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MAKSİLLER SİNÜS SEPTALARININ DEĞERLENDİRİLMESİ RETROSPEKTİF BİR KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ ÇALIŞMASI

Yıl 2024, Cilt: 13 Sayı: 1, 122 - 126, 26.01.2024
https://doi.org/10.54617/adoklinikbilimler.1327036

Öz

Amaç:Bu çalışma maksiller sinüs septalarının , sıklığı, lokalizasyonu ve uzunluğunun dişli ve dişsiz hastalarda konik ışınlı bilgisayarlı tomografi kullanarak işlem öncesi değerlendirilmesi ve membran perforasyonlarının engellenmesi amacıyla yapılmıştır.
Gereç ve Yöntem:Çalışma 715 hastadan elde edilen, toplam 1409 sinüsün konik ışınlı bilgisayarlı tomografi görüntülerinin retrospektif olarak değerlendirildi. Maksiller sinüs septasının prevalansı ve lokalizasyonu tomografi görüntüleri üzerinden değerlendirildi.
Bulgular:715 hastanın 399’u kadın, 316’sı erkek olup, yaş ortalaması 43.58±17.16’idi.1409 sinüsün 433’ünde septa kaydedilmişken 976 tanesinde septaya rastlanmadı ve ortalama yüksekliği 8.16±4.16 mm bulunmuştur. Tüm hastaların KIBT incelemesine bakıldığında, septaların 186(%42,96) arkada, 134 ü (%30,94) ü ortada, 113 ü (%26,1) önde olduğu belirlenmiştir. Hastalar dişli ve dişsiz olarak sınıflama yapılınca ,total dişsiz hastalarda 34 (%45.33) arkada, 27 (%36) ortada, 14 (%18.67) ön tarafta bulunurken ,dişli hastalarda 152 (%42.46) arkada, 107 (%29.89) ortada , 99 (%27.65) u önde saptandı. Dişli ve dişsiz hastalarda septa varlığı kıyaslandığında aralarında istatistiksel olarak anlamlı bir fark bulunmamıştır.
Sonuç:Maksiller sinüste farklı yükseklik ve sıklıkta septa görülme ihtimali bulunmaktadır. Bu nedenle komplikasyonları önlemek için uygun bir radyografik teknikle kapsamlı değerlendirme ve vakaya özel osteotomi yöntemleri gerekebileceğini klinisyenler göz önünde bulundurmalıdır.

Kaynakça

  • Referans1. Weber RK, Hosemann W. Comprehensive review on endonasal endoscopic sinus surgery. GMS Curr Top Otorhinolaryngol Head Neck Surg 2015;14.
  • Referans2. Underwood AS. An Inquiry into the Anatomy and Pathology of the Maxillary Sinus. J Anat Physiol 1910;44:354.
  • Referans3. Maestre-Ferrín L, Carrillo-García C, Galán-Gil S, Peñarrocha- Diago M, Peñarrocha-Diago. Prevalence, location, and size of maxillary sinus septa: panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg 2011;69:507-11.
  • Referans4. Van den Bergh JP, Ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65.
  • Referans5. Irinakis T, Dabuleanu V, Aldahlawi S. Complications during maxillary sinus augmentation associated with interfering septa: a new classification of septa. Open Dent J 2017;11:140.
  • Referans6. Wen SC, Chan HL, Wang HL. Classification and management of antral septa for maxillary sinus augmentation. Int J Periodontics Restorative Dent 2013;33.
  • Referans7. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77:903-5.
  • Referans8. González SH, Peñarrocha DM, Guarinos CJ, Sorní BM. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007; 33: 340-43.
  • Referans9. Rancitelli D, Borgonovo AE, Cicciù M, Re D, Rizza F, Frigo AC, Maiorana C. Maxillary sinus septa and anatomic correlation with the schneiderian membrane. J Craniofac Surg 2015;26:1394-98.
  • Referans10. Kannaperuman J, Natarajarathinam G, Rao A, Muthusamy N. Cross- sectional study estimating prevalence of maxillary sinus septum in South Indian population. J Dent Implant 2015;5:16.
  • Referans11. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  • Referans12. Beaumont C, Zafiropoulos GG, Rohmann K, Tatakis DN. Prevalence of maxillary sinus disease and abnormalities in patients scheduled for sinus lift procedures. J Periodontol 2005;76:461-7.
  • Referans13. Maksoud MA. Complications after maxillary sinus augmentation: A case report. Implant Dent 2001;10:168-71.
  • Referans14. Boreak N, Maketone P, Mourlaas J, Wang WCW, Yu PYC. Decision Tree to Minimize Intra-operative Complications during Maxillary Sinus Augmentation Procedures. J Oral Biol 2018;5:8.
  • Referans15. Wen SC, Chan HL, Wang HL. Classification and management of antral septa for maxillary sinus augmentation. Int J Periodontics Restorative Dent 2013;33:509-17.
  • Referans16. Toprak ME, Ataç MS. Maxillary sinus septa and anatomical correlation with the dentition type of sinus region: a cone beam computed tomographic study. Br J Oral Maxillofac Surg 2021;59:419-24.
  • Referans17. Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999;57:667-71.
  • Referans18. Gülşen U, Mehdiyev İ, Üngör C, Şentürk MF, Ulaşan AD. Horizontal maxillary sinus septa: An uncommon entity. Int J Surg Case Rep 2015;12:67-70.
  • Referans19. Qian L, Tian XM, Zeng L, Gong Y, Wei B. Analysis of the morphology of maxillary sinus septa on reconstructed conebeam computed tomography images. J Oral Maxillofac Surg 2016 30;74(4):729-37.
  • Referans20. Taleghani F, Tehranchi M, Shahab S, Zohri Z. Prevalence, Location, and Size of Maxillary Sinus Septa: Computed Tomography Scan Analysis. J Contemp Dent Pract 2017;18(1):11- 5.
  • Referans21. Selcuk A, Ozcan KM, Akdogan O, Bilal N, Dere H. Variations of maxillary sinus and accompanying anatomical and pathological structures. J Craniofac Surg 2008;19:159–64.
  • Referans22. Kılınç A, Menziletoğlu D, Işık, BK. Konik Işınlı Bilgisayarlı Tomografi ile Maksiller Sinüs Septanın Değerlendirilmesi: Retrospektif Klinik Çalışma. Selcuk Med J 2020; 36.

EVALUATION OF MAXILLARY SINUS SEPTAS A RETROSPECTIVE CONE-BEAM COMPUTERIZED TOMOGRAPHY STUDY

Yıl 2024, Cilt: 13 Sayı: 1, 122 - 126, 26.01.2024
https://doi.org/10.54617/adoklinikbilimler.1327036

Öz

Purpose: This study was conducted to evaluate the frequency, localization, and length of maxillary sinus septa using cone-beam computed tomography in edentulous and edentulous patients before the procedure and to prevent membrane perforations.
Materials and Methods: The study retrospectively evaluated cone beam computed tomography images of a total of 1409 sinuses obtained from 715 patients. The prevalence and localization of maxillary sinus septa were evaluated on tomography images.
Results: 399 of 715 patients were female, and 316 were male, with a mean age of 43.58±17.16 years. Septa were recorded in 433 of 1409 sinuses, and no septa were found in 976 of them, and the mean height was found to be 8.16±4.16 mm. When the CBCT examination of all patients was examined, it was determined that 186 (42.96%) of the septa were posterior, 134 (30.94%) were in the middle, and 113 (26.1%) were anterior. When the patients are classified as edentulous and edentulous, 34 (45.33%) are posterior, 27 (36%) are in the middle, 14 (18.67%) are anterior, in toothed patients are 152 (42.46%) are posterior, 107 (29.89%) are in the middle, 99 (27.65%) of them were detected anteriorly. When comparing the presence of septa in dentate and edentulous patients, no statistically significant difference was found between them.
Conclusion: There is a possibility of septa with different heights and frequencies in the maxillary sinus. Therefore, clinicians should consider that comprehensive evaluation with an appropriate radiographic technique, and case-specific osteotomy methods may be required to prevent complications.

Kaynakça

  • Referans1. Weber RK, Hosemann W. Comprehensive review on endonasal endoscopic sinus surgery. GMS Curr Top Otorhinolaryngol Head Neck Surg 2015;14.
  • Referans2. Underwood AS. An Inquiry into the Anatomy and Pathology of the Maxillary Sinus. J Anat Physiol 1910;44:354.
  • Referans3. Maestre-Ferrín L, Carrillo-García C, Galán-Gil S, Peñarrocha- Diago M, Peñarrocha-Diago. Prevalence, location, and size of maxillary sinus septa: panoramic radiograph versus computed tomography scan. J Oral Maxillofac Surg 2011;69:507-11.
  • Referans4. Van den Bergh JP, Ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11:256-65.
  • Referans5. Irinakis T, Dabuleanu V, Aldahlawi S. Complications during maxillary sinus augmentation associated with interfering septa: a new classification of septa. Open Dent J 2017;11:140.
  • Referans6. Wen SC, Chan HL, Wang HL. Classification and management of antral septa for maxillary sinus augmentation. Int J Periodontics Restorative Dent 2013;33.
  • Referans7. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77:903-5.
  • Referans8. González SH, Peñarrocha DM, Guarinos CJ, Sorní BM. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007; 33: 340-43.
  • Referans9. Rancitelli D, Borgonovo AE, Cicciù M, Re D, Rizza F, Frigo AC, Maiorana C. Maxillary sinus septa and anatomic correlation with the schneiderian membrane. J Craniofac Surg 2015;26:1394-98.
  • Referans10. Kannaperuman J, Natarajarathinam G, Rao A, Muthusamy N. Cross- sectional study estimating prevalence of maxillary sinus septum in South Indian population. J Dent Implant 2015;5:16.
  • Referans11. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  • Referans12. Beaumont C, Zafiropoulos GG, Rohmann K, Tatakis DN. Prevalence of maxillary sinus disease and abnormalities in patients scheduled for sinus lift procedures. J Periodontol 2005;76:461-7.
  • Referans13. Maksoud MA. Complications after maxillary sinus augmentation: A case report. Implant Dent 2001;10:168-71.
  • Referans14. Boreak N, Maketone P, Mourlaas J, Wang WCW, Yu PYC. Decision Tree to Minimize Intra-operative Complications during Maxillary Sinus Augmentation Procedures. J Oral Biol 2018;5:8.
  • Referans15. Wen SC, Chan HL, Wang HL. Classification and management of antral septa for maxillary sinus augmentation. Int J Periodontics Restorative Dent 2013;33:509-17.
  • Referans16. Toprak ME, Ataç MS. Maxillary sinus septa and anatomical correlation with the dentition type of sinus region: a cone beam computed tomographic study. Br J Oral Maxillofac Surg 2021;59:419-24.
  • Referans17. Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999;57:667-71.
  • Referans18. Gülşen U, Mehdiyev İ, Üngör C, Şentürk MF, Ulaşan AD. Horizontal maxillary sinus septa: An uncommon entity. Int J Surg Case Rep 2015;12:67-70.
  • Referans19. Qian L, Tian XM, Zeng L, Gong Y, Wei B. Analysis of the morphology of maxillary sinus septa on reconstructed conebeam computed tomography images. J Oral Maxillofac Surg 2016 30;74(4):729-37.
  • Referans20. Taleghani F, Tehranchi M, Shahab S, Zohri Z. Prevalence, Location, and Size of Maxillary Sinus Septa: Computed Tomography Scan Analysis. J Contemp Dent Pract 2017;18(1):11- 5.
  • Referans21. Selcuk A, Ozcan KM, Akdogan O, Bilal N, Dere H. Variations of maxillary sinus and accompanying anatomical and pathological structures. J Craniofac Surg 2008;19:159–64.
  • Referans22. Kılınç A, Menziletoğlu D, Işık, BK. Konik Işınlı Bilgisayarlı Tomografi ile Maksiller Sinüs Septanın Değerlendirilmesi: Retrospektif Klinik Çalışma. Selcuk Med J 2020; 36.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ağız ve Çene Cerrahisi
Bölüm Araştırma Makalesi
Yazarlar

Raha Akbarihamed 0000-0003-3401-2117

Hacer Eberliköse 0000-0003-1450-1968

Arif Yiğit Güler 0000-0002-9962-4926

Hakan Alpay Karasu 0000-0003-1867-0347

Yayımlanma Tarihi 26 Ocak 2024
Gönderilme Tarihi 13 Temmuz 2023
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 1

Kaynak Göster

Vancouver Akbarihamed R, Eberliköse H, Güler AY, Karasu HA. MAKSİLLER SİNÜS SEPTALARININ DEĞERLENDİRİLMESİ RETROSPEKTİF BİR KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ ÇALIŞMASI. ADO Klinik Bilimler Dergisi. 2024;13(1):122-6.