し骨上がく板の診断的意義について

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  • RADIOLOGICAL DIAGNOSIS OF ETHMOIDOMAXILLARY PLATE

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Diagnostic evaluation of ethmoidomaxillary plate (EMP) was performed. Two hundred plain X-ray films of Caldwell's view and one hundred and forty three AP Polytomographic films (3cm from Nasion) were investigated. All the cases were without apparent bony destructions.<br>By Caldwell's view, EMP is identified in both sides in 68% of cases, identified only on one side in 19%, and identified on neither sides in 13%. By Polytomography, EMP is identified on both sides in 77.6%, identified only one side in 14%, and identified on neither sides in 8.4%.<br>Case presentations were done by facial trauma, maxillary cyst and maxillary cancer with films of Caldwell's view, Poly tomography and CT, with the emphasis on EMP.<br>EMP is the triangular area for attack by transantral ethmoidectomy and is also one of the sites of predilection by maxillary cancer.<br>EMP should be routinely included in the radiographic evaluations of paranasal sinuses.

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