in the normal nasal cycle case, there was left maxillary sinus soft tissue which was not seen on subsequent cycles. how to differentiate that from retention cyst.
I'm not sure that it matters. There are several pathologic manifestations of chronic inflammation (polyps, MRCs, mucosal thickening) that can look the same on CT. They are different histopathologically (MRCs are an obstructed gland; polyps are heaped-up cellular material, etc.) but they amount to the same thing clinically -- they tells that there is chronic inflammation. So don't lose sleep differentiating between these items. I tend to call them all MRCs, but you can pick your favorite term. (At some point, polyps will cause mass effect and block or remodel things -- that's a different story.)
I believe I have bilateral concha bullosa after looking at my CT scans. Every ENT I've been to has not mentioned it to me and after getting multiple procedures done like septoplasty and inferior turbinates reduced, I feel the concha bullosa could be the culprit to many of my headaches and sinusitis problems. i can breath alot better for the most part but there are times in the day when I still get congested and get very bad sinus headaches, dizzy and earaches. the congestion feels like it is farther into my nasal cavity , closer to my eyes. Can concha bullosa reduction be a stand alone procedure? thank you
Resection of the middle turbinate is a well-established procedure. But you should speak with an ENT surgeon about the appropriate extent of surgery for you, personally.
These most important anatomy if they can be be shown side by side with coronary , Sagittal and axis plane together in 3d formatted images , it will be better to have the idea in space relation in mind. I revisit these great lectures to refresh understanding.
Most of the anatomy is best understood (and evaluated) in coronal plane. There are a few items that are seen better in other planes (like the spheno-ethmoidal recess in axial plane or the fronto-nasal recess in sagittal) that I have attempted to highlight.
So happy when I get notifications for your videos.Merci.
This lecture is so good!
Very informative presentation, thank you.
great teacher.
always learn a lot from your lectures
Always worth to revisit.
Thank you! Learned a lot
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in the normal nasal cycle case, there was left maxillary sinus soft tissue which was not seen on subsequent cycles. how to differentiate that from retention cyst.
I'm not sure that it matters. There are several pathologic manifestations of chronic inflammation (polyps, MRCs, mucosal thickening) that can look the same on CT. They are different histopathologically (MRCs are an obstructed gland; polyps are heaped-up cellular material, etc.) but they amount to the same thing clinically -- they tells that there is chronic inflammation. So don't lose sleep differentiating between these items. I tend to call them all MRCs, but you can pick your favorite term. (At some point, polyps will cause mass effect and block or remodel things -- that's a different story.)
@@ENT_Imaging thank you
I believe I have bilateral concha bullosa after looking at my CT scans. Every ENT I've been to has not mentioned it to me and after getting multiple procedures done like septoplasty and inferior turbinates reduced, I feel the concha bullosa could be the culprit to many of my headaches and sinusitis problems. i can breath alot better for the most part but there are times in the day when I still get congested and get very bad sinus headaches, dizzy and earaches. the congestion feels like it is farther into my nasal cavity , closer to my eyes. Can concha bullosa reduction be a stand alone procedure? thank you
Resection of the middle turbinate is a well-established procedure. But you should speak with an ENT surgeon about the appropriate extent of surgery for you, personally.
These most important anatomy if they can be be shown side by side with coronary , Sagittal and axis plane together in 3d formatted images , it will be better to have the idea in space relation in mind. I revisit these great lectures to refresh understanding.
Most of the anatomy is best understood (and evaluated) in coronal plane. There are a few items that are seen better in other planes (like the spheno-ethmoidal recess in axial plane or the fronto-nasal recess in sagittal) that I have attempted to highlight.