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European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses

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European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses ISSN: 03000729 INTERN AT IO N A L R H I N CONTENT O L O G I C Official Journal of the European and International Societies Position paper Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, Georgalas C, Ger- S O C I E Y stenberger C, Hellings PW, Herman P, Hosemann WG, Jankowski R, Jones N, Jorissen M, Leunig T A, Onerci M, Rimmer J, Rombaux P, Simmen D, Tomazic PV, Tschabitscher M, Welge-Luessen A. European Position Paper on the Anatomical Terminology of the Internal Nose and Parana- VOLUME 50 | SUPPLEMENT 24 | MARCH 2014 sal Sinuses. Rhinology. 2014 Suppl. 24: 1-34. European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses Lund VJ, Stammberger H, Fokkens WJ et al. 2014 Anatomical terminology cover JS.indd 1 27-02-14 23:03 European Position Paper on the Anatomical Terminology of the INTERN AT Internal Nose and Paranasal Sinuses IO N A L R H I N O L O G I C Official Journal of the European and International Rhinologic Societies S O C I E Y T Editor-in-Chief Address Prof V.J. Lund Journal Rhinology, c/o AMC, Mrs. J. Kosman / A2-234, PO Box 22 660, Prof W.J. Fokkens 1100 DD Amsterdam, the Netherlands. Tel: +31-20-566 4534 Associate Editor Fax: +31-20-566 9662 Prof P.W. Hellings E-mail: [email protected] Website: www.rhinologyjournal.com Managing Editor Dr. W.T.V. Germeraad Assistant Editor Dr. Ch. Georgalas Editorial Assistant (contact for manuscripts) Mrs J. Kosman [email protected] Rhinology Secretary (contact for other matters) Mrs J. Kosman [email protected] Webmaster Mr. S.H.O. Zwetsloot [email protected] Rhinology (ISSN 0300-0729) is the official Journal of the European and All rights reserved. No part of this publication may be reproduced or transmitted International Rhinologic Societies and appears quarterly in March, June, in any form or by any means electronic or mechanical, including photocopying, September and December. Cited in Pubmed, Current Contents, Index Medicus, recording or any information storage and retrieval system without prior permis- Exerpta Medica and Embase sion in writing from the Publisher. Founded in 1963 by H.A.E. van Dishoeck, Rhinology is a worldwide non-profit Submission of a manuscript for publication implies the transfer of the copyright making journal. The journal publishes original papers on basic research as well as from the author(s) to the publisher and entails the author’s irrevocable and clinical studies in the major field of rhinology, including physiology, diagnostics, exclusive authorization of the publisher to collect any sums or considerations for pathology, immunology, medical therapy and surgery of both the nose and copying or reproduction payable by third parties. paranasal sinuses. Review articles and short communications are also pulished. All papers are peer-reviewed. Letters-to-the-editor provide a forum for comments on published papers, and are not subject to editorial revision except for correction of English language. In-depth studies that are too long to be included into a regular issue can be published as a supplement. Supple ments are not subject to peer-review. © Rhinology, 2014. Anatomical terminology cover JS.indd 2 27-02-14 23:03 EUROPEAN POSITION PAPER European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses Rhinology Supplement 24: 1-34, a b Valerie J. Lund, chair , Heinz Stammberger, co-chair , Wytske J. Fokkens, 2014 co-chairc, Tim Bealed, Manuel Bernal-Sprekelsene, Philippe Eloyf, Christos Georgalasc, Claus Gerstenbergerg, Peter Hellingsc,h, Philippe Hermani, Werner G. Hosemannj, Roger Jankowskik, Nick Jonesl, Mark Jorissenh, Andreas Leunigm, Metin Onercin, Joanne Rimmero, Philippe Rombauxp, Daniel Simmenq, Peter Valentin Tomazicb, Manfred Tschabitscherr, Antje Welge-Luessens a Royal National Throat Nose and Ear Hospital, University College London Ear Institute, London, United Kingdom b Department of General Otorhinolaryngology-Head and Neck Surgery, Medical University Graz, Austria c Department of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands d Department of Radiology, Royal National Throat Nose and Ear Hospital, London & UCLH, United Kingdom e Department of Otorhinolaryngology, Hospital Clinic, Barcelona, Spain f Department of Otorhinolaryngology, Head and Neck Surgery, CHU Dinant – Godinne, Yvoir, BelgiumA g ENT University Hospital, Biomedical Engineering, Medical University Graz, Austria h Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium i Departement Otorhinolaryngology, Hopital Lariboisière, Paris, France, EA REMES, Université Paris Diderot, AP-HP, Paris, France j Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Greifswald, Germany k Department of Otorhinolaryngology, Head and Neck Surgery, Universite de Lorraine, Hopital Central, Nancy, France l Department of Otorhinolaryngology, Head and Neck Surgery, Queen’s Medical Centre, Nottingham, United Kingdom m Center for Rhinology, ENT-Clinic Dr. Gaertner, Munich-Bogenhausen, Germany n Department of Otorhinolaryngology, Hacettepe University, Ankara, Turkey o Department of Otorhinolaryngology, Head and Neck Surgery, Guy’s and St Thomas’s Hospitals, London, United Kingdom p Department of Otorhinolaryngology, Cliniques Universitaires Saint Luc, UCLouvain, Brussels, Belgium q Center for Rhinology, Skull Base Surgery and Facial Plastic Surgery, Zürich, Switzerland r Department of Anatomy, University of Vienna, Vienna, Austria s Department of Otorhinolaryngology, University Hospital Basel, Basel, Switzerland Consultants Gregor Bachmann-Harildstad1, Ricardo Carrau2, Paolo Castelnuovo3, Reda Kamel4, David Kennedy5, Stil Kountakis6, Seung Hoon Lee7, Andrey Lopatin8, Piero Nicolai9, Nobuyoshi Otori10, Aldo Stamm11, De Yun Wang12, Peter John Wormald13, Erin Wright14, S. James Zinreich15 1 Department of Otolaryngology, Alkershus University Hospital and Oslo University, Nordbyhagen, Norway; 2 Department of Otolaryngology-Head and Neck Surgery, The Ohio State University, Columbus, OH, USA; 3 Department of Otorhinolaryngology, University of Insubria, Varese, Italy, 4 Department of Rhinology, Cairo University, Cairo, Egypt; 5 Depart- ment of Otorhinolaryngology, Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; 6 Department of Otolaryngology-Head and Neck Surgery, Georgia Regents University, Augusta, GA, USA; 7 Department of Otorhinolaryngology Head and Neck Surgery, Ansan Hospital, Korea University College of Medicine, Korea; 8 ENT clinic, First Moscow State Medical University, Moscow Russian Federation; 9 Department of Otorhinolaryngology-Head and Neck Surgery, University of Brescia, Italy; 10 Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan; 11 São Paulo ENT Center, Federal University of São Paulo, Brazil; 12 Department of Otolaryn- gology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; 13 Department of Surgery- Otolaryngology, Head and Neck Surgery, Adelaide and Flinders Universities, The Queen Elizabeth Hospital, Woodville, South Australia, Australia; 14 Department of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada; 15 Department of Radiology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA Supplement 24: European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses Abstract The advent of endoscopic sinus surgery led to a resurgence of interest in the detailed anatomy of the internal nose and para- nasal sinuses. However, the official Terminologica Anatomica used by basic anatomists omits many of the structures of surgical importance. This led to numerous clinical anatomy papers and much discussion about the exact names and definitions for the structures of surgical relevance. This European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses was conceived to re-evaluate the anatomical terms in common usage by endoscopic sinus surgeons and to compare this with the official Terminologica Anatomica. The text is a concise summary of all the structures encountered during routine endoscopic surgery in the nasal cavity, paranasal sinuses and at the interface with the orbit and skull base but does not provide a comprehensive text for advanced skull base surgery. It draws on a detailed review of the literature and provides a consensus where several options are available, defining the anatomical structure in simple terms and in English. It is recog- nised that this is an area of great variation and some indication of the frequency with which these variants are encountered is given in the text and table. All major anatomical points are illustrated, drawing on the expertise of the multi-national and multi-disciplinary contributors to this project. Key words: anatomy, terminology, nose, paranasal sinuses To cite this article: Lund VJ, Stammberger H, Fokkens WJ, Beale T, Bernal-Sprekelsen M, Eloy P, Georgalas C, Gerstenberger C, Hellings PW, Herman P, Hosemann WG, Jankowski R, Jones N, Jorissen M, Leunig A, Onerci M, Rimmer J, Rombaux P, Simmen D, Tomazic PV, Tschabitscher M, Welge-Luessen A. European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses. Rhinology. 2014, Suppl. 24: 1-34. The full document can be downloaded for free on the website of this journal: http://www.rhinologyjournal.com A 3-planar
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