avoid damaging nearby structures such as nerves and arteries. The surgery may involve removing the cell or adjusting the surgical approach to ensure a successful outcome.

  • After sinus surgery: The patient may experience some discomfort and swelling in the days following the surgery. They will be prescribed pain medication and nasal sprays to help manage these symptoms. Over time, the patient should experience relief from their sinusitis symptoms and improved breathing. Regular follow-up appointments with the surgeon will be scheduled to monitor the healing process and ensure optimal results.

What to Ask Your Doctor

Some questions a patient should ask their doctor about sinus surgery in relation to this study include:

  1. Will you be specifically looking for the sphenoethmoidal cell during my CT scan and pre-surgical evaluation?
  2. What are the potential risks or complications associated with the presence of the ‘whole lateral type’ of sphenoethmoidal cell during sinus surgery?
  3. How will you ensure that this unique cell is properly identified and taken into consideration during the surgical procedure?
  4. Are there any specific precautions or techniques that will be used to avoid damage to nerves and arteries related to the sphenoethmoidal cell during surgery?
  5. How will the presence of this unique cell impact the overall success and outcome of the sinus surgery?

Reference

Authors: Liu J, Yuan J, Dai J, Wang N. Journal: Ear Nose Throat J. 2021 Nov;100(9):NP416-NP423. doi: 10.1177/0145561320922119. Epub 2020 May 12. PMID: 32396389