Araştırma Makalesi
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Retrospective evaluation of the maxillary sinus septa morphology and it’s incidence in the Şanlıurfa population

Yıl 2020, Cilt: 17 Sayı: 2, 238 - 241, 20.08.2020
https://doi.org/10.35440/hutfd.716450

Öz


Background: The purpose of this study is to determine the frequency, number, location and the orientation of the septa in the maxillary sinus by computed tomography. In addition, to evaluate the relationship of sinus septa with age, gender and type of dentition, which are patient related factors.
Materials and Methods: This retrospective study was done by examining the images taken from patients who applied to Harran University Faculty of Dentistry between January 2017 and January 2020. Ethics committee approval was obtained from Harran University Clinical Research Ethics Committee with the decision numbered HRU / 20.09.08. The study was carried out by evaluating the computed tomography images of 500 head and neck regions. While examining the images, the parameters of the patient's age, gender and status of the dentition (full dentition, partial dentition, or edentulous) were recorded. Septas were classified as coronal, sagittal and transversal.
Results: A total of 500 computed tomography images were examined. 446 of them were included in the study because they met the inclusion criteria. Thus, a total of 892 maxillary sinuses were examined. 198 (44.4%) of the patients examined were male and 248 (55.6%) were female. The average age of the patients was 33.4 years old, the youngest was 18 and the oldest was 79 years old. 248 patients (55.6%) were full dentition, 168 (37.7%) were partial dentition and 30 (6.7%) were edentulous. At least one septum was detected in 135 (30.2%) patients. 126 (93.3%) of these patients had only one septum, while 9 (6.7%) had more than one septum. A total of 146 septums were detected in the patients. No significant relation was found between the prevalence of maxillary sinus septa and the age (p = 0.415), gender (p = 0.443) and dentition type (p = 0.078) of the patients. A significant relation was found between the orientation and positions of the maxillary sinus septa (p = 0.017).
Conclusion: As a result of this study, it was observed that approximately one third of the population had a maxillary sinus septa. Planning implant surgeries with three-dimensional images reduces the possible complications. It was also seen that three-dimensional images could change the planning based on two-dimensional images. However, it was evaluated that the results of these study need to be confirmed by more comprehensive studies.

Kaynakça

  • 1. Tadinada A, Fung K, Thacker S, Mahdian M, Jadhav A, Schincaglia GP. Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging SciDent 2015; 45: 169-74.
  • 2. Balshi TJ, Wolfinger GJ. Management of the posterior maxilla in the compromised patient: historical, current, and future perspectives. Periodontol 2000 2003; 33: 67-81.
  • 3. Al-Dajani M. Recent trends in sinus lift surgery and their clinical implications. Clin Implant Dent Relat Res 2016;18:204–12.
  • 4. Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B. Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures. J Oral Maxillofac Surg 2015;73:1275–82.
  • 5. Al-Dajani M. Incidence, risk factors, and complications of Schneiderian membrane perforation in sinus lift surgery: a meta analysis. Implant Dent 2016;25:409–15.
  • 6. Toscano NJ, Holtzclaw D, Rosen PS. The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices. J Periodontol2010;81:167–71.
  • 7. Becker ST, Terheyden H, Steinriede A, Beh- rens E, Springer I, Wiltfang J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus flor elevation. Clin Oral Implants Res 2008;19:1285–9.
  • 8. Underwood AS (1910) An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physio l44:354–369
  • 9. Rancitelli D, Borgonovo AE, Cicciu M, ReD, Rizza F, Frigo AC, Maiorana C. Maxillaryinus septa and anatomic correlation with the Schneiderian membrane. J Craniofac Surg 2015;26:1394–8.
  • 10. Maestre-Ferrin L, Galan-Gil S, Rubio-Serrano M, Penarrocha-Diago M, Penarrocha-Oltra D. Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010;15:e3836.
  • 11. Velasco-Torres M, Padial-Molina M, Avila-Ortiz G, Garcia-Delgado R, O’Valle F,CatenaA, Galindo-Moreno P. Maxillary sinus dimensions decrease as age and tooth loss increase. Implant Dent 2017;26:288–95.
  • 12. Vinter I, Krmpotic-Nemanic J, Hat J, Jalsovec D. Does the alveolar process of the maxilla always disappear after tooth loss? Laryngo rhino otologie 1993;72:605–7.
  • 13. Greenberg AM. Digital Technologies for dental implant treatment planning and guided surgery. Oral Maxillofac Surg Clin North Am 2015;27:319–40.
  • 14. A. Hungerbu¨hler, C. Rostetter, H.-T. Lu¨bbers, M. Ru¨cker, B. Stadlinger: Anatomical characteristics of maxillary sinus septa visualized by cone beam computed tomography. Int. J. Oral Maxillofac. Surg. 2019; 48: 382–387.
  • 15. Underwood AS, Surgical considerations connect with the anatomy of the maxillary sinus. Br Med J 1909;15: 1.
  • 16. Neugebauer J, Ritter L, Mischkowski RA, Dreiseidler T, Scheer P, Ketterle M, Rothamel D, Zöller JE. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus flor elevation. Int J Oral Maxillofac Implants 2010;25: 258-65.
  • 17. Rosano G, Taschieri S, Gaudy JF, Lesmes D, Del Fabbor M Maxillary sinus septa: a cadaveric study. J Oral Maxillofac Surg 2010;68:1360-64.
  • 18. Koymen R, Gocmen Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinussepta: surgery and radiology. Clin Anat 2009;22:563-70.
  • 19. Qian L, Tian XM, Zeng L, Gong Y, Wei B. Analysis of the Morphology of Maxillary Sinus Septa on Reconstructed Cone-Beam Computed Tomography Images. J Oral Maxillofac Surg 2016;74:729-37.
  • 20. Naitoh M, Suenega Y, Kondo S, Gotoh K, Arıjı E. Assessment of maxillary sinus septa using cone-beam computed tomography: etiological consideration. Clin Implant Dent Releated Res 2009;11: 52-8.
  • 21. 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;57:667-671. discussion 671-662.
  • 22. Pommer B, Ulm C, Lorenzoni M, Palmer R, Watzek G, Zechner W.Prevalence, location and morphology of maxillary sinus septa: systematic review and meta-analysis. J Clin Periodontol. 2012;39:769-773.

Şanlıurfa Popülasyonunda Maksiller Sinüs Septa Morfoloji ve İnsidansının Retrospektif Olarak Değerlendirilmesi

Yıl 2020, Cilt: 17 Sayı: 2, 238 - 241, 20.08.2020
https://doi.org/10.35440/hutfd.716450

Öz

Amaç: Bu çalışmanın amacı; maksiller sinüste septa görülme sıklığını, septa sayısını, konumunu ve septanın maksiller sinüste yönelimini bilgisayarlı tomografi ile tespit etmektir. Ayrıca, sinus septasının hasta ile ilgili faktörleri olan yaş, cinsiyet ve dentisyon tipi ile ilişkisini değerlendirmektir.
Materyal ve metod: Bu retrospektif çalışma Harran Üniversitesi Diş Hekimliği Fakültesi hastanesine Ocak 2017-Ocak 2020 tarihleri arasında başvuran hastalardan alınmış görüntüler incelenerek yapıldı. Çalışmada etik kurul onayı Harran Üniversitesi Klinik Araştırmalar Etik Kurulu’dan HRU/20.09.08 sayılı kararı ile alınmıştır. Çalışma 500 adet baş boyun bölgesi bilgisayarlı tomografi görüntüsü değerlendirilerek gerçekleştirildi. Görüntüler incelenirken her hasta için, hastanın yaşı, cinsiyeti, hastanın dişli-kısmi dişli-tam dişsiz oluşu parametreleri kaydedildi. Septalar koronal, sagital ve transversal olmak üzere sınıflandırıldı.
Bulgular: Toplam 500 adet bilgisayarlı tomografi görüntüsü incelendi. Bunların 446 tanesi dahil edilme kriterlerine uyduğundan çalışmaya dahil edildi. Böylece toplam 892 tane maksiller sinüs incelendi. İncelenen hastaların 198'i (%44,4) erkek ve 248’i (%55,6) kadındı. Hastaların ortalama yaşı 33.4, en küçüğü 18, en büyüğü 79 yaşındaydı. Hastaların 248’i (%55,6) tam dişli, 168’i(%37,7) kısmi dişli ve 30’u (%6.7) tam dişsizdi. 135 (%30,2) hastada en az bir septum tespit edildi. Bu hastaların 126 'sında (%93,3) sadece bir septum görülürken, 9’unda (% 6.7) birden fazla septum görüldü. Hastalarda toplam 146 adet septum tespit edildi. Maksiller sinüs septası prevelansı ile hastaların yaşı (p = 0.415), cinsiyeti (p = 0.443) ve dentisyon tipi (p = 0.078) arasında anlamlı bir ilişki bulunamamıştır. Maksiller sinüs septasının yönelim ve konumları arasında anlamlı bir ilişki bulunmuştur (p = 0.017).
Sonuç: Bu çalışma sonucunda popülasyonun yaklaşık üçte birinde maksiler sinüs septası olduğu görüldü. Yapılacak implant cerrahilerinin üç boyutlu görüntülerle planlanması yaşanabilecek komplikasyonların azalmasını sağlamaktadır. Ayrıca üç boyutlu görüntülerin iki boyutlu görüntülere dayalı planlamaları değiştirebileceği görüldü. Ancak bu çalışma sonuçlarının yapılacak daha kapsamlı çalışmalarla doğrulanmasına ihtiyaç olduğu değerlendirildi.

Kaynakça

  • 1. Tadinada A, Fung K, Thacker S, Mahdian M, Jadhav A, Schincaglia GP. Radiographic evaluation of the maxillary sinus prior to dental implant therapy: a comparison between two-dimensional and three-dimensional radiographic imaging. Imaging SciDent 2015; 45: 169-74.
  • 2. Balshi TJ, Wolfinger GJ. Management of the posterior maxilla in the compromised patient: historical, current, and future perspectives. Periodontol 2000 2003; 33: 67-81.
  • 3. Al-Dajani M. Recent trends in sinus lift surgery and their clinical implications. Clin Implant Dent Relat Res 2016;18:204–12.
  • 4. Schwarz L, Schiebel V, Hof M, Ulm C, Watzek G, Pommer B. Risk factors of membrane perforation and postoperative complications in sinus floor elevation surgery: review of 407 augmentation procedures. J Oral Maxillofac Surg 2015;73:1275–82.
  • 5. Al-Dajani M. Incidence, risk factors, and complications of Schneiderian membrane perforation in sinus lift surgery: a meta analysis. Implant Dent 2016;25:409–15.
  • 6. Toscano NJ, Holtzclaw D, Rosen PS. The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices. J Periodontol2010;81:167–71.
  • 7. Becker ST, Terheyden H, Steinriede A, Beh- rens E, Springer I, Wiltfang J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus flor elevation. Clin Oral Implants Res 2008;19:1285–9.
  • 8. Underwood AS (1910) An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physio l44:354–369
  • 9. Rancitelli D, Borgonovo AE, Cicciu M, ReD, Rizza F, Frigo AC, Maiorana C. Maxillaryinus septa and anatomic correlation with the Schneiderian membrane. J Craniofac Surg 2015;26:1394–8.
  • 10. Maestre-Ferrin L, Galan-Gil S, Rubio-Serrano M, Penarrocha-Diago M, Penarrocha-Oltra D. Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010;15:e3836.
  • 11. Velasco-Torres M, Padial-Molina M, Avila-Ortiz G, Garcia-Delgado R, O’Valle F,CatenaA, Galindo-Moreno P. Maxillary sinus dimensions decrease as age and tooth loss increase. Implant Dent 2017;26:288–95.
  • 12. Vinter I, Krmpotic-Nemanic J, Hat J, Jalsovec D. Does the alveolar process of the maxilla always disappear after tooth loss? Laryngo rhino otologie 1993;72:605–7.
  • 13. Greenberg AM. Digital Technologies for dental implant treatment planning and guided surgery. Oral Maxillofac Surg Clin North Am 2015;27:319–40.
  • 14. A. Hungerbu¨hler, C. Rostetter, H.-T. Lu¨bbers, M. Ru¨cker, B. Stadlinger: Anatomical characteristics of maxillary sinus septa visualized by cone beam computed tomography. Int. J. Oral Maxillofac. Surg. 2019; 48: 382–387.
  • 15. Underwood AS, Surgical considerations connect with the anatomy of the maxillary sinus. Br Med J 1909;15: 1.
  • 16. Neugebauer J, Ritter L, Mischkowski RA, Dreiseidler T, Scheer P, Ketterle M, Rothamel D, Zöller JE. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus flor elevation. Int J Oral Maxillofac Implants 2010;25: 258-65.
  • 17. Rosano G, Taschieri S, Gaudy JF, Lesmes D, Del Fabbor M Maxillary sinus septa: a cadaveric study. J Oral Maxillofac Surg 2010;68:1360-64.
  • 18. Koymen R, Gocmen Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinussepta: surgery and radiology. Clin Anat 2009;22:563-70.
  • 19. Qian L, Tian XM, Zeng L, Gong Y, Wei B. Analysis of the Morphology of Maxillary Sinus Septa on Reconstructed Cone-Beam Computed Tomography Images. J Oral Maxillofac Surg 2016;74:729-37.
  • 20. Naitoh M, Suenega Y, Kondo S, Gotoh K, Arıjı E. Assessment of maxillary sinus septa using cone-beam computed tomography: etiological consideration. Clin Implant Dent Releated Res 2009;11: 52-8.
  • 21. 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;57:667-671. discussion 671-662.
  • 22. Pommer B, Ulm C, Lorenzoni M, Palmer R, Watzek G, Zechner W.Prevalence, location and morphology of maxillary sinus septa: systematic review and meta-analysis. J Clin Periodontol. 2012;39:769-773.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Halil İbrahim Durmuş 0000-0003-4762-4788

Yayımlanma Tarihi 20 Ağustos 2020
Gönderilme Tarihi 8 Haziran 2020
Kabul Tarihi 8 Temmuz 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 17 Sayı: 2

Kaynak Göster

Vancouver Durmuş Hİ. Şanlıurfa Popülasyonunda Maksiller Sinüs Septa Morfoloji ve İnsidansının Retrospektif Olarak Değerlendirilmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2020;17(2):238-41.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty