Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Gaziantep University, Sehitkamil, 27310, Gaziantep, Turkey.
Eur Arch Otorhinolaryngol. 2020 Apr;277(4):1101-1108. doi: 10.1007/s00405-020-05810-5. Epub 2020 Jan 25.
The aim of this study is to examine the sphenoid sinus morphology and variations in patients with cleft lip and palate (CLP) on cone-beam computed tomography (CBCT) images, and to compare them with healthy controls.
CBCT images of 54 patients (28 males and 26 females,) with CLP and 54 age- and gender-matched healthy individuals (28 males and 26 females) were retrospectively evaluated. Sphenoid sinus main types (conchal, presellar, sellar, postsellar), sellar subtypes, clival and lateral extensions, and sinus septation were analyzed in CLP and control groups. The data were statistically analyzed using Chi-square test to compare the groups.
A statistically significant difference was found between CLP and control groups for sphenoid sinus main types (p < 0.05). Presellar type was more commonly observed in CLP group (18.5%), while the postsellar (31.5%) and clival (17.7%) types were more frequent in control group. There was a significant difference between the groups among different sellar sinus subtypes (p < 0.05). A significant difference was detected between the groups for clival extensions of sphenoid sinus (p < 0.05), but no difference was found for the lateral extensions (p > 0.05). No significant difference was determined between groups for sphenoid sinus septation (p > 0.05).
Significant differences were found between the CLP and control groups in terms of sphenoid sinus main types, sellar subtypes and the clival extensions. Knowledge of sphenoid sinus pneumatization in patients with CLP is important for preventing complications during transsphenoidal surgery.
本研究旨在通过锥形束 CT（CBCT）图像检查唇腭裂（CLP）患者的蝶窦形态和变异，并与健康对照组进行比较。
回顾性分析 54 例 CLP 患者（男 28 例，女 26 例）和 54 例年龄和性别匹配的健康个体（男 28 例，女 26 例）的 CBCT 图像。分析 CLP 组和对照组蝶窦主型（耳状窦、蝶鞍前窦、鞍窦、蝶鞍后窦）、鞍窦亚型、斜坡和外侧扩展以及窦间隔。使用卡方检验对数据进行统计学分析，以比较两组。
CLP 组和对照组之间蝶窦主型存在统计学差异（p<0.05）。CLP 组中前蝶窦型更为常见（18.5%），而对照组中后蝶窦型（31.5%）和斜坡型（17.7%）更为常见。不同鞍窦亚型在两组之间存在显著差异（p<0.05）。蝶窦斜坡扩展在两组之间存在显著差异（p<0.05），但在蝶窦外侧扩展方面无差异（p>0.05）。两组间蝶窦间隔无显著差异（p>0.05）。
CLP 组和对照组在蝶窦主型、鞍窦亚型和蝶窦斜坡扩展方面存在显著差异。了解 CLP 患者的蝶窦气化有助于预防经蝶窦手术并发症。
