Posterior Superior Alveoler Arter Konumunun Cinsiyet ile İlişkisi: Retrospektif Analiz

Yıl 2021, , 106 - 120, 29.04.2021

Ahmet Murat Özer , Ayşe Bulut

https://doi.org/10.38079/igusabder.894404

Öz

Amaç: Maksiller sinüs anatomisi hakkında yeterli bilgi, perioperatif veya postoperatif komplikasyonlardan kaçınmak için gereklidir. Bu çalışmanın amacı, konik ışınlı bilgisayarlı tomografi (KIBT) ile posterior superior alveolar arterin (PSAA) prevalansını, çapını, yerini ve maksiller sinüs tabanı ve alveolar kret ile ilişkisini belirlemektir.

Yöntem: Konik Işınlı Bilgisayarlı Tomografi görüntülemesi yapılmış 50 hastanın (100 maksiller sinüs) maksiller sinüsteki PSAA konumu ve çapları ile PSAA’nın lateral duvardaki alt noktası ile sinüs tabanı ve kret tepesi arasındaki mesafelerin cinsiyet ile ilişkisi retrospektif olarak değerlendirilmiştir. Tüm veriler SPSS versiyon 22.0 programı kullanılarak analiz edilmiştir. Sonuçlar p<0,05 için istatistiksel olarak anlamlı kabul edilmiştir.

Bulgular: PSAA, KIBT taramalarının %100'ünde tespit edilmiştir. Arterin yerleşim yeri ile cinsiyet arasında istatistiksel olarak anlamlı fark bulunmuştur (p=0,005). PSAA'nın kadınlarda %56, erkeklerde ise %34 oranında sinüs membranının altında yerleştiği saptanmıştır. PSAA'nın lateral sinüs duvarının dış korteksinde yerleşimi ise erkeklerde kadınlara oranla 10 kat daha fazla bulunmuştur. Ortalama PSAA çapı 1,07 mm olarak ölçülmüştür. PSAA’nın alt sınırı ile sinüs tabanı arasında dik olarak ölçülen ortalama mesafe 8,30±4,17 mm, oblik olarak ölçülen ortalama mesafe 9,26±4,34 mm idi. PSAA’nın alt sınırı ile kret tepesi arasında dik olarak yapılan ölçümlerdeki ortalama mesafe 16,66±5,17 mm, oblik olarak ölçülen ortalama mesafe ise 18,36±4,84 mm olarak bulunmuştur.

Sonuç: Bu çalışmadan elde edilen bulgular, PSAA konumu ve PSAA ile maksiller sinüs tabanı arasındaki mesafenin cinsiyete göre farklılık gösterebileceğini düşündürmüştür. Bu yönlerden KIBT'lerin preoperatif değerlendirilmesi tedavi planı ve başarısı açısından oldukça önemlidir.

Anahtar Kelimeler

Konik ışınlı bilgisayarlı tomografi, maxiller sinüs, posterior superior alveoler arter

Evaluation of the Relationship Between the Position of Posterior Superior Alveolar Artery and Gender: A Retrospective Analysis

Öz

Aim: Sufficient knowledge of the maxillary sinus anatomy is essential for avoiding perioperative or postoperative complications. The purpose of this study was to determine the prevalence, diameter, location of the posterior superior alveolar artery (PSAA) and its relationship to the floor of the maxillary sinus and alveolar crest using cone-beam computed tomography (CBCT).

Method: A total of 50 CBCT images (100 maxillary sinuses) were analyzed. The PSAA position and diameters and the distances between the lower border of the PSAA and the maxillary sinus floor and alveolar crest were measured retrospectively in relation to sex. All data were analyzed using SPSS for Windows version 22.0. Results were considered statistically significant for p <0,05.

Results: PSAA was detected in 100% of CBCT scans. There was a statistically significant difference between the location of the artery and gender (p=0,005). PSAA was located beneath the sinus membrane in 56% of women and 34% of men. It was determined that PSAA is located in the outer cortex of the lateral sinus wall 10 times more in men than in women. The mean diameter of the PSAA was 1,07 mm. The mean distance measured vertically from the inferior border of the PSAA to the sinus floor was 8,30±4,17 mm, the mean oblique distance was 9,26±4,34 mm. The mean distance measured vertically from the inferior border of the PSAA to the alveolar crest was 16,66±5,17 mm, the mean oblique distance was 18,36±4,84 mm.

Conclusion: The findings from this study suggested that PSAA location and distance between PSAA and maxillary sinus floor may differ by gender. Preoperative evaluation of CBCTs in these aspects is very important in terms of treatment plan and success.

Anahtar Kelimeler

Cone beam computed tomography, maxillary sinus, posterior superior alveolar artery

Kaynakça

• Kalyvas D, Kapsalas A, Paikou S, et al. Thickness of the Schneiderian membrane and its correlation with anatomical structures and demographic parameters using CBCT tomography: a retrospective study. International Journal of Implant Dentistry. 2018;4:32-39.
• Pandharbale AA, Gadgil RM, Bhoosreddy AR, et al. Evaluation of the posterior superior alveolar artery using cone beam computed tomography. Pol J Radiol. 2016;81:606-610.
• Traxler H, Windisch A, Geyerhofer U, et al. Arterial blood supply of the maxillary sinus. Clin Anat. 1999;12(6):417-421.
• Rosano G, Taschieri S, Gaudy JF, et al. Maxillary sinus vascularization: a cadaveric study. J Craniofac Surg. 2009;20:940-943.
• Güncü GN, Yildirim YD, Wang HL, et al. Location of posterior superior alveolar artery and evaluation of maxillary sinus anatomy with computerized tomography: a clinical study. Clin Oral Implants Res. 2011;22:1164–1167.
• Jensen OT, Shulman LB, Block MS, et al. Report of the sinus consensus conference of 1996. International Journal of Oral & Maxillofacial Implants. 1998;13:11–45.
• Tong DC, Rioux K, Drangsholt M, et al. A review of survival rates for implants placed in grafted maxillary sinuses using meta-analysis. International Journal of Oral & Maxillofacial Implants. 1998;13:175–182.
• Regev E, Smith RA, Perrott DH, et al. Maxillary sinus complications related to endosseous implants. International Journal of Oral & Maxillofacial Implants. 1995;10:451–461.
• Solar P, Geyerhofer U, Traxler H, et al. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clinical Oral Implants Research. 1999;10:34–44.
• Ella B, Sedarat C, Noble Rda C, et al. Vascular connections of the lateral wall of the sinus: surgical effect in sinus augmentation. International Journal of Oral & Maxillofacial Implants. 2008;23:1047–1052.
• Monje A, Catena A, Monje F, et al. Maxillary sinus lateral wall thickness and morphologic patterns in the atrophic posterior maxilla. J Periodontol. 2014;85(5):676-682.
• Shoaleh S, Barbad Z, Shahla MD, et al. Evaluation of anatomic variations in maxillary sinus with the aid of cone beam computed tomography (CBCT) in a population in south of Iran. J Dent (Shiraz). 2016;17(1):7-15.
• Tehranchi M, Taleghani F, Shahab S, et al. Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography. Imaging Sci Dent. 2017;47(1):39-44.
• Chitsazi MT, Shirmohammadi A, Faramarzi M, et al. Evaluation of the position of the posterior superior alveolar artery in relation to the maxillary sinus using the cone-beam computed tomography scans. J Clin Exp Dent. 2017;9(3):394–399.
• Ilgüy D, Ilgüy M, Dolekoglu S, et al. Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Braz Oral Res. 2013;27:431–437.
• Kim JH, Ryu, JS, Kim KD, et al. A Radiographic study of the posterior superior alveolar artery. Implant Dentistry. 2011;20(4):306-331.
• Atul AP, Rajeev M, Gadgil AR, et al. Evaluation of the posterior superior alveolar artery using cone beam computed tomography. Pol J Radiol. 2016;81:606-610.
• Danesh-Sani SA, Movahed A, ElChaar ES, et al. Radiographic evaluation of maxillary sinus lateral wall and posterior superior alveolar artery anatomy: A cone-beam computed tomographic study. Clin Implant Dent Relat Res. 2017;19(1):151-160.
• Zhitian D, Ping Y, Runfa W, et al. Evaluating the bony canal structure of the posterior superior alveolar artery using cone-beam computed tomography. Hua Xi Kou Qiang Yi Xue Za Zhi. 2014;32(6):581-583.
• Elian N, Wallace S, Cho SC, et al. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants. 2005;20:784-787.
• Kurt M, Kurşun E, Alparslan E. Posterior superior alveolar artery evaluation in a Turkish subpopulation using CBCT. Clin Dent Res. 2014;38(2):12–19.
• Mardinger O, Abba M, Hirshberg A, et al. Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. Int J Oral Maxillofac Surg. 2007;36:735-738.
• Fayek MM, Amer ME, Bakry AM. Evaluation of the posterior superior alveolar artery canal by cone-beam computed tomography in a sample of the Egyptian population. Imaging Sci Dent. 2021;51:e5.
• Jasim HH, Al-Taei JA. Computed tomographic measurement of maxillary sinus volume and dimension in correlation to the age and gender (comparative study among individuals with dentate and edentulous maxilla). J Bagh Coll Dent. 2013;25:87–93.