RUSSIAN NATIONAL SCIENTIFIC ANATOMICAL JOURNAL

Preview

Morphological newsletter

Advanced search

AGE-RELATED VARIABILITY OF THE WIDTH OF THE NASAL MEATUSES ACCORDING TO DATA OF THE CRANIOMETRY

https://doi.org/10.20340/mv-mn.2020.28(3):21-27

Abstract

The use of video-endoscopic equipment in pediatric rhino-surgery necessitates a thorough study of the structure of the nasal cavity structures at different age periods. The aim of the study was to study the width of the nasal meatuses in childhood based on craniometrics data. Craniometry of 65 children's skulls was performed, divided into six groups (infancy, early childhood, first and second childhood, adolescence and youth). It was found that the width of the nasal meatuses increases unevenly with the age of the child; periods of the permanency are replaced by periods of growth. The maximum values of the width of the lower and middle nasal meatuses of the skull reach in adolescence, and the general meatuses - in adolescence. Also, an increase in the width of the middle and common nasal meatuses was revealed along their length from the anterior to posterior edges of the nasal conches by an average of 30%, while the width of the lower nasal meatuses remains constant. The ratios of the width of the lower and middle nasal meatuses to the width of the common nasal passages were determined depending on age. The width of the inferior nasal meatus to the width of the common nasal meatus at 1-1.5 years is 1: 2 at the level of the anterior end of the inferior nasal conchae and 1: 3 at the level of its posterior end, in other age groups it is 1: 1.5 and 1: 2 respectively. The width of the middle nasal meatus to the width of the common nasal meatus at the level of both ends of the middle meatus in each age group is 1: 1. The obtained data are of clinical importance for the choice of trans-nasal surgical access, for the choice of the size of endoscopic instruments, the diameter and angle of view of endoscopes, the preservation of age-related physiological relationships of the structures of the nasal cavity, and the reduction of the risk of intraoperative complications. Up to 4 years old, it is recommended to use endoscopes and endoscopic instruments of the smallest diameter; over 4 years old, the size of the nasal passages makes it possible to increase the diameter of the endoscopic set to improve access.

About the Authors

Marina V. Markeeva
Razumovsky Saratov State Medical University, Saratov
Russian Federation
Candidate of Medical Sciences, Assistant of the Otorhinolaryngology Department
Competing Interests: Автор заявляет об отсутствии каких-либо конфликтов интересов при планировании, выполнении, финансировании и использовании результатов настоящего исследования


Olga Yu. Alyoshkina
Razumovsky Saratov State Medical University, Saratov
Russian Federation
Doctor of Medical Sciences, Professor, Head of the Human Anatomy Department
Competing Interests: Автор заявляет об отсутствии каких-либо конфликтов интересов при планировании, выполнении, финансировании и использовании результатов настоящего исследования


Natalya V. Tarasova
Pyatigorsk Medical and Pharmaceutical Institute - Branch of Volgograd State Medical University, Pyatigorsk
Russian Federation
Doctor of Medical Sciences, Professor of the Department of Surgical Disciplines
Competing Interests: Автор заявляет об отсутствии каких-либо конфликтов интересов при планировании, выполнении, финансировании и использовании результатов настоящего исследования


Olga V. Syrova
Razumovsky Saratov State Medical University, Saratov
Russian Federation
Candidate of Medical Sciences, Associate Professor of the Human Anatomy Department
Competing Interests: Автор заявляет об отсутствии каких-либо конфликтов интересов при планировании, выполнении, финансировании и использовании результатов настоящего исследования


References

1. Bruyaka RA, Sergeev MM, Muselyan BB, Perekhoda DL. Ehndonazalnaya ehndoskopicheskaya hirurgiya pri nekotoryh zabolevaniyah okolonosovyh pazuh u detej. Rossijskaya otorinolaringologiya. 2012;4(59):26-29.

2. Yunusov AS, Sajdulaeva AI. Hirurgicheskoe lechenie vrozhdennoj atrezii hoan transseptalnym dostupom v detskom vozraste. Rossijskaya otorinolaringologiya. 2014;6(73):110-114.

3. Kotova EN, Bogomilskij MR. Transnazalnaya ehndoskopicheskaya hirurgiya vrozhdennoj atrezii hoan u detej. Vestnik RGMU. 2015;3:41-43.

4. Merkulov OA, Panyakina MA. Sposob vybora ehndonazalnyh ehndoskopicheskih podhodov k osnovaniyu cherepa u lic do 18 let. Patent 2470606 RF; zayavka 31.01.2012; opubl 27.12.2012; byull. № 36. 13s.

5. Vorozhcov IN, Grachev NS, Nasedkin AN. Transnazalnaya ehndoskopicheskaya hirurgiya novoobrazovanij u detej s ispolzovaniem KT-navigacionnyh sistem. Vestnik otorinolaringologii. 2016;3:75-80. DOI: 10-17116-otorino201681375-80.

6. Vorozhcov IN. Rezultaty ehndoskopicheskoj ehndonazalnoj hirurgii novoobrazovanij pod kontrolem KT-navigacionnyh sistem u detej.- Avtoref. diss. kand. med. nauk. 2017.- 26s.

7. Younis RT. Pediatric sinusitis and sinus surgery. Boca Raton-London-New York: CRC Press Taylor&Francis Group, 2006. 296pp.

8. Romeh HE, Albirmawy OA. A 13-year experience and predictors for success in transnasal endoscopic repair of congenital choanal obliteration. International journal of pediatric otorhinolaryngology. 2010;74(7):737–742. DOI: 10.1016/j.ijporl.2010.03.027.

9. Kominek P, Cervenka S, Matousek P, Pniak T, Zelenik K. Рrimary pediatric endonasal dacryocystorhinostomy-A review of 58 procedures. International journal of pediatric otorhinolaryngology. 2010;74(6):661–664. DOI:10.1016/j.ijporl.2010.03.015.

10. Hrappo NS, Tarasova NV. Nos v sisteme celogo cherepa. Samara: SamGMU; 1999.- 171s.

11. Mareev OV, Nikolenko VN, Mareev GO, Aleshkina OYu, Markeeva MV, Kuchmin VN, Yakovlev NM, Gejvondyan MEh, Zhevaev EA. Osobennosti morfometricheskih dannyh struktur reshetchatoj kosti po rezultatam standartnoj I kompyuternoj kraniometrii pri razlichnyh tipah cherepa. Mir nauki, kultury, obrazovaniya. 2014;4(47):341-344.

12. Mareev OV, Nikolenko VN, Aleshkina OYU, Mareev GO, Markeeva MV, Danilova TV, Fedorov RV. Kompyuternaya kraniometriya s pomoshchyu sovremennyh tekhnologij v medicinskoj kraniologii. Morfologicheskie vedomosti. 2015;1:49-54.

13. Markeeva MV, Mareev OV, Nikolenko VN, Mareev GO, Aleshkina OYU, Knyazev AB. Obem I ploshchad reshetchatogo labirinta po dannym kompyuternoj kraniometrii. Prakticheskaya meditsina. 2015;2;2(87):64-68.

14. Kovaleva LM, Mefodovskaya EK. Klinovidnye pazuhi u detej doshkolnogo vozrasta v norme i pri patologii. Vestnik otorinolaringologii. 2000;3:43-46.

15. Kazanova AV. Anatomo-topograficheskoe obosnovanie ehndoskopicheskih operacij na nosoglotke u detej. Avtoref. diss. kand. med. nauk. 2006.- 25s.

16. Korol’ IM, Balashko IS. Anatomo-topograficheskie harakteristiki klinovidnoj pazuhi u detej. Mater. konf. aktualnye voprosy detskoj otorinolaringologii i 75-letie kafedry otorinolaringologii UO Vitebskij gosudarstvennyj Ordena Druzhby narodov medicinskij universitet. Vitebsk, 2010.- S. 188-190.

17. Kotova EN, Bogomil’skij MR. Vozrastnye ehtapy pnevmatizacii klinovidnoj pazuhi u detej po dannym kompyuternoj i magnitno-rezonansnoj tomografii. Vestnik otorinolaringologii. 2011;1:48-51.

18. Speranskij VS. Osnovy medicinskoj kraniologii. Moskva: Meditsina, 1988.- 288s.


Supplementary files

Review

For citations:


Markeeva M.V., Alyoshkina O.Yu., Tarasova N.V., Syrova O.V. AGE-RELATED VARIABILITY OF THE WIDTH OF THE NASAL MEATUSES ACCORDING TO DATA OF THE CRANIOMETRY. Morphological newsletter. 2020;28(3):21-27. (In Russ.) https://doi.org/10.20340/mv-mn.2020.28(3):21-27

Views: 545


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1812-3171 (Print)
ISSN 2686-8741 (Online)