Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study

Background and objectives: Prior to any surgery for sinonasal diseases, a preliminary scanning of the paranasal sinus is required to validate that the surgical approach is satisfactorily planned and to avoid complications connected to the anatomy of this area. We intended to assess the olfactory fos...

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Main Author: Ayad Faraj Rasheed
Format: Article
Language:English
Published: Kurdistan Higher Council Of Medical Specialties 2025-03-01
Series:Advanced Medical Journal
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Online Access:https://amj.khcms.edu.krd/index.php/main/article/view/604
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author Ayad Faraj Rasheed
author_facet Ayad Faraj Rasheed
author_sort Ayad Faraj Rasheed
collection DOAJ
description Background and objectives: Prior to any surgery for sinonasal diseases, a preliminary scanning of the paranasal sinus is required to validate that the surgical approach is satisfactorily planned and to avoid complications connected to the anatomy of this area. We intended to assess the olfactory fossa depth using paranasal sinus CT images to identify the types and prevalence of Keros classification in our population. Methods: From December 2021 to December 2022, cross-sectional research was carried out at the Department of Radiology of Erbil Teaching Hospital, Erbil/ Iraq. Eighty participants (46 men and 34 women) received paranasal sinus CT scan to assess their paranasal sinuses and adjacent bone structures. Using the Keros categorization technique, the penetration of the olfactory fossa was determined and categorized into three types, described as type I (1 to 3 mm), type II (4 to 7 mm), and type III (8 to 16 mm). Results: The average penetrations of the left and right olfactory fossa were 6.27±2.19 mm and 5.7±2.03 mm, respectively. Based on the Keros categorization, most of the cases (103) were of type II (64.3%). The right side for both genders was of Keros type II in 63.7%. The association of the right side and the Keros classification was statistically significant (p value = 0.006). Conclusion: For both genders, Keros type II was more predominant. The Keros categorization and the gender variables with respect to the left and right sides respectively, differed significantly.
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spelling doaj-art-4e21ee0b43fb4ad293594724244f0b2c2025-08-20T03:53:33ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802025-03-01101173178https://doi.org/10.56056/amj.2025.332605Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based StudyAyad Faraj Rasheed0MBChB, MD(Radiology), Lecturer, Department of Surgery, College of Medicine, Hawler Medical UniversityBackground and objectives: Prior to any surgery for sinonasal diseases, a preliminary scanning of the paranasal sinus is required to validate that the surgical approach is satisfactorily planned and to avoid complications connected to the anatomy of this area. We intended to assess the olfactory fossa depth using paranasal sinus CT images to identify the types and prevalence of Keros classification in our population. Methods: From December 2021 to December 2022, cross-sectional research was carried out at the Department of Radiology of Erbil Teaching Hospital, Erbil/ Iraq. Eighty participants (46 men and 34 women) received paranasal sinus CT scan to assess their paranasal sinuses and adjacent bone structures. Using the Keros categorization technique, the penetration of the olfactory fossa was determined and categorized into three types, described as type I (1 to 3 mm), type II (4 to 7 mm), and type III (8 to 16 mm). Results: The average penetrations of the left and right olfactory fossa were 6.27±2.19 mm and 5.7±2.03 mm, respectively. Based on the Keros categorization, most of the cases (103) were of type II (64.3%). The right side for both genders was of Keros type II in 63.7%. The association of the right side and the Keros classification was statistically significant (p value = 0.006). Conclusion: For both genders, Keros type II was more predominant. The Keros categorization and the gender variables with respect to the left and right sides respectively, differed significantly.https://amj.khcms.edu.krd/index.php/main/article/view/604ct scankeros classificationolfactory fossa
spellingShingle Ayad Faraj Rasheed
Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
Advanced Medical Journal
ct scan
keros classification
olfactory fossa
title Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
title_full Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
title_fullStr Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
title_full_unstemmed Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
title_short Evaluation of Olfactory Fossa Keros Classification Using CT scans, A Hospital-Based Study
title_sort evaluation of olfactory fossa keros classification using ct scans a hospital based study
topic ct scan
keros classification
olfactory fossa
url https://amj.khcms.edu.krd/index.php/main/article/view/604
work_keys_str_mv AT ayadfarajrasheed evaluationofolfactoryfossakerosclassificationusingctscansahospitalbasedstudy