컴퓨터단층촬영을 이용한 이관과 내경동맥의 해부학적 위치 관계

정재훈; 고의경; 이일우; 정재환; 오세준; 공수근

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자료유형: 학술저널

저자정보: 정재훈 고의경 이일우 정재환 오세준 공수근

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제12호

발행연도: 2015.1

수록면: 848 - 854 (7page)

이용수

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연구주제

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연구배경

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연구방법

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연구결과

이 논문의 연구 히스토리 (2)

2015

컴퓨터 단층촬영을 이용한 이관과 내경동맥의 해부학적 위치 관계

정재훈 의학과 2015.01 학위논문

컴퓨터단층촬영을 이용한 이관과 내경동맥의 해부학적 위치 관계

정재훈 , 고의경 , 이일우 외 3명 대한이비인후-두경부외과학회지 2015.01 학술저널

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Background and Objectives It is important to figure out the location between the internal carotid artery (ICA) and the Eustachian tube (ET) for conducting safe ET surgery. Using computed tomography (CT), this study was aimed to evaluate the anatomical relationship between ET and ICA according to age and gender. Subjects and Method Contrast enhanced CT scans of the paranasal sinus taken between January 2005 and December 2010 were reviewed retrospectively. A total of 216 patients (432 ears) were enrolled. In each patient, we measuresed the distance from the anterior cushion of torus tubarius to ICA (AC-ICA), the distance from the posterior cushion of torus tubarius to ICA (PC-ICA), the distance from the Rosenmüller fossa to ICA, the shortest distance from ET lumen to ICA (ET-ICA), and the angle between the imaginary lines from the orifice of ET to the posterior end point of nasal septum to point ICA (∠ET-NS-ICA). Patients were divided into 10 groups based on age difference of 15-years. Results For the female patients aged 65 to 80 years old, AC-ICA, PC-ICA were closest from the nasopharynx. For this group, at p＜0.05, the distances of AC-ICA, PC-ICA and ET-ICA showed a negative correlation with increasing age, whereas∠ET-NS-ICA (p＜0.05) showed a positive correlation, indicating a tendency of medicalization with increased age. Conclusion The distance between ET and ICA represents a variety of distribution according to gender and age. When performing a surgery for the nasopharyngeal portion of ET, the surgeon should be aware of the location of ICA in the preoperative CT findings.

#Computed tomography #Eustachian tube #Internal carotid artery

참고문헌 (24)

참고문헌 신청

Anson BJ / 1972 / Critical distances in the middle and inner ear and in the posterior cranial fossa / Trans Am Acad Ophthalmol Otolaryngol 76 (1) : 108 ~ 129

Aslan A / 1998 / Anatomic relationships between surgical landmarks in type b and type c infratemporal fossa approaches / Eur Arch Otorhinolaryngol 255 (5) : 259 ~ 264

Bergin M / 2010 / Exploring the critical distance and position relationships between the Eustachian tube and the internal carotid artery / Otol Neurotol 31 (9) : 1511 ~ 1515

Berman S / 1997 / Otitis mediarelated antibiotic prescribing patterns, outcomes, and expenditures in a pediatric medicaid population / Pediatrics 100 (4) : 585 ~ 592

Hasebe S / 2003 / Proximity of carotid canal wall to tympanic membrane: a human temporal bone study / Laryngoscope 113 (5) : 802 ~ 807

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