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Krasnozhen V.N.

Kazan State Medical Academy — a branch of the Russian Medical Academy of Continuing Professional Education

Pokrovskaya E.M.

Kazan State Medical Academy — Branch of the Russian Medical Academy for Continuous Professional Education;
Institute of Fundamental Medicine and Biology of the Kazan (Volga Region) Federal University

Slavina A.L.

Kazan State Medical Academy, Branch of the Russian Medical Academy for Continuous Professional Education

Karimov T.R.

Kazan State Medical Academy — Branch of the Russian Medical Academy for Continuous Professional Education

Crista galli pnevmatization: prevalence and clinical significance

Authors:

Krasnozhen V.N., Pokrovskaya E.M., Slavina A.L., Karimov T.R.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2022;87(6): 32‑36

DOI: 10.17116/otorino20228706132

Views: 3226

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Table of contents

To cite this article:

Krasnozhen VN, Pokrovskaya EM, Slavina AL, Karimov TR. Crista galli pnevmatization: prevalence and clinical significance. Russian Bulletin of Otorhinolaryngology. 2022;87(6):32‑36. (In Russ.)
https://doi.org/10.17116/otorino20228706132

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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OBJECTIVE

Determine the frequency of crista galli (crest of the rooster) pneumatization and the presence of communication of the pneumatized crista galli with the paranasal sinuses.

MATERIAL AND METHODS

Computed tomography data of the paranasal sinuses of 251 patients. The patients’ age ranged from 23 to 70 years. Variations in crista galli were classified according to the degree of pneumatization.

RESULTS

The pneumatic type of crista galli structure was observed in 14.7% of cases. The most commonly crista galli pneumatized had a connection with the frontal sinus. In some cases, in the presence of sinusitis, the crista galli cavity was involved in the inflammatory process. The article presents a case of inflammation of pneumatized crista galli, in which a patient complained of a stubborn headache in the frontal sinus. Attention is drawn to the importance of diagnosing this pathology using objective imaging methods. Videoendoscopy and computed tomography revealed crista galli pneumatization with thickening of the mucous membrane and the presence of fluid. As a result, the optimal surgical approach was chosen — transseptal dissection with removal of one of the walls of pneumatized crista galli.

Keywords:

ethmoid bone
crista galli
pneumatization

Authors:

Krasnozhen V.N.

Kazan State Medical Academy — a branch of the Russian Medical Academy of Continuing Professional Education

Pokrovskaya E.M.

Kazan State Medical Academy — Branch of the Russian Medical Academy for Continuous Professional Education;
Institute of Fundamental Medicine and Biology of the Kazan (Volga Region) Federal University

Slavina A.L.

Kazan State Medical Academy, Branch of the Russian Medical Academy for Continuous Professional Education

Karimov T.R.

Kazan State Medical Academy — Branch of the Russian Medical Academy for Continuous Professional Education

Received:

01.07.2021

Accepted:

12.04.2022

List of references:

  1. Stammberger H, Posawets W. Functional endoscopic sinus surgery: Concept, indications and resalts of Messerclinger Technique. European Archives of Oto-Rhino-Laryngology. 1990;247(1):21-32.  https://doi.org/10.1007/BF00183169
  2. Hajiioannou JK, Owens D, Whittet HB. Evaluation of anatomical variation of the crista galli using computed tomography. Clinical Anatomy. 2010;23(4):370-373.  https://doi.org/10.1055/s-2009-1224481
  3. Dutra LD, Marchiori E. Tomografia computadorizada helicoidal dos seios paranasais na criança: avaliação das sinusopatias inflamatórias. Radiologia Brasileira. 2002;35(3):161-169.  https://doi.org/10.1590/S0100-39842002000300007
  4. Lee JM, Ransom E, Lee JYK, Palmer JN, Chiu AG. Endoscopic Anterior Skull Base Surgery: Intraoperative Considerations of the Crista Galli. Skull Base. 2011;21(2):83-86.  https://doi.org/10.1055/s-0030-1263283
  5. Reddy UMA, Dev B. Pictorial essay: Anatomical variations of paranasal sinuses on multidetector computed tomography-How does it help FESS surgeons? The Indian Journal of Radiology and Imaging. 2012;22(4):317-324.  https://doi.org/10.4103/0971-3026.111486
  6. Som PM, Park EE, Naidich TP, Lawson W. Crista galli Pneumatization Is an Extension of the Adjacent Frontal Sinuses. American Journal of Neuroradiology January. 2009;30(1):31-33.  https://doi.org/10.3174/ajnr.A1291
  7. Stammberger H, Shankar L, Hawke M, Evans K. Atlas of Imaging of the Paranasal Sinuses. 1st Ed. Philadelphia: JB Lippincott; 1994;41-81.  https://openlibrary.org/works/OL19217288W
  8. Oliverio PJ, Benson ML, Zinreich SJ. Update on imaging for functional endoscopic sinus surgery. Otolaryngologic Clinics of North America. 1995;28:585-608.  https://europepmc.org/article/med/7675470
  9. Socher JA, Santos PG, Correa VC, Silva L. Endoscopic surgery in the treatment of crista galli pneumatization evolving with localizated frontal headaches. International Archives of Otorhinolaryngology. 2013;17(3):246-250.  https://doi.org/10.7162/S1809-97772013000300003

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