Ortognatik Cerrahinin Maksiller Sinüs Ventilasyon Hacmi Üzerine Etkisinin KIBT ile Değerlendirilmesi
Abstract
Amaç:Bu çalışmanın amacı Le Fort 1 osteotomisi
sonrası maksiller sinüslerdeki anatomik ve morfolojik değişikliklerin KIBT
(Konik Işınlı Bilgisayarlı Tomografi) ile gösterilmesiydi.
Gereç ve Yöntemler:Nisan 2015-Kasım 2017 tarihleri arasında
Le Fort I osteotomisi yapılan ve operasyon öncesi ile prosedürden 3 ile 12 ay
sonra KIBT taramaları mevcut olan 32 hasta çalışmaya dahil edildi. Planlanan
cerrahi girişim tipi her hastanın spesifik deformitesine bağlıydı. Ameliyat
öncesi ve sonrası sağ ve sol maksiller sinüs ventilasyon hacimlerinin
volumetrik analizler ile 3 boyutlu bir yazılım kullanılarak ölçümleri yapıldı.
Ayrıca maksillofasiyal deformite tipi ve septa varlığı her hasta için ayrı ayrı
kaydedildi. Her bir değişken için tanımlayıcı istatistikler hesaplandı ve
pre/postoperatif değerleri karşılaştırmak için eşleştirilmiş analizler
kullanıldı.
Bulgular:32 olgunun (17 kadın, 15 erkek) verileri (yaş
ortalaması 26.40±7.54; ortalama takip süresi 5.25 ay) incelendi. Hastalar
çeşitli maksillofasiyal deformitelere sahipti (8 hasta sınıf II, 24 hasta sınıf
III). Operasyon öncesinde 27 hastada sağ veya sol maksiller sinüslerde septa
formasyonuna rastlandı. Postoperatif sol maksiller sinüs ventilasyon hacminde %
25.01; sağ maksiller sinüs ventilasyon hacminde % 18.01’lik bir azalma
saptandı. Ameliyat sonrası hem sağ, hem de sol maksiller sinüs ventilasyon
hacimlerindeki düşüş istatistiksel olarak anlamlıydı (p<0.05).
Sonuçlar:Çalışma sonuçları Le Fort I osteotomilerinin sinüs
sağlığı üzerinde önemli bir etkiye sahip olduğuna işaret etmektedir. Bu
hastalarda maksiller sinüs enflamatuvar süreçlerinin postoperatif radyolojik
bulguları, hasta takibinde KIBT taramalarının rutin olarak kullanılmasının
yararlılığını göstermektedir.
Anahtar Kelimeler:KIBT, ortognatik cerrahi, sinüs hacmi
Keywords
References
- De Mol Van Otterloo JJ, Tuinzing DB, Greebe RB, Van Der Kwast WA. Intra and early postoperative complications of the Le Fort I osteotomy: a retrospective study on 410 cases. J Craniomaxillofac Surg. 1991; 19:217–222
- Steel BJ, Cope MR. Unusual and rare complications of orthognathic surgery: A literature review. J Oral Maxillofac Surg 70:1678, 2012
- Perko M. Maxillary sinus and surgical movement of maxilla. Int J Oral Surg 1:177, 1972
- Bell CS, Thrash WJ, Zysset MK. Incidence of maxillary sinusitis following Le Fort I maxillary osteotomy. J Oral Maxillofac Surg 44:100, 1986
- Luz J, Greutmann D, Wiedemeier D, Rostetter C, Rücker M, Stadlinger B. et al. 3D-evaluation of the maxillary sinus in cone-beam computed tomography. Implant Dent. 2018 Jun 5;4(1):17. doi: 10.1186/s40729-018-0128-4.
- Saccucci M, Cipriani F, Carderi S, Di Carlo G, D’Attilio M, Rodolfino D. et al. Gender assessment through three-dimensional analysis of maxillary sinuses by means of Cone Beam Computed Tomography. Eur Rev Med Pharmacol Sci. 2015; 19:185–93.
- Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IAB. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8(9):1558–64.
- Ayeesha U, Bharati AP. Sexual Dimorphism of Maxillary Sinus: A Morphometric Analysis using Cone Beam Computed Tomography J Clin Diagn Res. 2017 Mar; 11(3): ZC67–ZC70. Published online 2017 Mar 1. doi: 10.7860/JCDR/2017/25159.9584
- Price JB, Thaw KL, Tyndall DA, Ludlow JB, Padilla RJ. Incidental findings from cone beam computed tomography of the maxillofacial region: a descriptive retrospective study. Clin Oral Implants Res. 2012;23(11):1261–8.
- Chau AC, Fung K. Comparison of radiation dose for implant imaging using conventional spiral tomography, computed tomography, and cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(4):559–65
- Loubele M, Jacobs R, Maes F, Denis K, White S, Coudyzer W. et al. Image quality vs radiation dose of four cone beam computed tomography scanners. Dento Maxillo Facial Radiology. 2008;37(6):309–18
- Pinsky HM, Dyda S, Pinsky RW, Misch KA, Sarment DP. Accuracy of three-dimensional measurements using cone-beam CT. Dento Maxillo Facial Radiology. 2006;35(6):410–6
- Tolstunov L, Thai D, Arellano L. Implant-guided volumetric analysis of edentulous maxillary bone with cone-beam computerized tomography scan. Maxillary sinus pneumatization classification. J Oral Implantol. 2012;38(4):377–90
- Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: A review of 655 patients.J Oral Maxillofac Surg 59:1128, 2001
- Bacci C, Berengo M, Favero L, Zanon E. Safety of dental implant surgery in patients undergoing anticoagulation therapy: A prospective case-control study. Clin Oral Implants Res 22:151, 2011
- Pereira-Filho VA, Gabrielli MF, Gabrielli MA, Pinto FA , Rodrigues-Junior AL , Klüppel LE et al. Incidence of maxillary sinusitis following Le Fort I osteotomy: Clinical, radiographic, and endoscopic study. J Oral Maxillofac Surg 69:346, 2011
- Valstar MH, Baas EM, Te Rijdt JP, De Bondt BJ, Laurens E, De Lange J. Maxillary sinus recovery and nasal ventilation after Le Fort I osteotomy: A prospective clinical, endoscopic, functional and radiographic evaluation. Int J Oral Maxillofac Surg 42:1431, 2013
- Nocini PF, D'Agostino A, Trevisiol L, Favero V, Pessina M, Procacci P. Is Le Fort I Osteotomy Associated With Maxillary Sinusitis? J Oral Maxillofac Surg. 2016 Feb;74(2): 400.e1-400.e12. doi: 10.1016/j.joms.2015.10.006. Epub 2015 Oct
Abstract
References
- De Mol Van Otterloo JJ, Tuinzing DB, Greebe RB, Van Der Kwast WA. Intra and early postoperative complications of the Le Fort I osteotomy: a retrospective study on 410 cases. J Craniomaxillofac Surg. 1991; 19:217–222
- Steel BJ, Cope MR. Unusual and rare complications of orthognathic surgery: A literature review. J Oral Maxillofac Surg 70:1678, 2012
- Perko M. Maxillary sinus and surgical movement of maxilla. Int J Oral Surg 1:177, 1972
- Bell CS, Thrash WJ, Zysset MK. Incidence of maxillary sinusitis following Le Fort I maxillary osteotomy. J Oral Maxillofac Surg 44:100, 1986
- Luz J, Greutmann D, Wiedemeier D, Rostetter C, Rücker M, Stadlinger B. et al. 3D-evaluation of the maxillary sinus in cone-beam computed tomography. Implant Dent. 2018 Jun 5;4(1):17. doi: 10.1186/s40729-018-0128-4.
- Saccucci M, Cipriani F, Carderi S, Di Carlo G, D’Attilio M, Rodolfino D. et al. Gender assessment through three-dimensional analysis of maxillary sinuses by means of Cone Beam Computed Tomography. Eur Rev Med Pharmacol Sci. 2015; 19:185–93.
- Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IAB. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8(9):1558–64.
- Ayeesha U, Bharati AP. Sexual Dimorphism of Maxillary Sinus: A Morphometric Analysis using Cone Beam Computed Tomography J Clin Diagn Res. 2017 Mar; 11(3): ZC67–ZC70. Published online 2017 Mar 1. doi: 10.7860/JCDR/2017/25159.9584
- Price JB, Thaw KL, Tyndall DA, Ludlow JB, Padilla RJ. Incidental findings from cone beam computed tomography of the maxillofacial region: a descriptive retrospective study. Clin Oral Implants Res. 2012;23(11):1261–8.
- Chau AC, Fung K. Comparison of radiation dose for implant imaging using conventional spiral tomography, computed tomography, and cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107(4):559–65
- Loubele M, Jacobs R, Maes F, Denis K, White S, Coudyzer W. et al. Image quality vs radiation dose of four cone beam computed tomography scanners. Dento Maxillo Facial Radiology. 2008;37(6):309–18
- Pinsky HM, Dyda S, Pinsky RW, Misch KA, Sarment DP. Accuracy of three-dimensional measurements using cone-beam CT. Dento Maxillo Facial Radiology. 2006;35(6):410–6
- Tolstunov L, Thai D, Arellano L. Implant-guided volumetric analysis of edentulous maxillary bone with cone-beam computerized tomography scan. Maxillary sinus pneumatization classification. J Oral Implantol. 2012;38(4):377–90
- Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: A review of 655 patients.J Oral Maxillofac Surg 59:1128, 2001
- Bacci C, Berengo M, Favero L, Zanon E. Safety of dental implant surgery in patients undergoing anticoagulation therapy: A prospective case-control study. Clin Oral Implants Res 22:151, 2011
- Pereira-Filho VA, Gabrielli MF, Gabrielli MA, Pinto FA , Rodrigues-Junior AL , Klüppel LE et al. Incidence of maxillary sinusitis following Le Fort I osteotomy: Clinical, radiographic, and endoscopic study. J Oral Maxillofac Surg 69:346, 2011
- Valstar MH, Baas EM, Te Rijdt JP, De Bondt BJ, Laurens E, De Lange J. Maxillary sinus recovery and nasal ventilation after Le Fort I osteotomy: A prospective clinical, endoscopic, functional and radiographic evaluation. Int J Oral Maxillofac Surg 42:1431, 2013
- Nocini PF, D'Agostino A, Trevisiol L, Favero V, Pessina M, Procacci P. Is Le Fort I Osteotomy Associated With Maxillary Sinusitis? J Oral Maxillofac Surg. 2016 Feb;74(2): 400.e1-400.e12. doi: 10.1016/j.joms.2015.10.006. Epub 2015 Oct
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Research |
| Authors | |
| Publication Date | August 1, 2020 |
| Submission Date | January 7, 2019 |
| Published in Issue | Year 2020 Volume: 7 Issue: 2 |
Selcuk Dental Journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY NC).