Bayrak Seval, Ustaoğlu Gülbahar, Demiralp Kemal Özgür, Kurşun Çakmak Emine Şebnem
Department of Oral and Maxillofacial Radiology, Abant Izzet Baysal University, Faculty of Dentistry.
Department of Periodontology, Abant Izzet Baysal University, Faculty of Dentistry, Bolu.
J Craniofac Surg. 2018 May;29(3):683-687. doi: 10.1097/SCS.0000000000004254.
Nasal septum deviation (NSD) is an anomaly that disturbs normal mucus drainage in sinuses, leading to recurrent sinusitis. Sinusitis, infections, and mucosal irritations are the potential causes of Schneiderian membrane thickening (SMT). The aim of this study was to evaluate the characteristics and association between NSD and SMT along with factors such as age, gender, and tooth groups using cone-beam computed tomography (CBCT) imaging.
The maxillary sinus and nasal cavity of 249 patients (136 females and 113 males) were examined retrospectively using CBCT. The statistical analysis was performed to determine the association between SMT, NSD, gender, and age.
No statistically significant relation was detected between NSD and SMT. The NSD was found in 50.6% of patients without gender predilection. Age was not associated with the presence of NSD. The mean thickness of the membrane was least in the third molar region and highest in the first molar region. The average SMT was found to be higher in males for all the examined tooth areas (P ≤ 0.05).
A retrospective evaluation of CBCT images emphasized the concept that NSD was not a factor that affected the thickening of maxillary sinus mucosa. The CBCT imaging could be used for evaluating the maxillary sinuses and nasal septum.
鼻中隔偏曲（NSD）是一种扰乱鼻窦正常黏液引流、导致复发性鼻窦炎的异常情况。鼻窦炎、感染和黏膜刺激是筛骨膜增厚（SMT）的潜在原因。本研究的目的是使用锥形束计算机断层扫描（CBCT）成像评估NSD与SMT之间的特征和关联，以及年龄、性别和牙组等因素。
对249例患者（136例女性和113例男性）的上颌窦和鼻腔进行回顾性CBCT检查。进行统计分析以确定SMT、NSD、性别和年龄之间的关联。
未检测到NSD与SMT之间存在统计学上的显著关系。50.6%的患者存在NSD，无性别倾向。年龄与NSD的存在无关。膜的平均厚度在第三磨牙区域最小，在第一磨牙区域最大。在所有检查的牙区，男性的平均SMT更高（P≤0.05）。
对CBCT图像的回顾性评估强调了NSD不是影响上颌窦黏膜增厚的因素这一概念。CBCT成像可用于评估上颌窦和鼻中隔。
