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EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY

Yıl 2018, Cilt: 20 Sayı: 3, 226 - 231, 30.12.2018
https://doi.org/10.24938/kutfd.390748

Öz

Objective: Maxillary
sinus ostium is the top section of the medial wall the and is hence poorly
placed from the point of view of free drainage; it opens into the narrow
ethmoidal infundibulum, inflammation of which can further break drainage, so
this may cause in the development of chronic maxillary sinusitis. This study
aims to evaluate maxillary sinus pathologies (MSP) and their possible relation
with maxillary sinus ostium dimensions.

Material and Methods: Cone Beam
Computed Tomography (CBCT) scans which belong to 139 patients (52 male and 87
female) were retrospectively evaluated with regard to ostium dimensions and the
presence of MSP including retention cyst and mucosal thickening. Independent
Samples t-test and Pearson Chi-Square were used to for statistical analysis.

Results: No
statistically significant difference was observed between patients with and
without MSP in terms of ostium width (p=0.13). While the mean ostium width was
2.08 mm in the patient with MSP it was measured as 2.14 mm in patients without
MSP. For all patients examined, right and left ostiums mean widths were 1.97 mm
(Range 0.67-4.25) and 2.26 mm (Range 0.67-5.25), respectively. No significant
difference was observed in ostium width according to gender (p≥0.05). Among all
patients, 18.7% (n=26) had MSP; of these 10 were bilateral and 16 were
unilateral.







Conclusion: MSP is the
common finding in CBCT examinations and the results of this study showed that
MSP does not seem to be associated with the ostium width.

Kaynakça

  • 1. Nayak JN, Varalakshmi K, Sangeetha M, Naik S. An anatomical study on location of maxillary sinus ostium and ıt's surgical ımportance. Int J Cur Res Rev. 2014;6(18):1-7.
  • 2. Singhal M, Singhal D. Anatomy of accessory maxillary sinus ostium with clinical application. Int J Med Sci Public Health. 2014;3:327-329.
  • 3. Capelli M, Gatti P. Radiological Study of Maxillary Sinus using CBCT: Relationship between mucosal thickening and common anatomic variants in chronic rhinosinusitis. J Clin Diagn Res. 2016;10(11):7-10.
  • 4. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011;37(6):753-757.
  • 5. Patel K, Chavda SV, Violaris N, Pahor AL. Incidental paranasal sinus inflammatory changes in a British population. J Laryngol Otol. 1996;110(7):649-651.
  • 6. Shiki K, Tanaka T, Kito S, Wakasugi-Sato N, Matsumoto-Takeda S, Oda M et al. The significance of cone beam computed tomography for the visualization of anatomical variations and lesions in the maxillary sinus for patients hoping to have dental implant-supported maxillary restorations in a private dental office in Japan. Head Face Med. 2014;10:20.
  • 7. Howerton JW, Mora M. Use of conebeam computed tomography in dentistry. General Dentistry. 2007;55:54-7.
  • 8. Dau M, Marciak P, Al-Nawas B, Staedt H, Alshiri A, Frerich B et al. Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography-influence of professional training. Int J Implant Dent. 2017;3(1):10-13.
  • 9. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(5):634-640.
  • 10. Da Silva AF, Froes GR Jr, Takeshita WM, Da Fonte JB, De Melo MF, Sousa Melo SL. Prevalence of pathologic findings in the floor of the maxillary sinuses on cone beam computed tomography images. Gen Dent. 2017;65(2):28-32.
  • 11. Aksakalli S, Yılmaz BS, Birlik M, Dadasli F, Bolukbasi E. Is there a relationship between maxillary sinus findings and skeletal malocclusion? Turkish J Orthod. 2015;28(3):82-85.
  • 12. Carter LC, Calamel A, Haller A, Aguirre A. Seasonal variation in maxillary antral pseudocysts in a general clinic population. Dentomaxillofac Radiol. 1998;27(1):22-24.
  • 13. Conner BL, Roach ES, Laster W, Georgitis JW. Magnetic resonance imaging of the paranasal sinuses: frequency and type of abnormalities. Ann Allergy. 1989; 62(5):457-460.
  • 14. Block MS, Dastoury K. Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans. J Oral Maxillofac Surg. 2014;72(12):2454-2460.
  • 15. Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):80-87.
  • 16. Wen SC, Lin YH, Yang YC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure. Clin Oral Implants Res. 2015; 26(10):1158-1164.
  • 17. Yildirim TT, Guncu GN, Goksuluk D, Tozum MD, Colak M, Tozum TF. The effect of demographic and disease variables on Schneiderian membrane thickness and appearance. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124(6):568-576.
  • 18. Yeung AWK, Tanaka R, Khong PL, von Arx T, Bornstein MM. Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT). Clin Oral Investig. 2018; 22 (3):1175-1183.
  • 19. Khojastepour L, Haghnegahdar A, Khosravifard N. Role of Sinonasal Anatomic Variations in the Development of Maxillary Sinusitis: A Cone Beam CT Analysis. Open Dent J. 2017; 11:367-374.
  • 20. Zang H, Wu J, Hu C, Li L, Liu Y, Yu S et al. Study on the correlation between the ostia diameter changes and airflow characteristics in maxillary sinus. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;50(10):805-809.

Maksiller Sinüs Patolojileri ile Ostium Boyutları Arasındaki İlişkinin Araştırılması: Bir Retrospektif Konik Işınlı Bilgisayarlı Tomografi Çalışması

Yıl 2018, Cilt: 20 Sayı: 3, 226 - 231, 30.12.2018
https://doi.org/10.24938/kutfd.390748

Öz

Amaç: Maksiller sinüs ostiumu sinüs medial duvarının en
üst kısmıdır ve bundan dolayı yerleşimi drenaj açısından zayıftır. Bununla
birlikte nazal fossaya direk açılmayıp, dar etmoidal infindibuluma açılır ki
drenajı kesintiye uğratan enflamasyon kronik maksiller sinüzit gelişiminde rol
oynar. Bu çalışmanın amacı maksiller sinüs patolojilerini (MSP) ve bu
patolojilerin maksiller sinüs ostium boyutlarıyla olası ilişkilerini
araştırmaktır.

Gereç ve
Yöntemler
: 139 hastaya ait (52
erkek ve 87 kadın) Konik Işınlı Bilgisayarlı Tomografi (KIBT) görüntüleri
ostium boyutları ve retansiyon kisti ile mukozal kalınlaşmayı içeren MSP
varlığı açısından retrospektif olarak değerlendirildi. Bağımsız Örneklem
T-Testi ve Pearson Ki-Kare testi istatistiksel analiz aşamasında kullanıldı.

Bulgular: MSP olan ve olmayan hastalar arasında ostium genişliği
açısından istatistiksel bir farklılık görülmedi (p=0.13). MSP olan hastalarda
ortalama ostium genişliği 2.08 mm iken, MSP olmayanlarda ortalama genişlik 2.14
mm olarak ölçüldü. İncelenen tüm hastalarda sağ ve sol ostium genişlik
ortalamaları sırasıyla 1.97 mm (Aralık 0.67-4.25) ve 2.26 mm (Aralık 0.67-5.25)
olarak bulundu. Cinsiyete göre ostium genişliği açısından istatistiksel
farklılık görülmedi (p≥0.05). Tüm hastalar arasında %18.7 (n=26) hastada MSP
izlenirken, bunlardan 10 tanesi çift taraflı, 16 tanesi ise tek taraflıdır.







Sonuç: MSP, KIBT araştırmalarında en yaygın bulgu olup,
bu çalışmanın sonuçları göstermektedir ki MSP ile ostium genişliği ilişkili
bulunmamıştır.

Kaynakça

  • 1. Nayak JN, Varalakshmi K, Sangeetha M, Naik S. An anatomical study on location of maxillary sinus ostium and ıt's surgical ımportance. Int J Cur Res Rev. 2014;6(18):1-7.
  • 2. Singhal M, Singhal D. Anatomy of accessory maxillary sinus ostium with clinical application. Int J Med Sci Public Health. 2014;3:327-329.
  • 3. Capelli M, Gatti P. Radiological Study of Maxillary Sinus using CBCT: Relationship between mucosal thickening and common anatomic variants in chronic rhinosinusitis. J Clin Diagn Res. 2016;10(11):7-10.
  • 4. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod. 2011;37(6):753-757.
  • 5. Patel K, Chavda SV, Violaris N, Pahor AL. Incidental paranasal sinus inflammatory changes in a British population. J Laryngol Otol. 1996;110(7):649-651.
  • 6. Shiki K, Tanaka T, Kito S, Wakasugi-Sato N, Matsumoto-Takeda S, Oda M et al. The significance of cone beam computed tomography for the visualization of anatomical variations and lesions in the maxillary sinus for patients hoping to have dental implant-supported maxillary restorations in a private dental office in Japan. Head Face Med. 2014;10:20.
  • 7. Howerton JW, Mora M. Use of conebeam computed tomography in dentistry. General Dentistry. 2007;55:54-7.
  • 8. Dau M, Marciak P, Al-Nawas B, Staedt H, Alshiri A, Frerich B et al. Evaluation of symptomatic maxillary sinus pathologies using panoramic radiography and cone beam computed tomography-influence of professional training. Int J Implant Dent. 2017;3(1):10-13.
  • 9. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(5):634-640.
  • 10. Da Silva AF, Froes GR Jr, Takeshita WM, Da Fonte JB, De Melo MF, Sousa Melo SL. Prevalence of pathologic findings in the floor of the maxillary sinuses on cone beam computed tomography images. Gen Dent. 2017;65(2):28-32.
  • 11. Aksakalli S, Yılmaz BS, Birlik M, Dadasli F, Bolukbasi E. Is there a relationship between maxillary sinus findings and skeletal malocclusion? Turkish J Orthod. 2015;28(3):82-85.
  • 12. Carter LC, Calamel A, Haller A, Aguirre A. Seasonal variation in maxillary antral pseudocysts in a general clinic population. Dentomaxillofac Radiol. 1998;27(1):22-24.
  • 13. Conner BL, Roach ES, Laster W, Georgitis JW. Magnetic resonance imaging of the paranasal sinuses: frequency and type of abnormalities. Ann Allergy. 1989; 62(5):457-460.
  • 14. Block MS, Dastoury K. Prevalence of sinus membrane thickening and association with unhealthy teeth: a retrospective review of 831 consecutive patients with 1,662 cone-beam scans. J Oral Maxillofac Surg. 2014;72(12):2454-2460.
  • 15. Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):80-87.
  • 16. Wen SC, Lin YH, Yang YC, Wang HL. The influence of sinus membrane thickness upon membrane perforation during transcrestal sinus lift procedure. Clin Oral Implants Res. 2015; 26(10):1158-1164.
  • 17. Yildirim TT, Guncu GN, Goksuluk D, Tozum MD, Colak M, Tozum TF. The effect of demographic and disease variables on Schneiderian membrane thickness and appearance. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124(6):568-576.
  • 18. Yeung AWK, Tanaka R, Khong PL, von Arx T, Bornstein MM. Frequency, location, and association with dental pathology of mucous retention cysts in the maxillary sinus. A radiographic study using cone beam computed tomography (CBCT). Clin Oral Investig. 2018; 22 (3):1175-1183.
  • 19. Khojastepour L, Haghnegahdar A, Khosravifard N. Role of Sinonasal Anatomic Variations in the Development of Maxillary Sinusitis: A Cone Beam CT Analysis. Open Dent J. 2017; 11:367-374.
  • 20. Zang H, Wu J, Hu C, Li L, Liu Y, Yu S et al. Study on the correlation between the ostia diameter changes and airflow characteristics in maxillary sinus. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015;50(10):805-809.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Seval Bayrak

Gülbahar Ustaoğlu

Emine Şebnem Kurşun Çakmak

Cemal Atakan

Yayımlanma Tarihi 30 Aralık 2018
Gönderilme Tarihi 6 Şubat 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 20 Sayı: 3

Kaynak Göster

APA Bayrak, S., Ustaoğlu, G., Kurşun Çakmak, E. Ş., Atakan, C. (2018). EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY. The Journal of Kırıkkale University Faculty of Medicine, 20(3), 226-231. https://doi.org/10.24938/kutfd.390748
AMA Bayrak S, Ustaoğlu G, Kurşun Çakmak EŞ, Atakan C. EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY. Kırıkkale Üni Tıp Derg. Aralık 2018;20(3):226-231. doi:10.24938/kutfd.390748
Chicago Bayrak, Seval, Gülbahar Ustaoğlu, Emine Şebnem Kurşun Çakmak, ve Cemal Atakan. “EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY”. The Journal of Kırıkkale University Faculty of Medicine 20, sy. 3 (Aralık 2018): 226-31. https://doi.org/10.24938/kutfd.390748.
EndNote Bayrak S, Ustaoğlu G, Kurşun Çakmak EŞ, Atakan C (01 Aralık 2018) EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY. The Journal of Kırıkkale University Faculty of Medicine 20 3 226–231.
IEEE S. Bayrak, G. Ustaoğlu, E. Ş. Kurşun Çakmak, ve C. Atakan, “EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY”, Kırıkkale Üni Tıp Derg, c. 20, sy. 3, ss. 226–231, 2018, doi: 10.24938/kutfd.390748.
ISNAD Bayrak, Seval vd. “EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY”. The Journal of Kırıkkale University Faculty of Medicine 20/3 (Aralık 2018), 226-231. https://doi.org/10.24938/kutfd.390748.
JAMA Bayrak S, Ustaoğlu G, Kurşun Çakmak EŞ, Atakan C. EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY. Kırıkkale Üni Tıp Derg. 2018;20:226–231.
MLA Bayrak, Seval vd. “EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY”. The Journal of Kırıkkale University Faculty of Medicine, c. 20, sy. 3, 2018, ss. 226-31, doi:10.24938/kutfd.390748.
Vancouver Bayrak S, Ustaoğlu G, Kurşun Çakmak EŞ, Atakan C. EVALUATION OF RELATIONSHIP BETWEEN MAXILLARY SINUS PATHOLOGIES AND OSTIUM DIMENSION: A RETROSPECTIVE CONE BEAM COMPUTED TOMOGRAPHY STUDY. Kırıkkale Üni Tıp Derg. 2018;20(3):226-31.

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