WordNet

commit a sin; violate a law of God or a moral law (同)transgress, trespass
violent and excited activity; "they began to fight like sin" (同)hell
estrangement from god (同)sinfulness, wickedness
an act that is regarded by theologians as a transgression of Gods will (同)sinning
the 21st letter of the Hebrew alphabet
any of various air-filled cavities especially in the bones of the skull

PrepTutorEJDIC

〈U〉(宗教・道徳上の)『罪』 / 〈C〉(宗教・道徳上の)『罪の行為』,罪悪 / 〈C〉《特におどけて》違反(過失)の行為 / (宗教・道徳上の)おきてを破る,罪を犯す / (…に)違反(過失)をする,背く《+『against』+『名』》
sine
洞(どう)(骨や組織の中の穴・くぼみなど);静脈洞

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/04/25 12:08:21」(JST)

wiki en

Each of the two paired sphenoidal sinus are contained within the body of the sphenoid vary in size and shape; owing to the lateral displacement of the intervening septum they are rarely symmetrical. They cannot be palpated during an extraoral examination.^[1]

The following are their average measurements: vertical height, 2.2 cm.; transverse breadth, 2 cm.; antero-posterior depth, 2.2 cm.

Relations

When exceptionally large they may extend into the roots of the pterygoid processes or great wings, and may invade the basilar part of the occipital bone.

Each sinus opens into the roof of the nasal cavity via apertures on the posterior wall of the sphenoethmoidal recess directly above the choana. The apertures are located high on the anterior walls of the sinuses themselves.^[2]

Development

They are present as very small cavities at birth, but their main development takes place after puberty.^[2]

Innervation

The mucous membrane receives sensory innervation by the posterior ethmoidal nerves, and postganglionic parasympathetic fibers of the facial nerve that synapsed at the pterygopalatine ganglion which control secretion of mucous.

Complications

A potential complication of sphenoidal sinusitis is cavernous sinus thrombosis.
Because only thin shelves of bone separate the sphenoidal sinuses from the nasal cavities below and hypophyseal fossa above, the pituitary gland can be surgically approached through the roof of the nasal cavities by first passing through the anterioinferior aspect of the sphenoid bone and into the sinuses, followed by entry through the top of the sphenoid bone into the hypophyseal fossa.
If a fast-growing tumor erodes the floor of the sinus, the vidian nerve could be in danger.

If the tumor spreads laterally, the cavernous sinus and all its constituent nerves could be in danger.

Additional images

Sphenoidal sinus
Sphenoidal sinus
Paranasal sinuses
Sphenoid bone. Anterior and inferior surfaces.
Lateral wall of nasal cavity, showing ethmoid bone in position.
Horizontal section of nasal and orbital cavities.
Oblique section through the cavernous sinus.
Lateral wall of nasal cavity.
Sagittal section of nose mouth, pharynx, and larynx.
Paranasal sinuses
Nose diagram
Sphenoidal sinus
Sphenoidal sinus

References

^ Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 64
^ ^a ^b Human Anatomy, Jacob, Elsevier, 2008, page 211

External links

Sphenoid Sinus
Anatomy photo:33:st-0712 at the SUNY Downstate Medical Center
lesson9 at The Anatomy Lesson by Wesley Norman (Georgetown University) (latnasalwall3)

This article incorporates text from a public domain edition of Gray's Anatomy.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 鼻症状の原因：概要 etiologies of nasal symptoms an overview
2. 副鼻腔癌 paranasal sinus cancer
3. 頸動脈洞過敏症 carotid sinus hypersensitivity
4. 洞性頻脈 sinus tachycardia
5. 洞徐脈 sinus bradycardia

English Journal

Sinonasal manifestations of cystic fibrosis: A correlation between genotype and phenotype?

Berkhout MC1, van Rooden CJ2, Rijntjes E3, Fokkens WJ4, El Bouazzaoui LH5, Heijerman HG5.
Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society.J Cyst Fibros.2014 Jul;13(4):442-448. doi: 10.1016/j.jcf.2013.10.011. Epub 2013 Nov 5.
BACKGROUND: Patients with Cystic Fibrosis are prone to develop sinonasal disease. Studies in genotype-phenotype correlations for sinonasal disease are scarce and inconclusive.METHODS: In this observational study several aspects of sinonasal disease were investigated in 104 adult patients with CF. In
PMID 24210900

Endovascular Treatment of Sphenoid Wing Dural Arteriovenous Fistula with Pure Cortical Venous Drainage.

Fukuda H1, Miyake K2, Kunieda T2, Murao K3.
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.J Stroke Cerebrovasc Dis.2014 Jul;23(6):1730-1735. doi: 10.1016/j.jstrokecerebrovasdis.2013.12.037. Epub 2014 Feb 28.
Curative endovascular treatment of sphenoid wing dural arteriovenous fistula (dAVF) with pure cortical venous drainage is challenging because of its rarity, lack of accessible dural sinus for transvenous embolization (TVE), and proximity of skull base vital regions. Direct surgery to disconnect veno
PMID 24582791

Ectopic ACTH-secreting pituitary adenomas within the sphenoid sinus.

Johnston PC1, Kennedy L, Weil RJ, Hamrahian AH.
Endocrine.Endocrine.2014 Jun 14. [Epub ahead of print]
Ectopic pituitary adenomas are defined by the presence of adenomatous pituitary tissue outside the sella and distinctly separate from the pituitary gland. Ectopic ACTH-secreting pituitary adenomas (EAPAs) are a rare cause of Cushing's syndrome. Detecting these radiologically can prove difficult, in
PMID 24927792

Japanese Journal

蝶形骨洞内異所性下垂体腺腫の臨床的検討

西元謙吾,松崎勉,早水佳子 [他],大堀純一郎,牧瀬高穂,黒野祐一
耳鼻咽喉科臨床 104(8), 559-563, 2011-08-01
… Ectopic pituitary adenoma of the sphenoid sinus is rarely encountered by general physicians and otolaryngologists. … Ectopic pituitary adenomas of the sphenoid sinus are considered to be benign and slow-growing with mild or no symptoms. … On the other hand, primary sphenoidal carcinoma is also a rare disease, the chief complaint for which is usually headache or nasal bleeding as a result of invasion around the organs. …
NAID 10029260337

複数部位から生じた髄膜脳瘤に伴う髄液鼻漏例

古矢彩子,小野智裕,森智昭 [他],鏑木亜弥,鎌数清朗,嶋根俊和,寺尾元,三邉武幸,洲崎春海
耳鼻咽喉科臨床 103(3), 229-234, 2010-03-01
… Computed tomography (CT) showed two bone defects and the associated meningoencephalocele in the right ethmoidal cell and left sphenoidal sinus. … Ten years later, recurrent meningitis necessitated the left side skull base reconstruction surgery for a large infected defect for which could not obtain endoscopic sinus surgery closure. …
NAID 10026216874

An ACTH-secreting Pituitary Adenoma Within the Sphenoid Sinus

Suzuki Kunihiro,Hattori Yoshiyuki,Aoki Chie,Nakano Ayuko,Tomizawa Atsuko,Kase Hiroyuki,Kasai Kikuo
Internal Medicine 49(8), 763-766, 2010
… Magnetic resonance imaging (MRI) revealed a mass in the left sphenoidal sinus, which had become enlarged to a point where it could not be removed by transsphenoidal surgery. … We describe a rare case of an ACTH-secreting pituitary adenoma within the sphenoid sinus. …
NAID 130000251863

Related Pictures

★リンクテーブル★

リンク元

「蝶形骨洞」

Sphenoidal sinuses
	; Lateral wall of nasal cavity; the three nasal conchæ have been removed. (Sphenoidal sinus visible at upper right, in dark circle.)
	; Nose and nasal cavities. (Sphenoid sinus labeled at upper right.)
Latin	sinus sphenoidalis
Gray's	p.998
MeSH	Sphenoid+Sinus
	Anatomical terms of bone

　　[★]

英: sphenoidal sinus (KL,Z)
ラ: sinus sphenoidalis
関: 副鼻腔、鼻腔、篩骨洞

トルコ鞍の直下にある副鼻腔

カテゴリ

副鼻腔＞:副鼻腔

[1] Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 64

[:0-2] Human Anatomy, Jacob, Elsevier, 2008, page 211

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案内

案内

sphenoidal sinus