"La reciente incorporacion de la cirugia funcional endoscopica de los senos paranasales ha modificado criterios quirurgicos en la patologia sinusonasal. La cirugia endoscopica requiere gran entrenamiento tecnico y un profundo conocimiento de la anatomia regional. La TC de alta resolucion del macizo craneofacial es el metodo complementario de eleccion. El motivo de nuestro trabajo es presentar la anatomia y la fisiologia de las fosas nasales correlacionandolas con la TC de manera que el radiologo ofrezca un examen tomografico adecuado para la aplicacion de este tipo de cirugia. Para el estudio anatomico se examinaron 8 preparados anatomicos de craneos secos y una cabeza fijada en formol que luego fue seccionada en planos paralelos frontales. El examen tomografico incluyo cortes multiplanares de la cabeza fijada en formol y el estudio de 10 pacientes sin patologia sinusal. El complejo ostiomeatal, que incluye el meato medio, la apofisis unciforme y las vias de drenaje de las celdillas etmoidales anteriores y de los senos frontales y maxilares son elementos de reparo fundamentales para la cirugia endoscopica y el area clave para entender las rinosinusopatias inflamatorias. La TC con cortes coronales es el metodo complementario indispensable para entender una anatomia que ofrece multiples variaciones individuales (AU)."@es
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