Haller Hücreleri ve Schneiderian Membran Kalınlığı Arasındaki İlişkinin Analizi

Öz

Amaç: Bu çalışmanın ilk amacı, Haller hücreleri varlığı ile Schneiderian membran kalınlığı (SMT) arasında; yaş ve cinsiyet gibi faktörleri de göz önünde bulundurarak, bir ilişki olup olmadığını belirlemekti. Bu çalışmanın ikinci amacı ise panaromik röntgen ve konik ışınlı bilgisayarlı tomografi (CBCT)’de Haller hücrelerinin görünürlüğünün korelasyonunu araştırmaktı. Materyal ve Metot: 78 dişsiz hasta çalışmaya dahil edildi. CBCT’lerden elde edilen kesitsel görüntüler, sinüs membran kalınlığını belirlemek için kullanıldı. Cinsiyet ve yaş gibi parametreler ayrıca incelendi. Bulgular: Haller hücresi olan ve olmayanlar arasında, maksiller sinüs tabanındaki sinüs membran kalınlığındaki fark anlamlı bulundu (p <0,05). Haller hücrelerinin CBCT ve dijital panoramik radyografilerde görünürlüğü arasında korelasyon bulunmuştur (p <0,01). Sinüs membran kalınlığı, erkeklerde kadınlardan daha yüksek görülmekle beraber bu fark anlamlı bulunmamıştır (p> 0,05). Sonuç: Çalışmamızdaki sonuçlar göz önüne alındığında, Haller hücresi varlığı sinüs membranının tabanında kalınlaşmaya yol açabilmektedir. Haller hücrelerinin dijital panoramik radyografilerde de görülebilmesi nedeniyle; sinüs yükseltme cerrahisi öncesinde alınan dijital panaromik görüntü, Schneiderian membran kalınlığı hakkında klinisyenlere ameliyat öncesi ipucu verebilir.

Anahtar Kelimeler

• Haller hücreleri
• konik işınlı bilgisayarlı tomografi
• maksiller sinus anatomisi
• schneiderian membran kalınlığı

Analysis of relationship between Haller cells and Schneiderian Membrane Thickness

Abstract

Objective: This first aim of this study was to determine whether there is a relationship between the presence of Haller cells and Schneiderian membrane thickness (SMT) by considering factors such as age and gender. The second aim of this study was to investigate correlation between the visibility of Haller cells on cone beam computed tomography (CBCT) and digital panoramic radiographs. Materials and Methods: Seventy-eight edentulous patients were included in the study. Cross-sectional views obtained from CBCTs were used to determine the mean sinus membrane thickness. Parameters such as gender and age were also investigated. Results: The difference in SMT at the base of the maxillary sinus was significant between those with and without Haller cells (p <0.05). A correlation was found between the detection of Haller cells on CBCT and digital panoramic radiographs (p <0.01). Although SMT was higher in men than in women, this difference was not significant (p> 0.05). Conclusion: Considering the results of our study, the presence of Haller cells may cause sinus membrane thickness at base of maxillary sinus. Since Haller cells can also be seen in digital panoramic radiographs, digital panoramic view taken prior to sinus lift surgery can provide clinicians with preoperative hint about SMT.

Keywords

• Haller Cells
• maxillary sinus anatomy
• Scheiderian membrane thickness
• Cone beam computed tomography

Kaynakça

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