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VOLUME 9 , ISSUE 2 ( July-December, 2020 ) > List of Articles


Prevalence of Kuhn Frontal Cells in Frontal Sinusitis: A Literary Review

Raam Deepak, P Karthikeyan, Nikhil Sivanand

Citation Information : Deepak R, Karthikeyan P, Sivanand N. Prevalence of Kuhn Frontal Cells in Frontal Sinusitis: A Literary Review. 2020; 9 (2):53-55.

DOI: 10.5005/jp-journals-10085-8123

License: CC BY-NC 4.0

Published Online: 01-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Background: The relationship between frontal cells to frontal sinus disease pathology remains an understudied area. Caucasian population were studied in most previous studies of the pneumatization pattern of the frontal recess, whereas there are very few reports on the prevalence of frontal recess cells and their relation with frontal sinusitis in India. The purpose of this review is to determine the frequency of occurrence of frontal cells and to determine whether the size of the frontal isthmus or the presence of frontal cells is related to the presence of frontal sinus disease in various articles. There are a lot of studies that appear in the Western literature, but there are less Indian studies on this subject. Materials and methods: In this article, we reviewed around 25 various randomized, clinical, and experimental trials conducted between 1940 and 2016 and which were published in various Indian and American journals. The literature search was conducted after using the key words chronic rhino-sinusitis, Kuhn frontal cells, frontal recess, frontal sinusitis, functional endoscopic sinus surgery, and computed tomography from Pubmed, Cochrane, Proquest, and Google Scholar. Conclusion: There was no significant relation between any particular frontal recess cell and the size of the nasofrontal isthmus as the cause for frontal sinusitis in majority of studies, and therefore we concluded that various factors, along with the pattern of pneumatization and mucosal edema, contributed to the pathogenesis of chronic frontal sinusitis.

  1. DelGaudio JM, Hudgins PA, Venkatraman G, Beningfield A. Multiplanar computed tomographic analysis of frontal recess cells: effect on frontal isthmus size and frontal sinusitis. Arch Otolaryngol Head Neck Surg 2005;131(3):230–235. DOI: 10.1001/archotol.131.3.230.
  2. Van Alyea OE. Frontal cells: an anatomic study of these cells with consideration of their clinical significance. Arch Otolaryngol 1941;34(1):11–23. DOI: 10.1001/archotol.1941.00660040021003.
  3. Stammberger H, Posawetz W. Functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 1990;247(2):63–76. DOI: 10.1007/BF00183169.
  4. Landsberg R, Friedman M. A computer‐assisted anatomical study of the nasofrontal region. Laryngoscope 2001;111(12):2125–2130. DOI: 10.1097/00005537-200112000-00008.
  5. Jacobs JB. 100 Years of frontal sinus surgery. Laryngoscope 1997;107(S83):1–36. DOI: 10.1097/00005537-199711001-00001.
  6. McLaughlin RB, Rehl RM, Lanza DC. Clinically relevant frontal sinus anatomy and physiology. Otolaryngol Clin North Am 2001;34(1):1–22. DOI: 10.1016/S0030-6665(05)70291-7.
  7. Meyer TK, Kocak M, Smith MM, Smith TL. Coronal computed tomography analysis of frontal cells. Amer J Rhinol 2003;17(3):163–168. DOI: 10.1177/194589240301700310.
  8. Kew J, Rees GL, Close D, Sdralis T, Sebben RA, Wormald PJ. Multiplanar reconstructed computed tomography images improves depiction and understanding of the anatomy of the frontal sinus and recess. Amer J Rhinol 2002;16(2):119–123. DOI: 10.1177/194589240201600209.
  9. Sagar GR, Jha BC, Meghanadh KR. A study of anatomy of frontal recess in patients suffering from ‘chronic frontal sinus disease’. Indian J Otolaryngol Head Neck Surg 2013;65(2):435–439. DOI: 10.1007/s12070-013-0653-7.
  10. Basak S, Karaman C-Z, Akdilli A. Evaluation of some important anatomicalvariations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery. Rhinology 1998;36(4):162–167.
  11. Lee WT, Kuhn FA, Citardi MJ. 3D computed tomographic analysis of frontal recess anatomy in patients without frontal sinusitis. Otolaryngolo Head Neck Surg 2004;131(3):164–173. DOI: 10.1016/j.otohns.2004.04.012.
  12. Jacobs JB, Shpizner BA, Brunner E, Lebowitz RA, Holliday RA. Role of the aggernasi cell in chronic frontal sinusitis. Ann Otol Rhinol Laryngol 1996;105(9):694–700. DOI: 10.1177/000348949610500905.
  13. Turgut S, Ercan I, Sayın I, Başak M. The relationship between frontal sinusitis and localization of the frontal sinus outflow tract: a computer-assisted anatomical and clinical study. Arch Otolaryngol Head Neck Surg 2005;131(6):518–522. DOI: 10.1001/archotol.131.6.518.
  14. Coates MH, Whyte AM, Earwaker JWS. Frontal recess air cells:spectrum of CT appearances. Australas Radiol 2003;47(1):4–10. DOI: 10.1046/j.1440-1673.2003.t01-1-01124.x.
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