Vol. 23 No. 1 (2024)
Original Articles

Presence of Agger Nasi cells and their relationship with frontal recess thickness: a retrospective study in a Brazilian population

pdf
  • Isabela Inoue Kussaba,
  • Fernanda Vessoni Iwaki,
  • Fernanda Silvestre,
  • Rodrigo Lorenzi Poluha,
  • Lilian Cristina Vessoni Iwaki,
  • Mariliani Chicarelli da Silva
Isabela Inoue Kussaba
State University of Maringá
Fernanda Vessoni Iwaki
Departamento de Odontologia, Universidade Estadual de Maringá, Maringá, Paraná, Brazil.
DOI: https://doi.org/10.12957/bjhbs.2024.85469

Published 2024-08-21

Keywords

  • Agger Nasi Cells,
  • Cone-beam Computed Tomography,
  • Epidemiology,
  • Frontal Recess,
  • Imaging

How to Cite

1.
Inoue Kussaba I, Vessoni Iwaki F, Silvestre F, Lorenzi Poluha R, Vessoni Iwaki LC, Chicarelli da Silva M. Presence of Agger Nasi cells and their relationship with frontal recess thickness: a retrospective study in a Brazilian population. BJHBS [Internet]. 2024 Aug. 21 [cited 2024 Nov. 21];23(1). Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/167

Copyright (c) 2024 Brazilian Journal of Health and Biomedical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Crossref
Scopus
Google Scholar
Europe PMC

Abstract

Objective: The aim of this study was to carry out an epidemiological survey of the presence of Agger Nasi (AN) cells, using cone beam computed tomography (CBCT) images, in a Brazilian population in the region of Maringá - Paraná. Materials and Methods: The tomographic analyzes verified the thickness of the frontal beak (FB), anteroposterior length of the frontal isthmus, anteroposterior length of the FR and side-to-side, anteroposterior and vertical (cranio-caudal) diameter of the AN cells. Statistical analyzes were performed using the statistical program Jamovi (V2.5.5.0). For correlation analysis between the variables, the Spearman test was used. The study indicates the presence of AN cells in 100% of the individuals analyzed, being present bilaterally. Results: There was no significant correlation between FB and the AN cell. Significant positive correlations were found relating Right Agger Nasi Cell (ANC-R) and Left Agger Nasi Cell (ANC-L) with Front Recess (FR) and Frontal Sinus (FS). Conclusion: Anatomical knowledge on the part of professionals is of fundamental importance for a surgery to access the FS in a precise and uncomplicated way.

pdf

Metrics

Metrics Loading ...

References

  1. Stammberger HR, Kennedy DW. Paranasal Sinuses: Anatomic Terminology and Nomenclature. Annals of Otology, Rhinology & Laryngology. 1995 Oct 24;104(10_suppl):7–16.
  2. Jacobs JB, Lebowitz RA, Sorin A, Hariri S, Holliday R. Preoperative Sagittal CT Evaluation of the Frontal Recess. Am J Rhinol. 2000 Jan 9;14(1):33–8.
  3. Friedman M, Bliznikas D, Vidyasagar R, Landsberg R. Frontal sinus surgery 2004: update of clinical anatomy and surgical techniques. Oper Tech Otolayngol Head Neck Surg. 2004 Mar;15(1):23–31.
  4. Lee WT, Kuhn FA, Citardi MJ. 3D Computed Tomographic Analysis of Frontal Recess Anatomy in Patients Without Frontal Sinusitis. Otolaryngology–Head and Neck Surgery. 2004 Sep 17;131(3):164–73.
  5. Earwaker J. Anatomic variants in sinonasal CT. In: Radiographics. 2nd ed. 1993. p. 381–415.
  6. Zandi M, Shokri A, Mollabashi V, Eghdami Z, Amini P. Anatomical characteristics of mandibular bone in skeletal Class I, II and III patients by using cone beam computed tomography images in an iranian population. Braz Dent Sci. 2021 Mar 31;24(2).
  7. RUSU MC, SĂNDULESCU M, MOGOANTĂ CA, JIANU AM. The extremely rare concha of Zuckerkandl reviewed and reported. Romanian Journal of Morphology and Embryology. 2019;60(3).
  8. Sommer F, Hoffmann TK, Harter L, Döscher J, Kleiner S, Lindemann J, et al. Incidence of anatomical variations according to the International Frontal Sinus Anatomy Classification (IFAC) and their coincidence with radiological sings of opacification. European Archives of Oto-Rhino-Laryngology. 2019 Nov 30;276(11):3139–46.
  9. Makihara S, Kariya S, Okano M, Naito T, Uraguchi K, Matsumoto J, et al. The Relationship Between the Width of the Frontal Recess and the Frontal Recess Cells in Japanese Patients. Clin Med Insights Ear Nose Throat. 2019 Jan 31;12:117955061988494.
  10. Yüksel Aslier NG, Karabay N, Zeybek G, Keskinoğlu P, Kiray A, Sütay S, et al. Computed Tomographic Analysis. Journal of Craniofacial Surgery. 2017 Jan;28(1):256–61.
  11. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. DECLARACIÓN DE LA INICIATIVA STROBE (STRENGTHENING THE REPORTING OF OBSERVATIONAL STUDIES IN EPIDEMIOLOGY): DIRECTRICES PARA LA COMUNICACIÓN DE ESTUDIOS OBSERVACIONALES. Rev Esp Salud Publica. 2008;82(3):251–9.
  12. Kantarci M, Karasen RM, Alper F, Onbas O, Okur A, Karaman A. Remarkable anatomic variations in paranasal sinus region and their clinical importance. Eur J Radiol. 2004 Jun;50(3):296–302.
  13. Wormald P. Powered endoscopic dacryocystorhinostomy. Otolaryngol Clin North Am. 2006 Jun;39(3):539–49.
  14. Landsberg R, Friedman M. A Computer-Assisted Anatomical Study of the Nasofrontal Region. Laryngoscope. 2001 Dec;111(12):2125–30.
  15. Ercan I, Ömür Çakir B, Sayin I, Başak M, Turgut S. Relationship between the Superior Attachment Type of Uncinate Process and Presence of Agger Nasi Cell: A Computer‐Assisted Anatomic Study. Otolaryngology–Head and Neck Surgery. 2006 Jun 17;134(6):1010–4.
  16. Beale TJ, Madani G, Morley SJ. Imaging of the Paranasal Sinuses and Nasal Cavity: Normal Anatomy and Clinically Relevant Anatomical Variants. Seminars in Ultrasound, CT and MRI. 2009 Feb;30(1):2–16.
  17. McLaughlin RB, Rehl RM, Lanza DC. Clinically relevant frontal sinus anatomy and physiology. Otolaryngol Clin North Am. 2001 Feb;34(1):1–22.
  18. Marques MC, Simão MA, Santos A, Macor C, Dias Ó, Andrea M. Computed tomography analysis of frontal recess anatomy: Study of 50 patients. REVISTA PORTUGUESA DE OTORRINOLARINGOLOGIA E CIRURGIA CÉRVICO-FACIAL. 2011;49(1).
  19. Cho JH, Citardi MJ, Lee WT, Sautter NB, Lee H, Yoon J, et al. Comparison of frontal pneumatization patterns between Koreans and Caucasians. Otolaryngology–Head and Neck Surgery. 2006 Nov 17;135(5):780–6.
  20. Orhan Kubat G, Ozen O. Frontal Recess Morphology and Frontal Sinus Cell Pneumatization Variations on Chronic Frontal Sinusitis. B-ENT. 2023 Feb 24;19(1):2–8.
  21. Park SS, Yoon BN, Cho KS, Roh HJ. Pneumatization Pattern of the Frontal Recess: Relationship of the Anterior-to-Posterior Length of Frontal Isthmus and/or Frontal Recess with the Volume of Agger Nasi Cell. Clin Exp Otorhinolaryngol. 2010;3(2):76.
  22. Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977 Mar;33(1):159.
  23. Fadda GL, Petrelli A, Martino F, Succo G, Castelnuovo P, Bignami M, et al. Anatomic Variations of Ethmoid Roof and Risk of Skull Base Injury in Endoscopic Sinus Surgery: Statistical Correlations. Am J Rhinol Allergy. 2021 Nov 26;35(6):871–8.
  24. Orhan K, Aksoy S, Oz U. CBCT Imaging of Paranasal Sinuses and Variations. In: Paranasal Sinuses. InTech; 2017.
  25. Ahmad M, Khurana N, Jaberi J, Sampair C, Kuba RK. Prevalence of infraorbital ethmoid (Haller’s) cells on panoramic radiographs. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2006 May;101(5):658–61.
  26. Smith KD, Edwards PC, Saini TS, Norton NS. The Prevalence of Concha Bullosa and Nasal Septal Deviation and Their Relationship to Maxillary Sinusitis by Volumetric Tomography. Int J Dent. 2010;2010:1–5.
  27. Hodez C, Griffaton-Taillandier C, Bensimon I. Cone-beam imaging: Applications in ENT. Eur Ann Otorhinolaryngol Head Neck Dis. 2011 Apr;128(2):65–78.
  28. Junior FVA, Rapoport PB. Analysis of the Agger nasi cell and frontal sinus ostium sizes using computed tomography of the paranasal sinuses. Braz J Otorhinolaryngol. 2013 May;79(3):285–92.
  29. PÉREZ-PIÑAS I, SABATÉ J, CARMONA A, CATALINA-HERRERA CJ, JIMÉNEZ-CASTELLANOS J. Anatomical variations in the human paranasal sinus region studied by CT. J Anat. 2000 Aug;197(2):S0021878299006500.
  30. Wormald PJ, Hoseman W, Callejas C, Weber RK, Kennedy DW, Citardi MJ, et al. The International Frontal Sinus Anatomy Classification (IFAC) and Classification of the Extent of Endoscopic Frontal Sinus Surgery (EFSS). Int Forum Allergy Rhinol. 2016 Jul;6(7):677–96.
  31. Bent JP, Cuilty-Siller C, Kuhn FA. The Frontal Cell as a Cause of Frontal Sinus Obstruction. Am J Rhinol. 1994 Jul 9;8(4):185–92.
  32. De Miranda CMNR, Maranhão CP de M, Arraes FMNR, Padilha IG, De Farias L de PG, Jatobá MS de A, et al. Anatomical variations of paranasal sinuses at multislice computed tomography: what to look for. Radiol Bras. 2011;44(4):256–62.