Anterior ethmoidal artery: a computed tomography analysis and new classifications
Journal of Neurological Surgery, • 2019
Publication Information
Authors
Mohammad Waheed El-Anwar*, Alaa Khazback**, Diaa BakryEldib***, Hesham Youssef Algazzar
Keywords
Key words: Anterior ethmoidal artery, nose, computed tomography, skull base,
lamina papyracea.
Journal
Journal of Neurological Surgery,
Publisher
Thieme
Volume
B
Issue
2193- 6331 2193- 634X
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Objective: to determine the AEA anatomy and variations by computed tomography
(CT) in adult and their relations to and presents new AEA classifications.
Methods: 150 Paranasal CT scans (300 sides) were included. Axial images were
acquired with multiplanar reformates to obtain delicate details in coronal and sagittal
planes.
Results: 144 AEAs canal (48%), 293 AEAs foramen (97.7%) and 229 AEAs sulcus
could be detected (76.3%).
The mean AEA intranasal length was 6.7±1.27 mm (range: 4.24-10.6). The mean
angle between AEA and lamina papyracea was 105.49°±9.28° (range: 76.41°-
129.76°). 95.8% of the AEAs had an angle with lamina >90° while 4.2% had angle
90°
and 12.5% had an angle 6
mm) (2.1%).
The mean distance between the AEA and frontal sinus ostium was 9.17±4.72 mm
(range: 0-25.36). AEA classification according to distance from AEA to frontal sinus
ostium was 17.4% type 1 (15mm).
Conclusion: Provided AEA details improve surgeons' awareness of AEA variations
in the endoscopic field and can help residents in training.
(CT) in adult and their relations to and presents new AEA classifications.
Methods: 150 Paranasal CT scans (300 sides) were included. Axial images were
acquired with multiplanar reformates to obtain delicate details in coronal and sagittal
planes.
Results: 144 AEAs canal (48%), 293 AEAs foramen (97.7%) and 229 AEAs sulcus
could be detected (76.3%).
The mean AEA intranasal length was 6.7±1.27 mm (range: 4.24-10.6). The mean
angle between AEA and lamina papyracea was 105.49°±9.28° (range: 76.41°-
129.76°). 95.8% of the AEAs had an angle with lamina >90° while 4.2% had angle
90°
and 12.5% had an angle 6
mm) (2.1%).
The mean distance between the AEA and frontal sinus ostium was 9.17±4.72 mm
(range: 0-25.36). AEA classification according to distance from AEA to frontal sinus
ostium was 17.4% type 1 (15mm).
Conclusion: Provided AEA details improve surgeons' awareness of AEA variations
in the endoscopic field and can help residents in training.
Staff Members - Benha University