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Location, Size, and Prevalence of the Maxillary Sinus Septa: Comparison of Panoramic Radiography and Cone-Beam Computerize Tomography

Yıl 2023, Cilt: 20 Sayı: 3, 605 - 611, 31.12.2023
https://doi.org/10.35440/hutfd.1318797

Öz

Background: The purpose of the study was to evaluate the maxillary sinus septa in patients with various dental arch statuses with panoramic and Cone-Beam Computerize Tomography (CBCT).
Materials and Methods: In the panoramic radiography and CBCT scans of 400 patients aged 16-86 years, 800 maxillary sinuses on both sides were retrospectively examined. In addition, the height and location of the septa were evaluated with CBCT.
Results: The septa rate was determined as 51.8% with panoramic radiography and 66.8% with CBCT. The septa were more commonly found in dentate patients than edentulous patients. The septa are generally localized at the middle part of the maxillary sinus and the height was approximately 7.31mm.
Conclusions: Maxillary sinus septa can be found in the anterior, middle and posterior regions and in dentate, partially edentulous and edentulous patients. Detailed information about the height, location, and morphology of the septa is important to reduce complications in maxil-lary sinus surgical procedures.

Kaynakça

  • 1. Mısırlıoğlu M, Nalçacı R, Adışen MZ, Yılmaz YS. The evalua-tion of paranasal sinuses and anatomical variations with dental volumetric tomography. A Ü Diş Hek Fak Derg 2011;383:143-152.
  • 2. Arman C, Ergür I, Atabey A, Güvencer M, Kiray A, Korman E, et al. The thickness and the lengths of the anterior wall of adult maxilla of the West Anatolian Turkish people. Surg Ra-diol Anat 2006;28:553-558.
  • 3. Koymen R, Gocmen‐Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinus septa: sur-gery and radiology. Clin Anat 2009;22(5):563-570.
  • 4. Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910;44(Pt 4):354-369.
  • 5. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11(3):256-265.
  • 6. Özeç İ, Kılıç E, Müderris S. Maxillary Sinus Septa: Evaluation with computed tomography and panoramic radiography. Cumhuriyet Dent J 2008;11:82-86.
  • 7. Chanavaz M. Maxillary sinus. Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantol 1990;16:199-209.
  • 8. Garg AK. Augmentation grafting of the maxillary sinus for placement of DentalImplants. Anatomy, physiology, and pro-cedures. Implant Dent 1999;8(1):36–48.
  • 9. Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evalua-tion of the accuracy of panoramic radiograph in the defini-tion of maxillary sinus septa. Acta Medica (Hradec Kralove) 2002;45:173-175.
  • 10. Orhan K, Seker BK, Aksoy S, Bayindir H, Berberoğlu A, Seker E. Cone beam CT evaluation of maxillary sinus septa preva-lence, height, location and morphology in children and an adult population. Med Princ Pract 2013;22(1):47-53.
  • 11. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK. Maxil-lary sinus septa: prevalence, height, location and morpholo-gy. A reformatted computed tomography scan analysis. J Periodontol 2006;5:903–908.
  • 12. González-Santana H, Peñarrocha-Diago M, Guarinos-Carbó J, Sorní-Bröker M. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33:340–343.
  • 13. 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(4):1394–1398.
  • 14. Malina-Altzinger J, Damerau G, Grätz KW, Stadlinger PD. Evaluation of the maxillary sinus in panoramic radiography: a comparative study. Int J Implant Dent 2015;1:1-7.
  • 15. Krennmair G, Ulm GW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentu-lous and dentate maxilla. J Oral Maxillofac Surg 1999;57:667–771.
  • 16. Maestre Ferrín L, Galán Gil S, Rubio Serrano M, Peñarrocha Diago M, Peñarrocha Oltra D. Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010;15:383-386.
  • 17. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Cranio-maxillofac Surg 1997;25(5):261-265.
  • 18. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Inci-dence and suggested surgical management of septa in si-nus-lift procedures. Int J Oral Maxillofac Implants 1995;10(4):462–465.
  • 19. K OH, SY Ryu. Clinico-anatomical study of septum in the maxillary sinus. J Kor Assoc Oral Maxillofac Surg 1998:208–212.
  • 20. Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002;17:854–860.
  • 21. Garg AK. Bone biology, harvesting, & grafting for dental implants: rationale and clinical applications. IL: Quintessence Publishing 2004:87.
  • 22. Neugebauer J, Ritter L, Mischkowski RA, Dreiseidler T, Scherer P, Ketterle M, et al. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus floor elevation. Int J Oral Maxillofac Implants 2010;25(2):258-265.
  • 23. Al-Zahrani MS, Al-Ahmari MM, Al-Zahrani AA, Al-Mutairi KD, Zawawi KH. Prevalence and morphological variations of maxillary sinus septa in different age groups: a CBCT analy-sis. Ann Saudi Med. 2020;40(3):200- 206.
  • 24. Jung J, Park JS, Hong SJ, Kim GT, Kwon YD. Axial triangle of the maxillary sinus, and its surgical implication with the po-sition of maxillary sinus septa during sinus floor elevation: a CBCT analysis. J Oral Implantol. 2020;46(4):415-422.
  • 25. Alhadi YAA, Al-Shamahi NYA, AL-Haddad KA, Al-Kholani AIM, Al-Najhi MMA, Al-Shamahy HA, et al. Maxillary Sinus Septa: Prevalence and Association with Gender And Location In The Maxilla Among Adults In Sana'a City, Yemen. Univers. J Pharm Res. 2022;7:20-6.
  • 26. Wang W, Jin L, Ge H, Zhang FJC, Medicine MMi. Analysis of the Prevalence, Location, and Morphology of Maxillary Sinus Septa in a Northern Chinese Population by Cone Beam Com-puted Tomography. Comput Math Methods Med. 2022;2022.

Maksilller Sinus Septasının Yeri, Yüksekliği ve Prevelansı: Panoramik Radyo-grafi ve Konik Işınlı Bilgisayarlı Tomografi Karşılaştırması

Yıl 2023, Cilt: 20 Sayı: 3, 605 - 611, 31.12.2023
https://doi.org/10.35440/hutfd.1318797

Öz

Amaç: Bu çalışmada, panoramik ve konik ışınlı bilgisayarlı tomografi (KIBT) ile çeşitli dental ark durumlarına sahip hastalarda maksiller sinüs septasının değerlendirmesi amaçlandı.
Materyal ve Metod: 16-86 yaş aralığında 400 hastanın panoramik radyografi ve KIBT taramalarında her iki tarafta 800 maksiller sinüs retrospektif olarak incelendi. Ayrıca maksiller sinus septasının yüksekliği ve yeri KIBT ile değerlendirildi.
Bulgular: Panoramik radyografide septa oranı %51.8, KIBT'de %66.8 olarak belirlendi. Septalar dişli hastalarda dişsiz hastalara göre daha sık bulundu. Septalar, maksiller sinüsün genellikle orta kısmında izlendi ve yaklaşık 7.31 mm yüksekliğinde tespit edildi.
Sonuç: Maksiller sinüs cerrahilerinde komplikasyonları azaltmak için septanın yüksekliği, yeri ve morfolojisi hakkında detaylı bilgi önem arz etmektedir.

Kaynakça

  • 1. Mısırlıoğlu M, Nalçacı R, Adışen MZ, Yılmaz YS. The evalua-tion of paranasal sinuses and anatomical variations with dental volumetric tomography. A Ü Diş Hek Fak Derg 2011;383:143-152.
  • 2. Arman C, Ergür I, Atabey A, Güvencer M, Kiray A, Korman E, et al. The thickness and the lengths of the anterior wall of adult maxilla of the West Anatolian Turkish people. Surg Ra-diol Anat 2006;28:553-558.
  • 3. Koymen R, Gocmen‐Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC. Anatomic evaluation of maxillary sinus septa: sur-gery and radiology. Clin Anat 2009;22(5):563-570.
  • 4. Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910;44(Pt 4):354-369.
  • 5. van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11(3):256-265.
  • 6. Özeç İ, Kılıç E, Müderris S. Maxillary Sinus Septa: Evaluation with computed tomography and panoramic radiography. Cumhuriyet Dent J 2008;11:82-86.
  • 7. Chanavaz M. Maxillary sinus. Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantol 1990;16:199-209.
  • 8. Garg AK. Augmentation grafting of the maxillary sinus for placement of DentalImplants. Anatomy, physiology, and pro-cedures. Implant Dent 1999;8(1):36–48.
  • 9. Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evalua-tion of the accuracy of panoramic radiograph in the defini-tion of maxillary sinus septa. Acta Medica (Hradec Kralove) 2002;45:173-175.
  • 10. Orhan K, Seker BK, Aksoy S, Bayindir H, Berberoğlu A, Seker E. Cone beam CT evaluation of maxillary sinus septa preva-lence, height, location and morphology in children and an adult population. Med Princ Pract 2013;22(1):47-53.
  • 11. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK. Maxil-lary sinus septa: prevalence, height, location and morpholo-gy. A reformatted computed tomography scan analysis. J Periodontol 2006;5:903–908.
  • 12. González-Santana H, Peñarrocha-Diago M, Guarinos-Carbó J, Sorní-Bröker M. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33:340–343.
  • 13. 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(4):1394–1398.
  • 14. Malina-Altzinger J, Damerau G, Grätz KW, Stadlinger PD. Evaluation of the maxillary sinus in panoramic radiography: a comparative study. Int J Implant Dent 2015;1:1-7.
  • 15. Krennmair G, Ulm GW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentu-lous and dentate maxilla. J Oral Maxillofac Surg 1999;57:667–771.
  • 16. Maestre Ferrín L, Galán Gil S, Rubio Serrano M, Peñarrocha Diago M, Peñarrocha Oltra D. Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010;15:383-386.
  • 17. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Cranio-maxillofac Surg 1997;25(5):261-265.
  • 18. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Inci-dence and suggested surgical management of septa in si-nus-lift procedures. Int J Oral Maxillofac Implants 1995;10(4):462–465.
  • 19. K OH, SY Ryu. Clinico-anatomical study of septum in the maxillary sinus. J Kor Assoc Oral Maxillofac Surg 1998:208–212.
  • 20. Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: A 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002;17:854–860.
  • 21. Garg AK. Bone biology, harvesting, & grafting for dental implants: rationale and clinical applications. IL: Quintessence Publishing 2004:87.
  • 22. Neugebauer J, Ritter L, Mischkowski RA, Dreiseidler T, Scherer P, Ketterle M, et al. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus floor elevation. Int J Oral Maxillofac Implants 2010;25(2):258-265.
  • 23. Al-Zahrani MS, Al-Ahmari MM, Al-Zahrani AA, Al-Mutairi KD, Zawawi KH. Prevalence and morphological variations of maxillary sinus septa in different age groups: a CBCT analy-sis. Ann Saudi Med. 2020;40(3):200- 206.
  • 24. Jung J, Park JS, Hong SJ, Kim GT, Kwon YD. Axial triangle of the maxillary sinus, and its surgical implication with the po-sition of maxillary sinus septa during sinus floor elevation: a CBCT analysis. J Oral Implantol. 2020;46(4):415-422.
  • 25. Alhadi YAA, Al-Shamahi NYA, AL-Haddad KA, Al-Kholani AIM, Al-Najhi MMA, Al-Shamahy HA, et al. Maxillary Sinus Septa: Prevalence and Association with Gender And Location In The Maxilla Among Adults In Sana'a City, Yemen. Univers. J Pharm Res. 2022;7:20-6.
  • 26. Wang W, Jin L, Ge H, Zhang FJC, Medicine MMi. Analysis of the Prevalence, Location, and Morphology of Maxillary Sinus Septa in a Northern Chinese Population by Cone Beam Com-puted Tomography. Comput Math Methods Med. 2022;2022.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağız, Yüz ve Çene Cerrahisi
Bölüm Araştırma Makalesi
Yazarlar

Ali Altındağ 0000-0001-8549-5193

Cemile Nur Yıldırım 0000-0003-0571-1824

Erken Görünüm Tarihi 14 Aralık 2023
Yayımlanma Tarihi 31 Aralık 2023
Gönderilme Tarihi 22 Haziran 2023
Kabul Tarihi 12 Aralık 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 20 Sayı: 3

Kaynak Göster

Vancouver Altındağ A, Yıldırım CN. Location, Size, and Prevalence of the Maxillary Sinus Septa: Comparison of Panoramic Radiography and Cone-Beam Computerize Tomography. Harran Üniversitesi Tıp Fakültesi Dergisi. 2023;20(3):605-11.

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