Study on the Correlation between Morphological Characteristics of the Agger Nasi Cell and Frontal Sinus Orifice Parameters in Chronic Frontal Sinusitis
Objective To analyze the morphological characteristics of nasal moumulus air chamber(ANC)and the correlation of frontal sinus orifice(FSO)parameters in chronic frontal sinusitis(CFS)with three-dimensional reconstruction.Methods A retrospective analysis was performed for sinus CT in 80 patients with confirmed unilateral CFS in the First Affiliated Hospital of Xinxiang Medical College from September 2019 to June 2022,the ANC and FSO related parameters were measured by Mimics21.0 software,the correlation parameters between the three groups were compared by Kruskal-wallis test,and the correlation between ANC morphological characteristics and FSO parameters was analyzed by Spearman rank correlation test,and the correlation between ANC morphological characteristics and FSO parameters was analyzed.Results 1.There were statistically significant differences in ANC volume,surface area,upper and lower diameters,left and right diameters,and anterior-posterior diameters among the three groups(P<0.05).The upper and lower diameters of ANC in group 2 were higher than those in group 0 and group 1(P<0.05).2.There were statistically significant differences in FI value and FI cross-sectional area among the three groups(P<0.05).The FI value and cross-sectional area of group 0 were higher than those of group 1 and group 2(P<0.05).The FI value and cross-sectional area of group 1 were higher than those of group 2(P<0.05).3.The FI value was positively correlated with the FI cross-sectional area(r=0.485,P<0.05).The FI value and FI cross-sectional area were negatively correlated with the ANC volume,upper and lower diameters,and left and right diameters,respectively(r=-0.372,r=-0.332,r=-0.357,r=-0.253,r=-0.423,r=-0.193,P<0.05).Conclusion 1.The volume,upper and lower diameters,and left and right diameters of the nasal mound are negatively correlated with the FI value and FI cross-sectional area,and the ANC morphology can aggravate the CFS disease by affecting the FI value and FI cross-sectional area.2.The FI value and FI cross-sectional area were negatively correlated with the severity of CFS,which could be used as an objective monitoring index to evaluate whether FSO is stenosis in the frontal sinus orifice parameters.