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Anterior ethmoidal artery: a computed tomography analysis and new classifications

Journal of Neurological Surgery, • 2019
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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.