Retrospektif Konik Işınlı Bilgisayarlı Tomografi Görüntülerinde Sagittal Yönde Farklı Maksiller Konuma Sahip Bireylerin Maksiller Sinüs Hacimlerinin Morfometrik Analizi

Abstract

Amaç: Çalışmanın amacı, retrospektif konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri üzerinde, sagittal yönde farklı maksiller konuma sahip hastaların maksiller sinüs hacimlerini değerlendirmek ve aralarındaki ilişkiyi araştırmaktır. Gereç ve Yöntem: Çalışmaya 75 hastaya ait (40 kadın, 35 erkek) konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri dahil edilmiştir. Öncelikle KIBT görüntülerinden rekonstrüksiyon ile orbitalar çakıştırılarak sefalometrik radyografiler elde edilmiştir. Bu sefalometrik radyografiler, Dolphin Imaging 11.5 (Dolphin Imaging and Management Solutions, Chatsworth, ABD) programında değerlendirilmiş ve maksillanın sagittal yöndeki konumu retrognatik, normal ve prognatik olacak şekilde gruplandırılmıştır. Daha sonra KIBT görüntüleriyle MIMICS 14.0 (Materialise HQ, Leuven, Belçika) programında, maksiller sinüslerin hacimleri ölçülmüştür. Elde edilen veriler istatistiksel olarak değerlendirilmiştir (p<0.05). Bulgular: Erkek hastalar, kadınlara göre belirgin şekilde daha yüksek maksiller sinüs hacimlerine sahiptir (p<0.01). Maksillanın konumu ile maksiller sinüs hacimleri arasında istatistiksel olarak anlamlı bir farklılık yoktur (p>0.05). Ancak, ANS-PNS uzunluğu ile maksiller sinüs hacimleri arasında istatistiksel olarak aynı yönde anlamlı bir ilişki bulunmuştur (p<0.01). Sonuç: Maksillanın konumu ile değil de boyutu ile maksiller sinüs hacmi üzerinde etkili olduğu; maksillanın ön-arka yöndeki uzunluğu arttıkça sinüs hacminde de artış olduğu tespit edilmiştir.

Keywords

• Konik ışınlı bilgisayarlı tomografi
• maksilla
• maksiller sinüs
• hacim

Morphometric Analysis of Maxillary Sinus Volumes of Individuals with Different Sagittal Maxillary Positions in Retrospective Cone-beam Computed Tomographic Images

Abstract

Objectives: The aim of this study was to evaluate the maxillary sinus volumes in individuals with different sagittal maxillary positions and to investigate the association between them in retrospective cone-beam computed tomographic (CBCT) images. Materials and Methods: CBCT images of 75 patients (40 females, 35 males) were enrolled in the study group. Initially, cephalometric radiographies were reconstructed from CBCT images by superimposing the orbital bones. The sagittal poisitions of maxilla were analysed on these derived cephalometric radiographies using Dolphin Imaging 11.5 software (Dolphin Imaging and Management Solutions, Chatsworth, USA) and were divided into groups as retrognathic, normal and prognathic. Then CBCT images were imported to MIMICS 14.0 software (Materialise HQ Technologielaan, Leuven, Belgium) and maxillary sinus volumes were measured. Data were statistically analysed (p<0.05). Results: Male patients had significantly larger maxillary sinus volumes than females (p<0.01). There was no significant association between the sagittal maxillary positions and maxillary sinus volumes (p>0.05). However, ANS-PNS was positively correleated with maxillary sinus volumes (p<0.01). Conclusion: Dimensional differences of maxilla had effect on maxillary sinus volumes rather than the sagittal positions of maxilla. It was found that as antero-posterior length of the maxilla increased, so did the maxillary sinus volumes.

Keywords

• Cone-beam computed tomography
• maxilla
• maxillary sinus
• volume.

References

1. Referans1 Aktuna Belgin C, Colak M, Adıguzel O, Akkus Z, Orhan K. Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. European Archives of Oto-Rhino-Laryngology. 2019;276(5):1493-1499.
2. Referans2 Angelopoulos C. (2008). Cone beam tomographic imaging anatomy of the maxillofacial region. Dental Clinics of North America. 2008;52(4):731-752.
3. Referans3 Ariji Y, Kuroki T, Moriguchi S, Ariji E, Kanda S. Age changes in the volume of the human maxillary sinus: a study using computed tomography. Dentomaxillofacial Radiology. 1994;23(3):163-8.
4. Referans4 Ariji Y, Ariji E, Yoshiura K, Kanda S. Computed tomographic indices for maxillary sinus size in comparison with the sinus volume. Dentomaxillofacial Radiology. 1996;25(1):19-24.
5. Referans5 Asantogrol F, Etoz M, Topsakal KG, Can FE. Evaluation of the maxillary sinus volume and dimensions in different skeletal classes using cone beam computed tomography. Annals of Medical Research. 2021;28(4):709-715.
6. Referans6 Bornstein MM, Ho JKC, Yeung AWK, Tanaka R, Li JQ, Jacobs R. A retrospective evaluation of factors influencing the volume of healthy maxillary sinuses based on CBCT imaging. International Journal of Periodontics and Restorative Dentistry. 2019;39(2):187-193.
7. Referans7 Cho SH, Kim TH, Kim KR, Lee JM, Lee DK, Kim JH, Im JJ, Park CJ, Hwang KG. Factors for maxillary sinus volume and craniofacial anatomical features in adults with chronic rhinosinusitis. Archive of Otolaryngology, Head and Neck Surgery. 2010;136(6):610-615.
8. Referans8 Darsey DM, English JD, Kau CH, Ellis RK, Akyalcin S. Does hyrax expansion therapy affect maxillary sinus volume? A cone-beam computed tomography report. Imaging Science in Dentistry. 2012;42(2):83-88.

9. Referans9 Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx. 2007; 34(2):191-195.
10. Referans10 Endo T, Abe R, Kuroki H, Kojima K, Oka K, Shimooka S. Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology. 2010;98(1):65-72.
11. Referans11 Fernandes CL. Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography. Journal of Laryngology and Otology. 2004; 118(11):877-881.
12. Referans12 Gencer ZK, Ozkırış M, Okur A, Karaçavuş S, Saydam L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. European Archives of Oto-Rhino-Laryngology. 2013;270(12):3069-3073.
13. Referans13 Güldner C, Ningo A, Voigt J, Diogo I, Heinrichs J, Weber R, Wilhelm T, Fiebich M. Potential of dosage reduction in cone-beam-computed tomography (CBCT) for radiological diagnostics of the paranasal sinuses. European Archives of Oto-Rhino-Laryngology. 2013;270(4):1307-1315.
14. Referans14 Gulec M, Tassoker M, Magat G, Lale B, Ozcan S, Orhan K. Three-dimensional volumetric analysis of the maxillary sinus: a cone-beam computed tomography study. Folia Morphologica. 2020;79(3):557-562.
15. Referans15 Hodez C, Griffaton-Taillandier C, Bensimon I. Cone-beam imaging: Applications in ENT. European Annals of Otorhinolaryngology, Head and Neck Diseases. 2011;128(2):65-78.
16. Referans16 Jun BC, Song SW, Park CS,. Lee DH, Cho KJ, Cho JH. The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Journal of Otolaryngology, Head and Neck Surgery. 2005;132(3):429-34.
17. Referans17 Kale B, Büyükçavuş MH. Farklı Büyüme Paternine Sahip İskeletsel Sınıf III Vakalarda Maksiller Sinüs Boyutlarının Retrospektif Olarak İncelenmesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2019;10(4):344-348.
18. Referans18 Kalabalık F, Tarım Ertaş E. Investigation of maxillary sinus volume relationships with nasal septal deviation, concha bullosa, and impacted or missing teeth using cone-beam computed tomography. Oral Radiology. 2019;35(3):287-295.
19. Referans19 Karakas S, Kavaklı A. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Annals of Saudi Medicine. 2005;25(1):41-45.
20. Referans20 Kawarai Y, Fukushima K, Ogawa T, Nishizaki K, Gunduz M, Fujimoto M, Masuda Y. Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngologica, Supplement. 1999;119(540):45-49.
21. Referans21 Kim HY, Kim MB, Dhong HJ, Jung YG, Min JY, Chung SK, Lee HJ, Chung SC, Ryu NG. Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis. International Journal of Pediatric Otorhinolaryngology. 2008 72(1):103-8.
22. Referans22 Kumar V, Ludlow JB, Mol A, Cevidanes L. Comparison of conventional and cone beam CT synthesized cephalograms. Dentomaxillofacial Radiology. 2007; 36(5):263-269.
23. Referans23 Lawson W, Patel ZM, Lin FY. The development and pathologic processes that influence maxillary sinus pneumatization. The Anatomical Record. 2008; 291(11):1554-1563.
24. Referans24 Motro M. Hızlı Üst Çene Genişletmesini Takiben ve Bir Yıllık Retansiyon Dönemi Sonrası Maksiller Sinüslerde Meydana Gelen Değişikliklerin 3 Boyutlu Olarak İncelenmesi. Marmara Üniversitesi. Sağlık Bilimleri Enstitüsü, Doktora Tezi. 2011.
25. Referans25 Okşayan R, Sökücü O, Yeşildal S. Evaluation of maxillary sinus volume and dimensions in different vertical face growth patterns: a study of cone-beam computed tomography. Acta Odontologica Scandinavica. 2017;75(5):345-349.
26. Referans26 Oktay H. The study of the maxillary sinus areas in different orthodontic malocclusions. American Journal of Orthodontics and Dentofacial Orthopedics. 1992;102(2):143-145.
27. Referans27 Orhan I, Ormeci T, Aydin S, Altin G, Urger E, Soylu E, Yılmaz F. Morphometric analysis of the maxillary sinus in patients with nasal septum deviation. European Archives of Oto-Rhino-Laryngology. 2014;271(4):727-732.
28. Referans28 Pamporakis P. Three Dimensional Evaluation of Changes in Maxillary Sinuses and Pharyngeal Airway in Class III Maxillary Deficiency Cases Undergoing Orthopedic Facemask Treatment. Marmara Üniversitesi. Sağlık Bilimleri Enstitüsü, Master Tezi. 2012.
29. Referans29 Panou E, Motro M, Ates M, Acar A, Erverdi N. Dimensional changes of maxillary sinuses and pharyngeal airway in class III patients undergoing bimaxillary orthognathic surgery. Angle Orthodontist. 2013;83(5): 824-831.
30. Referans30 Park IH, Song JS, Choi H, Kim TH, Hoon S, Lee SH, Lee HM. Volumetric study in the development of paranasal sinuses by CT imaging in Asian: A pilot study. International Journal of Pediatric Otorhinolaryngology. 2010;74:1347-1350.
31. Referans31 Sahlstrand-Johnson P, Jannert M, Strömbeck A, Abul-Kasim K. Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Medical Imaging. 2011;11(1):1-7.
32. Referans32 Shi H, Scarfe WC, Farman AG. Maxillary sinus 3D segmentation and reconstruction from cone beam CT data sets. International Journal of Computer Assisted Radiology and Surgery. 2006;1(2):83-89.
33. Referans33 Shrestha B, Shrestha R, Lin T, Lu Y, Lu H, Mai Z, Chen L, Chen Z, Ai H. Evaluation of maxillary sinus volume in different craniofacial patterns: a CBCT study. Oral Radiology. 2021;37(4):647-652.
34. Referans34 Sipahi DB, Beycan K, Yalçınkaya ŞE. Maksiller sinüs hacminin ve septum morfolojisinin Angle Sınıf I, II ve III iskeletsel ilişkiye sahip bireylerde üç boyutlu olarak değerlendirilmesi. Selcuk Dental Journal. 2018;6(4):216-221.
35. Referans35 Uchida Y, Goto M, Katsuki T, Soejima Y. Measurement of maxillary sinus volume using computerized tomographic images. International Journal of Oral and Maxillofacial Implants. 1998;13(6):811-818.
36. Referans36 Uthman AT, Al-Rawi NH, Al-Naaimi AS, Al-Timimi JF. Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. Journal of Forensic Sciences. 2011;56(2):403-408.
37. Referans37 Whyte A, Boeddinghaus R. The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofacial Radiology. 2019;48(8):20190205.
38. Referans38 Zhao Y, Nguyen M, Gohl E, Mah JK, Sameshima G, Enciso R. Oropharyngeal airway changes after rapid palatal expansion evaluated with cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics. 2010;137(4):S71-S78.