Sinonazal anatomik varyasyonların bilgisayarlı tomografi ile analizi ve maksiller sinüsteki retansiyon kistleriyle ilişkisi

Abstract

Objective: The purpose of the present study was to investigate the relationship of sinonasal anatomic variations (SAVs) with maxillary sinus retention cysts (RCs) on paranasal sinus tomography.
Methods: Our study included 202 patients who applied to the ENT outpatient clinic with fascial pain, nasal obstruction and postnasal drip complaints between September 2014 and February 2016 and underwent CT of paranasal sinus on coronal plane. The patients who had maxillary RCs in their CT scan comprised the study group while the patients who did not have RCs in their CT scan comprised the control group. The CT scans of these two groups were examined and recorded for the SAVs. The statistical analysis of the SAVs for these two groups was conducted using the Mann-Whitney U test.
Results: The presence of septal deviation from SAVs and pneumatized uncinate in patients found to have maxillary sinus retention cyst was considered statistically significant (p<0.05). The sex in patients with right maxillary sinus RCs was considered statistically significant (p<0.05). The presence of pneumatized uncinate in patients with left maxillary sinus RCs was considered statistically significant (p<0.05).
Conclusion: In our study, the statistical relationship between SAV and maxillary sinus retention cysts may show that SAVs may be effective in the etiology of maxillary sinus retention cysts. This result has to be verified by more detailed studies.

Keywords

• Sinonazal varyasyon,retansiyon kistleri,bilgisayarlı sinüs tomografisi,Sinonasal variation,retention cysts,computed sinus tomography

Kaynakça

1. 1. Ruprecht A, Batniji S, el-Neweihi E. Mucous retention cyst of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1986;62: 728–31.
2. 2. Casamassimo PS, Lilly GE. Mucosal cysts of the maxillary sinus: a clinical and radiographic study. Oral Surg Oral Med Oral Pathol 1980;50:282–6.
3. 3. Manson-Hung L. Mucosal cysts of the maxillary sinus: a clinical and radiological study. Oral Surg 1980;50:282–6.
4. 4. Gothberg KA, Little JW, King DR, Bean LR. A clinical study of cysts arising from mucosa of the maxillary sinus. Oral Surg Oral Med Oral Pathol 1976;41:52–8.
5. 5. Wang JH, Jang YJ, Lee BJ. Natural course of retention cysts of the maxillary sinus: long-term follow-up results. Laryngoscope 2007;117:341–4.
6. 6. Yousem DM. Imaging of sinonasal inflammatory disease. Radiology 1993;188:303–14.
7. 7. Zinreich SJ, Abidin M, Kennedy DW. Cross-sectional imaging of the nasal cavity and paranasal sinuses. Operative Techniques in Otolaryngology-Head and Neck Surgery 1990;1:94–8.
8. 8. Albu S. Symptomatic maxillary sinus retention cysts: should they be removed? Laryngoscope 2010;120:1904–9.

9. 9. Harar R, Chadha N, Rogers G. Are maxillary mucosal cysts a manifestation of inflammatory sinus disease? J Laryngol Otol 2007;121:751–4.
10. 10. Omezli MM, Torul D, Polat ME, Ayranc› F, Day› E. Does climate affect the presence of retention cysts in the maxillary sinus? ODU Journal of Medicine 2016;3:1–7.
11. 11. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56–64.