ABSTRACT
OBJECTIVE@#To study the anatomical character of the ethmoid sinus with spiral CT, and provide correlated data for diagnosis and surgery operation.@*METHOD@#One hundred patients whose vertebra artery was injected with Angiografin underwent axial consecutive computed tomography and these data were studied with multiplanar reformation.@*RESULT@#Based on the relation of posterior ethmoid sinus to sphenoid sinus, the posterior ethmoid sinus was divided into antero sphenoid types and super sphenoid types. According to the relation between the posterior ethmoid and the optic canal, the posterior ethmoid sinus was divided into antero canal, seminal abut types, canal abut types. According to the degree of the bulging of the optic canal, the posterior ethmoid sinus was divided into notch types, seminal cover types, canal cover types. Bulging of the optic canal formed on the lateral wall of the posterior ethmoid sinus was 40 sides (20%).@*CONCLUSION@#MPR in spiral CT is powerful tool for the anatomical study of the ethmoid sinus, it could provide accuracy evaluation and analyzation, these results are helpful in directing the diagnose and therapy.
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Asian People , Ethmoid Sinus , Diagnostic Imaging , Sphenoid Sinus , Diagnostic Imaging , Tomography, Spiral ComputedABSTRACT
OBJECTIVE An understanding of the complex anatomy of the anterior skull base is crucial for the surgeon doing endoscopic surgery. The anatomic data of the olfactory sulcus and adjacent structures in Chinese patients were defined using 3-dimensional reconstruction images. The surgeon is encouraged to develop a detailed pre-operative surgical plan by utilizing these dynamic anatomical observations to avoid intracranial injury. METHODS The paranasal sinus CT scanning images of 100 adults were reconstructed for observation using EBW2.0 software and multiplanar reformation. All data obtained were in the coronal plane from the anterior point of the olfactory sulcus. The cribriform plate depth as compared to the ethmoid roof and adjacent structures, was measured bilaterally. Data obtained on adjacent structures include the vertical height of the lateral lamella of olfactory sulcus, the horizontal distance between the cribriform plate and the orbital lamella, the length of the middle turbinate, the height of the orbit, and the vertical distance between the cribriform plate and the nasal floor. RESULTS The olfactory sulcus was classified into three types: platform type (60 %), sloping type (17 %) and mixed type(23 %), as distinguished from Keros classification. In this study the vertical height of the lateral lamella of olfactory sulcus was (5.03 ± 0.17) mm (R) and (5.39 ± 0.19) mm (L) in platform type, and (2.79 ± 0.49) mm (R) and (4.72 ± 0.49) mm (L) in the mixed type. There were statistically significant differences between the right side and the left side in these two types (P＜0.01). The horizontal distance between the cribriform plate and the orbital lamella on the same side was significantly different between the platform type and the mixed type of olfactory sulcus. A similar result was observed for the vertical distance between the cribriform plate and the nasal floor. Gender differences exist in the horizontal distance between the cribriform plate and orbital lamella on the same side and the vertical distance between the cribriform plate and the nasal floor. CONCLUSION Different types of olfactory sulcus have distinct characteristics, hence care which must be taken into account when doing endoscopic surgery.
ABSTRACT
Objective In order to investigate the synaptic plasticity in dentate gyrus after seizures and axonal and dendrtic sprout- ing induced by KA administration. Methods The density of synapses, the curvature forms of synaptic interface were studied under electron microscope. Results 1 .The density of the synapse is decreased obviously 3 days after KA injection, while the density of synapses is increased to control level 7 days after KA injection. 2. Compare with the curvation forms of synaptic interface of control animals and 3days after KA administration animals, the amount of smile synapses is significantly decresed and the amount of frown synapses is significantly increased in the moleculous layer of dentate gyrus 7 days after KA injection. Conclusions 1 .This result demonstrates that the axonal and dendritic sprouting of dentate granule cells is functional. 2. The increase of frown synapse is related to the release of glutamate of sprouting mossy fibers.