Volumetric Analysis of the Articular Eminence Pneumatization Using Cone Beam Computed Tomography

Year 2021, Volume: 24 Issue: 2, 190 - 196, 31.05.2021

Milushka Quezada Jean Paucar Roberto León Maria Eugenia Guerrero

https://doi.org/10.7126/cumudj.889953

Abstract

Objective: To assess tomographic features of mastoid cell pneumatization (MCP) using cone beam computed tomography (CBCT).
Materials and Methods: To evaluate 659 CBCTs (500 women and 159 men) of the Oral and Maxillofacial Radiology service of Universidad Peruana Cayetano Heredia Dental Clinic, between 2014 – 2015. The age group was between 7 to 79 years-old. The classification of Al Faleh and Ibrahim was also used to assess the degree of pneumatization, and the statistical analysis was performed using the chi-square test.
Results: The frequency of MCP was 76.2 % (502 cases). The highest frequency was found for grade 0 and 2, the highest frequency was found in the 6th decade of life and great predominance was found for the female sex. However, no statically significant differences were found with respect to the gender.
Conclusion: MCP prevalence was 76.2% and CBCT became the gold-standard that allows an adequate evaluation of this anatomical variant.

Keywords

mastoid, cone-beam computed tomography, temporal bone, Anatomic Variation

Supporting Institution

Universidad Privada Cayetano Heredia

Project Number

17.12.2014

References

• 1. Ladeira DBS, Barbosa GLR, Nascimento MCC, Cruz AD, Freitas DQ, Almeida SM. Prevalence and characteristics of pneumatization of the temporal bone evaluated by cone beam computed tomography. Int J Oral Maxillofac Surg 2013;42:771–5.
• 2. Orhan K, Delilbasi C, Cebeci I, Paksoy C. Prevalence and variations of pneumatized articular eminence: a study from Turkey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99:349-54.
• 3. Cinamon U. The growth rate and size of the mastoid air cell system and mastoid bone: a review and reference. Eur Arch Oto-Rhino-Laryngol Off J Eur Fed Oto-Rhino-Laryngol Soc EUFOS Affil Ger Soc Oto-Rhino-Laryngol - Head Neck Surg 2009;266:781–6.
• 4. Hill CA. Ontogenetic change in temporal bone pneumatization in humans. Anat Rec Hoboken NJ 2007 2011;294:1103–15.
• 5. Groell R, Fleischmann B. The pneumatic spaces of the temporal bone: relationship to the temporomandibular joint. Dentomaxillofac Radiol 1999;28:69–72.
• 6. Lee D-H, Jung M-K, Yoo Y-H, Seo J-H. Analysis of unilateral sclerotic temporal bone: how does the sclerosis change the mastoid pneumatization morphologically in the temporal bone? Surg Radiol Anat SRA 2008;30:221–7.
• 7. Uzun C, Adali MK, Koten M, Yagiz R, Aydin S, Cakir B, et al. Relationship between mastoid pneumatization and middle ear barotrauma in divers. The Laryngoscope 2002;112:287–91.
• 8. Khojastepour L, Mirbeigi S, Ezoddini F, Zeighami N. Pneumatized Articular Eminence and Assessment of Its Prevalence and Features on Panoramic Radiographs. J Dent Tehran Iran 2015;12:235–42.
• 9. Miloglu O, Yilmaz AB, Yildirim E, Akgul HM. Pneumatization of the articular eminence on cone beam computed tomography: prevalence, characteristics and a review of the literature. Dentomaxillofac Radiol 2011;40:110–4.
• 10. Han S-J, Song MH, Kim J, Lee W-S, Lee H-K. Classification of temporal bone pneumatization based on sigmoid sinus using computed tomography. Clin Radiol 2007;62:1110–8.
• 11. Yamakami I, Uchino Y, Kobayashi E, Yamaura A. Computed tomography evaluation of air cells in the petrous bone--relationship with postoperative cerebrospinal fluid rhinorrhea. Neurol Med Chir (Tokyo) 2003;43:334–338; discussion 339.
• 12. Shamshad MP, Kamath G, Babshet M, Srikanth HS, Doddamani L. Prevalence of temporal bone pneumatization in relation to temporomandibular joint - A computed tomographic study. J Stomatol Oral Maxillofac Surg 2018;119:118-121.
• 13. Nascimento HAR, Visconti MAPG, Macedo P de TS, Haiter-Neto F, Freitas DQ. Evaluation of the zygomatic bone by cone beam computed tomography. Surg Radiol Anat SRA 2015;37:55–60.
• 14. Demirel O, Kaya E, Üçok CÖ. Evaluation of mastoid pneumatization using cone-beam computed tomography. Oral Radiol. 2014;30:92–7. 15. Delilbasi C, Orhan K, Icen M, Aksoy S, Horasan S, Kenan Kose S. Evaluation of articular eminence pneumatization using cone beam computed tomography. Minerva Stomatol 2013;62:349–54.
• 16. Al Faleh W, Ibrahim ME. A tomographic study of air cell pneumatization of the temporal components of the TMJ in patients with temporomandibular joint disorders. Egypt Dent J 2005;51:1835–842.
• 17. Khojastepour L, Paknahad M, Abdalipur V, Paknahad M. Prevalence and Characteristics of Articular Eminence Pneumatization: A Cone-Beam Computed Tomographic Study. J Maxillofac Oral Surg 2018;17:339-344.
• 18. Şallı GA, Özcan İ, Pekiner FN. Prevalence of pneumatization of the articular eminence and glenoid fossa viewed on cone-beam computed tomography examinations in a Turkish sample. Oral Radiol 2020;36:40-46.
• 19. Bronoosh P, Shakibafard A, Mokhtare MR, Munesi Rad T. Temporal bone pneumatisation: a computed tomography study of pneumatized articular tubercle. Clin Radiol 2014;69:151–6.
• 20. Shokri A, Noruzi-Gangachin M, Baharvand M, Mortazavi H. Prevalence and characteristics of pneumatized articular tubercle: First large series in Iranian people. Imaging Sci Dent 2013;43:283–7.
• 21. Kishore M, Panat SR, Kishore A, Aggarwal A, Upadhyay N, Agarwal N. Prevalence of Zygomatic Air Cell Defect using Orthopantomogram. J Clin Diagn Res JCDR 2015;9:ZC09-11.
• 22. Patil K, Mahima VG, Malleshi SN, Srikanth HS. Prevalence of zygomatic air cell defect in adults--a retrospective panoramic radiographic analysis. Eur J Radiol 2012;81:957–9.
• 23. Hofmann T, Friedrich RE, Wedl JS, Schmelzle R. [Pneumatization of the zygomatic arch on pantomography]. Mund- Kiefer- Gesichtschirurgie MKG 2001;5:173–9.
• 24. Carter LC, Haller AD, Calamel AD, Pfaffenbach AC. Zygomatic air cell defect (ZACD). Prevalence and characteristics in a dental clinic outpatient population. Dentomaxillofac Radiol 1999;28:116–22.
• 25. Jadhav AB, Fellows D, Hand AR, Tadinada A, Lurie AG. Classification and volumetric analysis of temporal bone pneumatization using cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol 2014;117:376–84.