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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(01): e38-e46
DOI: 10.1055/s-0039-1698776
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

In Vivo Computed Tomography Direct Volume Rendering of the Anterior Ethmoidal Artery: A Descriptive Anatomical Study

Filippo Cascio
1   Department of Otorhinolaryngology, Papardo Piemonte Reunited Hospitals, Messina, Sicilia, Italy
,
Alberto Cacciola
2   Department of Biomedical, Odontoiatric, Morphological and Functional Imaging Sciences, Università degli Studi di Messina, Messina, Italy
,
Simona Portaro
3   Scientific Institute for Research, Hospitalization and Health Care Centro Neurolesi Bonino Pulejo, Messina, Italy
,
Gianpaolo Antonio Basile
2   Department of Biomedical, Odontoiatric, Morphological and Functional Imaging Sciences, Università degli Studi di Messina, Messina, Italy
,
Giuseppina Rizzo
2   Department of Biomedical, Odontoiatric, Morphological and Functional Imaging Sciences, Università degli Studi di Messina, Messina, Italy
,
Andrè Wady Debes Felippu
4   Department of Otorhinolaryngology, Instituto Felippu, São Paulo, Brazil
,
Alexandre Wady Debes Felippu
4   Department of Otorhinolaryngology, Instituto Felippu, São Paulo, Brazil
,
Antongiulio Bruschetta
2   Department of Biomedical, Odontoiatric, Morphological and Functional Imaging Sciences, Università degli Studi di Messina, Messina, Italy
,
Carmelo Anfuso
3   Scientific Institute for Research, Hospitalization and Health Care Centro Neurolesi Bonino Pulejo, Messina, Italy
,
Felice Cascio
1   Department of Otorhinolaryngology, Papardo Piemonte Reunited Hospitals, Messina, Sicilia, Italy
,
Demetrio Milardi 
2   Department of Biomedical, Odontoiatric, Morphological and Functional Imaging Sciences, Università degli Studi di Messina, Messina, Italy
3   Scientific Institute for Research, Hospitalization and Health Care Centro Neurolesi Bonino Pulejo, Messina, Italy
,
Alessia Bramanti
3   Scientific Institute for Research, Hospitalization and Health Care Centro Neurolesi Bonino Pulejo, Messina, Italy
› Author Affiliations
Further Information

Publication History

25 October 2018

18 August 2019

Publication Date:
09 January 2020 (online)

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Abstract

Introduction The clinical relevance of the anatomy and variations of the anterior ethmoidal artery (AEA) is outstanding, considering its role as a landmark in endoscopic surgery, its importance in the therapy of epistaxis, and the high risks related to iatrogenic injuries.

Objective To provide an anatomical description of the course and relationships of the AEA, based on direct computed-tomography (CT)-based 3D volume rendering.

Methods Direct volume rendering was performed on 18 subjects who underwent (CT) with contrast medium for suspected cerebral aneurism.

Results The topographical location of 36 AEAs was assessed as shown: 10 dehiscent (27.8%), 20 intracanal (55.5%), 6 incomplete canals (16.7%). Distances from important topographic landmarks are reported.

Conclusion This work demonstrates that direct 3D volume rendering is a valid imaging technique for a detailed description of the anterior ethmoidal artery thus representing a useful tool for head pre-operatory assessments.

Keywords

anterior ethmoidal artery - CT - volume rendering
 

  • References

  • 1 Araujo Filho BC, Weber R, Pinheiro Neto CD, Lessa MM, Voegels RL, Butugan O. Endoscopic Anatomy of the anterior ethmoidal artery: a cadaveric dissection study. Rev Bras Otorinolaringol 2006; 72: 323-328
    Google Scholar
  • 2 Pollok JS, Newton TH. The anterior falx artery: normal and pathologic anatomy. Radiology 1968; 91: 1089-1095
    CrossrefPubMedGoogle Scholar
  • 3 Moon HJ, Kim HU, Lee JG. Surgical anatomy of the anterior ethmoidal canal in ethmoid roof. Laryngoscope 2001; 111: 900-904
    CrossrefPubMedGoogle Scholar
  • 4 Simmen D, Raghavan U. The surgeon’s view of the anterior ethmoidal artery. Clin otolaryngol 2006; 31: 187-191
    CrossrefPubMedGoogle Scholar
  • 5 Floreani SR, Nair SB, Switajewski MC, Wormald PJ. Endoscopic anterior ethmoidal artery ligation: a cadaver study. Laryngoscope 2006; 6: 1263-1267
    Google Scholar
  • 6 Xiang YY, Xu DC, Huang FL, Zhang XK. Applied anatomy of the ligation of ethmoidal artery with nasal endoscope. Chin J Clin Anat 2002; 20: 375-376
    Google Scholar
  • 7 Lee WC, Ming Ku PK, Van Hasselt CA. New guidelines for endoscopic localization of the anterior ethmoidal artery: a cadaveric study. Laryngoscope 2000; 110: 1173-1178
    CrossrefPubMedGoogle Scholar
  • 8 Mafee MF, Chow JM, Meyers R. Functional endoscopic sinus surgery: anatomy, CT screening, indications: complications. Am J Roentgenol 1993; 160: 735-744
    CrossrefPubMedGoogle Scholar
  • 9 Ohnishi T, Yanagisawa E. Endoscopic anatomy of the anterior ethmoidal artery. Ear Nose Throat J 1994; 73 (09) 634-636
    CrossrefPubMedGoogle Scholar
  • 10 Mafee MF. Preoperative imaging anatomy of the nasal complex for functional endoscopic sinus surgery. Radiol Clin North Am 1993; 31: 1-2
    CrossrefPubMedGoogle Scholar
  • 11 Akdemir G, Tekdemir I, Altin L. Transethmoidal approach to the optic canal: surgical and radiological microanatomy. Surg Neurol 2004; 623: 1-6
    Google Scholar
  • 12 Gotwald TF, Menzler A, Beauchamp NJ, ZurNedden D, Zinreich SJ. Paranasal and orbit anatomy revisited: identification of the ethmoid arteries on coronal CT scans. Crit Rev ComputTomogr 2003; 44: 263-278
    Google Scholar
  • 13 Cassano M, Longo M, Fiocca-Matthews E, Del Giudice AM. Endoscopic intraoperative control of epistaxis in nasal surgery. Auris Nasus Larynx 2010; 37: 178-184
    CrossrefPubMedGoogle Scholar
  • 14 Rudmik L, Smith TL. Management of intractable spontaneous epistaxis. Am J Rhinol Allergy 2012; 26 (01) 55-60
    CrossrefPubMedGoogle Scholar
  • 15 Yang BDYX, Lu QK. Morphological characteristics of the Anterior Ethmoidal Artery in Ethmoid Roof and Endoscopic localization. Skull base 2009; 19: 311-318
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Asanau A, Timoshenko AP, Vercherin P, Marthin C, Prades JM. Sphenopalatine and anterior ethmoidal artery ligation for severe epistaxis. Ann Otol Rhinol Laryngol 2009; 118: 639-644
    CrossrefPubMedGoogle Scholar
  • 17 Galletti B, Gazia F, Freni F, Sireci F, Galletti F. Endoscopic sinus surgery with and without computer assisted navigation: A retrospective study. Auris Nasus Larynx 2019; 46 (04) 520-525
    CrossrefPubMedGoogle Scholar
  • 18 McMains KC. Safety in endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2008; 163: 247-251
    Google Scholar
  • 19 Ciodaro F, Mannella VK, Nicita RA, Cammaroto G, Bruno R, Galletti B, Freni F, Galletti F. Therapeutic efficacy of the Galletti-Contrino manoeuvre for benign paroxysmal positional vertigo of vertical semicircular canals in overweight subjects. Eur Arch Otorhinolaryngol 2018; 275 (10) 2449-2455
    CrossrefPubMedGoogle Scholar
  • 20 Cacciola A, Milardi D, Bertino S, Basile GA, Calamuneri A, Chillemi G, Rizzo G, Anastasi G, Quartarone A. Structural connectivity-based topography of the human globus pallidus: Implications for therapeutic targeting in movement disorders. Mov Disord 2019; 34: 987-996
    CrossrefPubMedGoogle Scholar
  • 21 Cacciola A, Milardi D, Basile GA, Bertino S, Calamuneri A, Chillemi G. , et al. The cortico-rubral and cerebello-rubral pathways are topographically organized within the human red nucleus. Sci Rep 2019; 9 (01) 1-12
    CrossrefPubMedGoogle Scholar
  • 22 Cacciola A, Milardi D, Quartarone A. Role of cortico-pallidal connectivity in the pathophysiology of dystonia. Brain 2016; 139: 48
    CrossrefPubMedGoogle Scholar
  • 23 Cacciola A, Milardi D, Anastasi GP, Basile GA, Ciolli P, Irrera M, Cutroneo G, Bruschetta D, Rizzo G, Mondello S, Bramanti P, Quartarone A. A Direct Cortico-Nigral Pathway as Revealed by Constrained Spherical Deconvolution Tractography in Humans. Front Hum Neurosci 2014; 10: 374
    Google Scholar
  • 24 Cacciola A, Milardi D, Calamuneri A, Bonanno L, Marino S, Ciolli P, Russo M, Bruschetta D, Duca A, Trimarchi F, Quartarone A, Anastasi G. Constrained Spherical Deconvolution Tractography Reveals Cerebello-Mammillary Connections in Humans. Cerebellum 2017; 16 (02) 483-495
    CrossrefPubMedGoogle Scholar
  • 25 Cacciola A, Milardi D, Livrea P, Flace P, Anastasi G, Quartarone A. The Known and Missing Links Between the Cerebellum, Basal Ganglia, and Cerebral Cortex. Cerebellum 2017; 16 (03) 753-755
    CrossrefPubMedGoogle Scholar
  • 26 Cacciola A, Calamuneri A, Milardi D, Mormina E, Chillemi G, Marino S, Naro A, Rizzo G, Anastasi G, Quartarone A. A Connectomic Analysis of the Human Basal Ganglia Network. Front Neuroanat 2017; 11: 85
    CrossrefPubMedGoogle Scholar
  • 27 Cacciola A, Calabrò RS, Costa A, Naro A, Milardi D, Bruschetta D. Enlarged Virchow-Robin Spaces in A Young Man: A Constrained Spherical Deconvolution Tractography Study. Acta Biomed 2017; 88: 319-324
    PubMedGoogle Scholar
  • 28 Milardi D, Arrigo A, Anastasi G, Cacciola A, Marino S, Mormina E, Calamuneri A, Bruschetta D, Cutroneo G, Trimarchi F, Quartarone A. Extensive Direct Subcortical Cerebellum-Basal Ganglia Connections in Human Brain as Revealed by Constrained Spherical Deconvolution Tractography. Front Neuroanat 2016; 18 (10) 29
    Google Scholar
  • 29 Milardi D, Cacciola A, Cutroneo G, Marino S, Irrera M, Cacciola G, Santoro G, Ciolli P, Anastasi G, Calabrò RS, Quartarone A. Red nucleus connectivity as revealed by constrained spherical deconvolution tractography. Neurosci Lett 2016; 626: 68-73
    CrossrefPubMedGoogle Scholar
  • 30 Milardi D, Cacciola A, Calamuneri A, Ghilardi MF, Caminiti F, Cascio F, Andronaco V, Anastasi G, Mormina E, Arrigo A, Bruschetta D, Quartarone A. The Olfactory System Revealed: Non-Invasive Mapping by using Constrained Spherical Deconvolution Tractography in Healthy Humans. Front Neuroanat 2017; 10: 11-32
    Google Scholar
  • 31 Russo M, Calamuneri A, Cacciola A, Bonanno L, Naro A, Dattola V, Sessa E, Buccafusca M, Milardi D, Bramanti P, Calabrò RS, Quartarone A. Neural correlates of fatigue in multiple sclerosis: a combined neurophysiological and neuroimaging approach (R1). Arch Ital Biol 2017; 155 (03) 142-151
    PubMedGoogle Scholar
  • 32 Portaro S, Filardi V, Naro A, Cacciola A, Andronaco V, Gatani U, Calabrò RS, Gemelli G, Milardi D, Bramanti A. Force and strain during horseback riding :bridging the gap between theory and clinical practice. J Sports Med Phys Fitness 2019; 59 (03) 536-538 . doi: 10.23736/S0022-4707.18.08170-7. Epub 2018 Sep 27. PubMed PMID: 30264970
    PubMedGoogle Scholar
  • 33 Naro A, Calabrò RS, Leo A, Russo M, Milardi D, Cannavò A, Manuli A, Buda A, Casella C, Bramanti P, Cacciola A, Bramanti A. Bridging the Gap Towards Awareness Detection in Disorders of Consciousness: An Experimental Study on the Mirror Neuron System. Brain Topogr 2018; 31 (04) 623-639 . doi: 10.1007/s10548-018-0628-9. Epub 2018 Feb 7. PubMed PMID: 29417320
    CrossrefPubMedGoogle Scholar
  • 34 Naro A, Milardi D, Cacciola A, Russo M, Sciarrone F, La Rosa G, Bramanti A, Bramanti P, Calabrò RS. What Do We Know About the Influence of the Cerebellum on Walking Ability? Promising Findings from Transcranial Alternating Current Stimulation. Cerebellum 2017; 16 (04) 859-867 . doi: 10.1007/s12311-017-0859-4. PubMed PMID: 28456901
    CrossrefPubMedGoogle Scholar
  • 35 Leonardi S, Cacciola A, De Luca R, Aragona B, Andronaco V, Milardi D, Bramanti P, Calabrò RS. The role of music therapy in rehabilitation: improving aphasia and beyond. Int J Neurosci 2018; 128 (01) 90-99 . doi: 10.1080/00207454.2017.1353981. Epub 2017 Aug 8. Review. PubMed PMID: 28689476
    CrossrefPubMedGoogle Scholar
  • 36 Naro A, Bramanti P, Leo A, Cacciola A, Bramanti A, Manuli A, Calabrò RS. Towards a method to differentiate chronic disorder of consciousness patients’ awareness: The Low-Resolution Brain Electromagnetic Tomography Analysis. J Neurol Sci 2016; 368: 178-183 . doi: 10.1016/j.jns.2016.07.016. Epub 2016 Jul 9.PubMed PMID: 27538628
    CrossrefPubMedGoogle Scholar
  • 37 Torrisi M, Cacciola A, Marra A, De Luca R, Bramanti P, Calabrò RS. Inappropriate behaviors and hypersexuality in individuals with dementia: An overview of a neglected issue. Geriatr Gerontol Int 2017; 7 (06) 865-874 . doi:10.1111/ggi.12854. Epub 2016 Aug 4. Review. PubMed PMID: 27489168
    Google Scholar
  • 38 Anastasi G, Cutroneo G, Bruschetta D, Trimarchi F, Ielitro G, Cammaroto S, Duca A, Bramanti P, Favaloro A, Vaccarino G, Milardi D. Three-dimensional volume rendering of the ankle based on magnetic resonance images enables the generation of images comparable to real anatomy. J Anat 2009; 215 (05) 592-599 . doi:10.1111/j.1469-7580.2009.01133.x. Epub 2009 Aug 12. PubMed PMID: 19678857; PubMed Central PMCID: PMC2780576
    CrossrefPubMedGoogle Scholar
  • 39 Anastasi G, Bramanti P, Di Bella P, Favaloro A, Trimarchi F, Magaudda L, Gaeta M, Scribano E, Bruschetta D, Milardi D. Volume rendering based on magnetic resonance imaging: advances in understanding the three-dimensional anatomy of the human knee. J Anat 2007; 211 (03) 399-406 . Epub 2007 Jul 21. PubMed PMID: 17645453; PubMed Central PMCID: PMC2375819
    CrossrefPubMedGoogle Scholar
  • 40 Meduri M, Bramanti P, Ielitro G, Favaloro A, Milardi D, Cutroneo G, Muscatello MR, Bruno A, Micò U, Pandolfo G, La Torre D, Vaccarino G, Anastasi G. Morphometrical and morphological analysis of lateral ventricles in schizophrenia patients versus healthy controls. Psychiatry Res 2010; 83 (01) 52-58 . doi: 10.1016/j.pscychresns.2010.01.014. Epub 2010 Jun 9. PubMed PMID: 20538436
    Google Scholar
  • 41 Trimarchi F, Bramanti P, Marino S, Milardi D, Di Mauro D, Ielitro G, Valenti B, Vaccarino G, Milazzo C, Cutroneo G. MRI 3D lateral cerebral ventricles in living humans: morphological and morphometrical age-, gender-related preliminary study. Anat Sci Int 2013; 88 (02) 61-69 . doi: 10.1007/s12565-012-0162-x. Epub 2012 Nov 20. PubMed PMID: 23179909
    CrossrefPubMedGoogle Scholar
  • 42 Bruschetta D, Milardi D, Trimarchi F, Di Mauro D, Valenti A, Arrigo A, Valenti B, Santoro G, Cascio F, Vaccarino G, Cacciola A. Muscle contracture diagnosis: the role of sonoelastography. J Sports Med Phys Fitness 2016; 56: 1518-1525
    PubMedGoogle Scholar
  • 43 Cutroneo G, Bruschetta D, Trimarchi F, Cacciola A, Cinquegrani M, Duca A, Rizzo G, Alati E, Gaeta M, Milardi D. In Vivo CT Direct Volume Rendering: A Three-Dimensional Anatomical Description of the Heart. Pol J Radiol 2016; 21 (81) 21-28
    Google Scholar
  • 44 Cuccia AM, Caradonna C, Bruschetta D, Vaccarino G, Milardi D. Imaging of temporomandibular joint: approach by direct volume rendering. J Clin Diagn Res 2014; 8 (11) ZC105-9 . doi: 10.7860/JCDR/2014/9977.5195. Epub 2014 Nov 20.PubMed PMID: 25664280; PubMed Central PMCID: PMC4287995
    PubMedGoogle Scholar
  • 45 Cuccia AM, Caradonna C, Caradonna D, Anastasi G, Milardi D, Favaloro A, De Pietro A, Angileri TM, Caradonna L, Cutroneo G. The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications. Imaging Sci Dent 2013; 43 (01) 37-44 . doi: 10.5624/isd.2013.43.1.37. Epub 2013 Mar 11. PubMed PMID: 23525363; PubMed Central PMCID: PMC3604369
    CrossrefPubMedGoogle Scholar
  • 46 Kaneko T, Yamamoto Y. Volume-preserving surface reconstruction from volume data. Proc IntConf Image Proc 1997; 1: 145-148
    Google Scholar
  • 47 Pandolfo I, Vinci S, Salamone I, Granata F, Mazziotti S. Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings. Eur Radiol 2007; 17 (06) 1584-1590
    CrossrefPubMedGoogle Scholar
  • 48 Ding J, Sun G, Lu Y, Yu BB, Li M, Li L. , et al. Evaluation of anterior ethmoidal artery by 320-slice CT angiography with comparison to three-dimensional spin digital subtraction angiography: initial experiences. Korean J Radiol 2012; 136: 667-673
    Google Scholar
  • 49 Drebin B, Fishman EK, Magid D. , et al. Volumetric rendering techniques: applications for three-dimensional imaging of the hip. Radiology 1987; 163: 737-738
    CrossrefPubMedGoogle Scholar
  • 50 Taubin G. A signal processing approach to fair surface design. Computer Graphics Proceedings 1997; 351
    Google Scholar
  • 51 Stammberger HR, Kennedy DW. , Anatomic Terminology Group. Paranasal sinuses: anatomic terminology and nomenclature. Ann Otol Rhinol Laryngol Suppl 1995; 167: 7-16
    PubMedGoogle Scholar
  • 52 Adeel M, Ikram M, Rajput MS, Arain A, Khattak YJ. Asymmetry of lateral lamella of the cribriform plate: a software-based analysis of coronal computed tomography and its clinical relevance in endoscopic sinus surgery. Surg Radiol Anat 2013; 359: 843-847
    Google Scholar
  • 53 Kirchner JA, Yanagisawa E, Crelin Jr ES. Surgical anatomy of the ethmoidal arteries. A laboratory study of 150 orbits. Arch Otolaryngol 1961; 74: 382-386
    CrossrefPubMedGoogle Scholar
  • 54 Lang J, Schäfer K. Ethmoidal arteries: origin, course, regions supplied and anastomoses. Acta Anat Basel 1979; 104 (02) 183-197
    CrossrefPubMedGoogle Scholar
  • 55 Kainz J, Stammberger H. The roof of the anterior ethmoid: a locus minoris resistentiae in the skull base. Laryngol Rhinol Otol Stuttg 1988; 67 (04) 142-149
    PubMedGoogle Scholar
  • 56 Minnigerode B. Zur Anatomie und klinischen Bedeutung des Canalis ethmoidalis. Zeitschrift fur Laryngologie, Rhinologie, Otologie und ihre Grenzgebiete 1966; 45: 554-559
    PubMedGoogle Scholar
  • 57 Yang Y, Lu Q, Liao J, Dang R. Morphological Characteristics of the Anterior Ethmoidal Artery in Ethmoid Roof and Endoscopic Localization. Skull Base 2009; 19 (05) 311-317 . doi:10.1055/s-0028-1115323
    Article in Thieme ConnectPubMedGoogle Scholar
  • 58 Erdogmus S, Govsa F. The anatomic landmarks of ethmoidal arteries for surgical approaches. J Craniofac Surg 2006; 17: 280-285
    CrossrefPubMedGoogle Scholar
  • 59 Lannoy-Penisson L, Schultz P, Riehm S, Atallah I, Veillon F, Debry C. The anterior ethmoidal artery: radio-anatomical comparison and its application in endonasal surgery. Acta Otolaryngol 2007; 127 (06) 618-622
    CrossrefPubMedGoogle Scholar
  • 60 Riehm S, Pénisson L, Charpiot A, Schultz P, Veillon F, Debry C. CT imaging of the anterior ethmoidal artery: anatomic correlation. J Radiol 2008; 89 (02) 229-233
    CrossrefPubMedGoogle Scholar
  • 61 Han JK, Becker SS, Bomeli SR, Gross CW. Endoscopic localization of the anterior and posterior ethmoid arteries. Ann Otol Rhinol Laryngol 2008; 117 (12) 931-935
    CrossrefPubMedGoogle Scholar
  • 62 McDonald SE, Robinson PJ, Nunez DA. Radiological anatomy of the anterior ethmoidal artery for functional endoscopic sinus surgery. The Journal of Laryngology & Otology 2008; 122 (03) 264-267 . doi: 10.1017/S0022215107008158
    CrossrefPubMedGoogle Scholar
  • 63 Souza SA, Souza MM, Gregório LC, Ajzen S. Anterior ethmoidal artery evaluation on coronal CT scans. Braz J Otorhinolaryngol 2009; 75 (01) 101-106
    CrossrefPubMedGoogle Scholar
  • 64 Joshi AA, Shah KD, Bradoo RA. Radiological correlation between the anterior ethmoidal artery and the supraorbital ethmoid cell. Indian J Otolaryngol Head Neck Surg 2010; 62 (03) 299-303
    CrossrefPubMedGoogle Scholar
  • 65 Monjas-Cánovas I, García-Garrigós E, Arenas-Jiménez JJ, Abarca-Olivas J, Sánchez-Del Campo F, Gras-Albert JR. Radiological anatomy of the ethmoidal arteries: CT cadaver study. Otorrinolaringol Esp 2011; 625: 367-374 . doi: 10.1016/j.otorri.2011.04.006
    Google Scholar
  • 66 Yenigun A, Goktas SS, Dogan R, Eren SB, Ozturan O. A study of the anterior ethmoidal artery and a new classification of the ethmoid roof: Yenigun classification. Eur Arch Otorhinolaryngol 2016; 273 (11) 3759-3764
    CrossrefPubMedGoogle Scholar
  • 67 Wong DK, Shao A, Campbell R, Douglas R. Anterior ethmoidal artery emerging anterior to bulla ethmoidalis: An abnormal anatomical variation in Waardenburg’s syndrome. Allergy Rhinol Providence 2014; 5 (03) 168-171 . doi:10.2500/ar.2014.5.0094
    PubMedGoogle Scholar