Importance of Keros Classification in Surgery.
The relationship between the cribriform plate and the uncinate process may be elaborated with the help of the Keros classification. The observations were analysed using high-resolution computed tomography (HRCT).
Additionally, the relationship between the superior attachment of the uncinate process, the existence of concha bullosa, and the different types of ethmoid roofs were examined.
Five-hundred and sixteen subjects complaining of sinonasal disorders between 2015 and 2016 were enrolled retrospectively at the Okmeydani Training and Research Hospital, Department of Otolaryngology.
Endoscopic sinus surgery is the primary mode of treatment for chronic sinus diseases. In this procedure, a proper assessment of the vital structures is very important to avoid further complications. In the present study, it has been suggested that determining the depth of the ethmoid roof is necessary to avoid injuring the bony lamella, which can lead to
cerebrospinal fluid rhinorrhea.
Chronic sinonasal diseases are among the most common diseases demanding surgical attention in the field of otolaryngology. Although, some diseases can be treated with medicines; surgical intervention is more often needed.
Endoscopic sinus surgery is the most commonly implemented approach for treatment at present. Thorough anatomical knowledge is considered mandatory, especially with respect to the skull base, to prevent serious surgical complications.
Therefore, variations in anatomy should be diagnosed before surgery and examined carefully for every patient. Keros classification is a widely used procedure for the evaluation of the depth of the nasal roof and should be assessed pre-operatively; which may otherwise lead to many life-threatening complications.
The uncinate process and the attachment of the middle turbinate can be associated with several anatomical regions.
Rarely, those structures may attach directly to the nasal roof.
Otolaryngol Open J. 2017; 3(3): 54-58. doi: 10.17140/OTLOJ-3-143
