Anatomía senos paranasales

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Anatomía senos paranasales

Transcript of Anatomía senos paranasales

Anatomía senos paranasales

Senos paranasales

Sociedad francesa de rinología

Senos paranasales

Levine-Sinus Surgery Endoscopic and Microscopic Approaches

Pared lateral

Kenndy - Rhinology Diseases of the Nose, Sinuses, and Skull Base

Vista endoscópica

Pared lateral

Kenndy - Rhinology Diseases of the Nose, Sinuses, and Skull Base

Kenndy - Rhinology Diseases of the Nose, Sinuses, and Skull Base

Kenndy - Rhinology Diseases of the Nose, Sinuses, and Skull Base

Kenndy - Rhinology Diseases of the Nose, Sinuses, and Skull Base

Basic and Advanced Endoscopic Sinus Surgery Techniques - A Laboratory Dissection Manual

Levine-Sinus Surgery Endoscopic and Microscopic Approaches

Hiato semilunar superior

Hiato semilunar inferior

Normal sinonasal endoscopic surgical anatomy

Operative TechniquesinOtolaryngology(2014)25,144–148

Disease of the sinus (2001) - Kennedy

Figure 1–2B Lateral wall of the nose. The middle turbinate has beenresected to reveal the important structures of the middle meatus: uncinateprocess (up), ethmoid bulla (eb), and the hiatus semilunaris (inferior) (*).

Disease of the sinus (2001) - Kennedy

Figure 1–2C Resection of the superior portion of the middle turbinatereveals the suprabullar recess (sbr) above the ethmoidal bulla (eb). The hiatus semilunaris superior (arrows) is seen posterior to the ethmoidal bulla.The hiatus semilunaris superior leads to the retrobullar recess. In this case,the suprabullar and retrobullar recesses are separate pneumatization tracts.

Ostium Maxilar

Figure 1–2E Following resection of the uncinate process, the naturalostium of the maxillary sinus is evident (o).

Lamelas basales

Levine-Sinus Surgery Endoscopic and Microscopic Approaches

Receso frontal

Celdas frontales

Esfenoidal

Vista endoscópica

VARIANTES ANATÓMICAS

• KEROS: Altura del techo etmoidal respecto a la lámina cribosa

-Tipo I:0-3 mm.-Tipo II:4-7 mm.-Tipo III:8-16 mm.

VARIANTES ANATÓMICAS

INSERCIÓN DEL PROCESO UNCINADO:• Tipo A: a lámina papirácea, el seno frontal drena en

meato medio.• Tipo B: a base de cráneo.• Tipo C: al cornete medio.• Tipo B y C: el frontal drena en el infundíbulo etmoidal

directamente. A B C

VARIANTES ANATÓMICAS

• CELDILLAS DE HALLER:Techo del seno maxilar. Infraorbital del etmoides Anterior pudiendo comprometer

el infundibulo etmoidal o el ostium maxilar.

VARIANTES ANATÓMICAS

• CELDA DE ONODI:“Celda esfenoetmoidal”.Lateral y superior al senoEsfenoidal.Nervio óptico.

Arteria etmoidal

Surgical Anatomy of the Anterior EthmoidalCanal in Ethmoid Roof-laryngoscope-2011

Arteria etmoidal

Levine-Sinus Surgery Endoscopic and Microscopic Approaches