Cone Beam CT Evaluation of Maxillary Sinus and Posterior Superior Alveolar Artery

Yıl 2022, Cilt: 9 Sayı: 1, 191 - 199, 27.04.2022

Melek Tassoker

https://doi.org/10.15311/selcukdentj.846996

Cited By: 1

Öz

Background The aim of this study was to investigate the diameter, location, and frequency of the appearance of posterior superior alveolar artery (PSAA), presence of septa and pathology in maxillary sinus on cone-beam computed tomography (CBCT) slices. Two hundred CBCT records were included in the study. The patients were divided into dentate, partially dentate and edentulous.
Methods The diameter and type of the PSAA (intrasinus-intraosseous-superficial), the distance between the lower border of the PSAA and alveolar crest; the bone height measured from the floor of the sinus to the crest of the ridge; the distance from the lateral wall of the PSAA to the medial wall of the maxillary sinus, presence of septa and pathology were evaluated.
Results On the right side, PSAA was detected in 86.5% and in the left, 84.5%. Intraosseous type of PSAA was most common type on right (50%) and left (51.5%). The average distances between the PSAA and the alveolar crest were 17.80±3.59 mm on the right and 17.83±3.61 mm on the left side. There was no significant correlation between age and the diameter of the PSAA (p>0.05).
Conclusions The observation of PSAA on CBCT slices is high. Preoperatively CBCT imaging can prevent potential vascular damages around maxillary sinus.

Anahtar Kelimeler

posterior superior alveolar artery, cone-beam computed tomography, maxillary sinus, pathology, septa

Destekleyen Kurum

Yok

Proje Numarası

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Teşekkür

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Maksiller Sinüs ve Posterior Superior Alveolar Arterin Konik Işınlı Bilgisayarlı Tomografi Değerlendirmesi

Öz

Amaç Bu çalışmanın amacı, konik ışınlı bilgisayarlı tomografi (KIBT) kesitlerinde posterior superior alveolar arter (PSAA) görülme sıklığı, çapı ve konumunu, maksiller sinüste septa ve patoloji varlığını araştırmak ve bu parametrelerin yaş, cinsiyet ve dişlenme durumu ile olası ilişkisini ortaya çıkarmaktır.
Gereç ve Yöntemler Çalışmaya 200 KIBT kaydı dahil edildi. Hastalar dişli, kısmi dişli ve dişsiz olmak üzere ikiye ayrıldı. PSAA'nın çapı ve tipi (intrasinus-intraosseöz-yüzeysel), PSAA'nın alt sınırı ile alveolar kret arasındaki mesafe; sinüs tabanından sırtın tepesine kadar ölçülen kemik yüksekliği; PSAA'nın lateral duvarından maksiller sinüs medial duvarına olan mesafe, septa varlığı ve patoloji değerlendirildi.
Bulgular Sağ tarafta% 86,5 ve solda% 84,5 PSAA tespit edildi. Sağda (% 50) ve solda (% 51.5) en sık görülen PSAA tipi intraosseöz idi. PSAA ile alveolar krest arasındaki ortalama uzaklıklar sağda 17.80 ± 3.59 mm ve solda 17.83 ± 3.61 mm idi. Yaş ile PSAA çapı arasında anlamlı bir ilişki yoktu (p> 0.05).
Sonuç KIBT kesitlerinde PSAA gözlenmesi sıktır. Preoperatif KIBT görüntüleme, maksiller sinüs çevresindeki potansiyel vasküler hasarları önleyebilir.

Anahtar Kelimeler

posterior superior alveolar artery, cone-beam computed tomography, maxillary sinus, pathology, septa

Proje Numarası

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Kaynakça

• 1. Velasco-Torres M, Padial-Molina M, Alarcon JA, O’Valle F, Catena A, Galindo-Moreno P. Maxillary Sinus Dimensions With Respect to the Posterior Superior Alveolar Artery Decrease With Tooth Loss. Implant Dent 2016; 25:464-470.
• 2. Pandharbale AA, Gadgil RM, Bhoosreddy AR, Kunte VR, Ahire BS, Shinde MR, et al. Evaluation of the Posterior Superior Alveolar Artery Using Cone Beam Computed Tomography. Polish J Radiol 2016; 81:606-610.
• 3. Khojastehpour L, Dehbozorgi M, Tabrizi R, Esfandnia S. Evaluating the anatomical location of the posterior superior alveolar artery in cone beam computed tomography images. Int J Oral Maxillofac Surg 2016; 45:354-358.
• 4. Watanabe T, Shiota M, Gao S, Imakita C, Tachikawa N, Kasugai S. Verification of posterior superior alveolar artery distribution in lateral wall of maxillary sinus by location and defect pattern. Quintessence Int 2014; 45:673-678.
• 5. Santos German IJ, Buchaim DV, Andreo JC, Shinohara EH, Capelozza AL, Shinohara AL, Rosa Junior GM, Pereira M, Buchaim RL. Identification of the Bony Canal of the Posterior Superior Alveolar Nerve and Artery in the Maxillary Sinus: Tomographic, Radiographic, and Macroscopic Analyses. Scientific World Journal 2015; 2015: 878205.
• 6. Tehranchi M, Taleghani F, Shahab S, Nouri A. Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography. Imaging Sci Dent 2017; 47:39-44.
• 7. Ilguy D, Ilguy M, Dolekoglu S, Fisekcioglu E. Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Braz Oral Res 2013; 27:431-437.
• 8. Anamali S, Avila-Ortiz S, Elangovan S, Qian F, Ruprecht A, Finkelstein M, et al. Prevalence of the posterior superior alveolar canal in cone beam computed tomography scans. Clin Oral Implants Res 2015; 26: e8-12.
• 9. Guncu GN, Yildirim YD, Wang HL, Tozum TF. 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.
• 10. Danesh-Sani SA, Movahed A, ElChaar ES, Chong Chan K, Amintavakoli N. 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; 19:151-160.
• 11. Misch CE, Judy KW. Classification of partially edentulous arches for implant dentistry. Int J Oral Implant 1987; 4:7-13.
• 12. Chitsazi MT, Shirmohammadi A, Faramarzi M, Esmaieli F, Chitsazi S. 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:e394-e399.
• 13. Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant’Anna EF. Cone-Beam Computed Tomography and Radiographs in Dentistry: Aspects Related to Radiation Dose. Int J Dent 2012; 2012: 813768.
• 14. Varela-Centelles P, Loira-Gago M, Seoane-Romero JM, Takkouche B, Monteiro L, Seoane J. Detection of the posterior superior alveolar artery in the lateral sinus wall using computed tomography/cone beam computed tomography: a prevalence meta-analysis study and systematic review. Int J Oral Maxillofac Surg 2015; 44:1405-1410.
• 15. de Oliveira GJPL, Abdala MA, Nary-Filho H, Sakakura CE, Garcia VG, Leite FC. Tomographic evaluation of prevalence, position, and diameter of the intraosseous branch of the posterior superior alveolar artery in fully edentulous individuals. J Craniofac Surg 2007; 28: e279-e283.
• 16. Ding WG, Yan WH, Wei ZX, Liu JB. Difference in intraosseous blood vessel volume and number in osteoporotic model mice induced by spinal cord injury and sciatic nerve resection. J Bone Mineral Metab 2012; 30:400-407.
• 17. Lee CY. Brisk, prolonged pulsatile hemorrhage during the sinus graft procedure: a case report with discussion on intra-operative hemostatic management. Implant Dent 2010; 19: 189-195.
• 18. Yang SM, Kye SB. Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis. J Periodontal Implant Sci 2014; 44:50-56.
• 19. Solar P, Geyerhofer U, Traxler H, Windisch A, Ulm C, Watzek G. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clin Oral Implants Res 1999; 10:34-44.
• 20. Sato I, Kawai T, Yoshida S, Miwa Y, Imura K, Asaumi R, et al. Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT. Okajimas Folia Anatomica Japonica 2010; 87:123-128.
• 21. Kqiku L, Biblekaj R, Weiglein AH, Kqiku X, Städtler P. Arterial blood architecture of the maxillary sinus in dentate specimens. Croat Med J 2013; 54:180-184.
• 22. Yoshida S, Kawai T, Asaumi R, Miwa Y, Imura K, Koseki H, et al. Evaluation of the blood and nerve supply patterns in the molar region of the maxillary sinus in Japanese cadavers. Okajimas Folia Anatomica Japonica 2010; 87:129-133.
• 23. Hur MS, Kim JK, Hu KS, Bae HE, Park HS, Kim HJ. Clinical implications of the topography and distribution of the posterior superior alveolar artery. J Craniofac Surg 2009; 20:551-554.
• 24. Rosano G, Taschieri S, Gaudy JF, Del Fabbro M. Maxillary sinus vascularization: a cadaveric study. J Craniofac Surg 2009; 20: 940-943.
• 25. Kang SJ, Shin SI, Herr Y, Kwon YH, Kim GT, Chung JH. Anatomical structures in the maxillary sinus related to lateral sinus elevation: a cone beam computed tomographic analysis. Clin Oral Implants Res 2013; 24: 75-81.
• 26. Mardinger O, Abba M, Hirshberg A, Schwartz-Arat D. 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.
• 27. Brüllmann D, Schulze RKW. Spatial resolution in CBCT machines for dental/maxillofacial applications—what do we know today? Dentomaxillofac Radiol 2015; 44:20140204.
• 28. Traxler H, Windisch A, Geyerhofer U, Surd R, Solar P, Firbas W. Arterial blood supply of the maxillary sinus. Clin Anat 1999; 12:417-421.
• 29. Jodia K, Sadhwani BS, Parmar BS, Anchlia S, Sadhwani SB. Sinus Elevation with an Alloplastic Material and Simultaneous Implant Placement: A 1-Stage Procedure in Severely Atrophic Maxillae. J Maxillofac Oral Surg 2014; 3: 271-280.
• 30. Kwak HH, Jo JB, Hu KS, Oh CS, Koh KS, Chung IH, et al. Topography of the Third Portion of the Maxillary Artery Via the Transantral Approach in Asians. J Craniofac Surg 2010; 21:1284-1289.
• 31. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, et al. Maxillary Sinus Septa: Prevalence, Height, Location, and Morphology. A Reformatted Computed Tomography Scan Analysis. J Periodontol 2006; 77:903-908.
• 32. Elian N, Wallace S, Cho SC, Jalbout SN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005; 20: 784-787.
• 33. Jung J, Yim JH, Kwon YD, Al-Nawas B, Kim GT, Choi BJ, et al. A radiographic study of the position and prevalence of the maxillary arterial endosseous anastomosis using cone beam computed tomography. Int J Oral Maxillofac Implants 2011; 26: 1273-1278.