Abstract
Abstract
Background
This study aimed to determine if there is a relationship between the presence of maxillary sinus pathology, nasal septum deviation and various lengths of the osteomeatal complex.
Methods
A total of 223 CBCT images were included in the study. The lengths of the osteomeatal complex (maxillary sinus ostium width, infundibulum length, maxillary sinus ostium height) were analyzed. The presence of maxillary sinus pathology, nasal septum deviation, age, sex, right-left, septum deviation level, and the relationship between pathology level and all variables were evaluated.
Results
The average maxillary sinus ostium width, ostium height and infundibulum length were 3.06 ± 0.70 mm, 30.10 ± 5.43 mm and 8.82 ± 1.86 mm, respectively. Ostium width was significantly higher in the healthy group than in the groups evaluated in the presence of deviation and pathology. A significant difference was found in infundibulum length only between the healthy condition and the condition evaluated in the presence of deviation. No significant difference was observed between the groups in terms of ostium height. In all groups, ostium height and infundibulum length were significantly higher in men than in women. The age group with the highest average ostium height was found in the 35–44 age group (p < 0.001).
Conclusion
Identifying normal and abnormal conditions in the osteomeatal complex area is important for diagnosing the cause of a patient's complaint, guiding the surgical procedures to be performed, and preventing possible complications that may arise during surgical procedures.
Publisher
Springer Science and Business Media LLC
Reference31 articles.
1. Whyte A, Boeddinghaus R. The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofac Radiol. 2019;48:20190205. https://doi.org/10.1259/dmfr.20190205.
2. Anbiaee N, Khodabakhsh R, Bagherpour A. Relationship between anatomical variations of sinonasal area and maxillary sinus pneumatization. Iran J Otorhinolaryngol. 2019;31:229–34 PMID: 31384589.
3. Gallup AC, Hack GD. Human paranasal sinuses and selective brain cooling: a ventilation system activated by yawning? Med Hypotheses. 2011;77(6):970–3. https://doi.org/10.1016/j.mehy.2011.08.022.
4. Asaumi R, Sato I, Miwa Y, Imura K, Sunohara M, Kawai T, et al. Understanding the formation of maxillary sinus in Japanese human foetuses using cone beam CT. Surg Radiol Anat. 2010;32(8):745–51. https://doi.org/10.1007/s00276-010-0678-5.
5. 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 PMID: 2098563.