Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Kütahya Health Sciences University, Kütahya, Türkiye.
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Selcuk University, Konya, Türkiye.
Oral Radiol. 2023 Apr;39(2):425-436. doi: 10.1007/s11282-022-00655-6. Epub 2022 Sep 12.
The reasons why the maxillary posterior region is challenging for dentists are its structure and anatomical variations. For this reason, it is necessary to have complete knowledge about the anatomy of this region. In dentistry, necessary information for the desired evaluation in this region can be provided by CBCT. The fact that it provides a three-dimensional evaluation and has measurement reliability emphasizes its importance in surgical applications. The septa, haller cell, and accessory ostium are variations of the maxillary sinus. There are few studies in the literature examining the relationship between maxillary sinus diameters and its variations. The aims of this study are to determine the prevalence of maxillary sinus variations and the average of maxillary sinus diameters, to examine their relationships according to age and gender, and to evaluate the effects of maxillary sinus diameters on variations.
In this retrospective study, CBCT images of 212 patients were examined. The examined CBCT images were analysed and recorded in more than one section. Descriptive statistics, chi-square tests, independent t test, one-way Anova tests were used to evaluate the data.
As a result, a statistically significant difference was observed between the variations, gender and age groups in terms of morphometric characteristics of the maxillary sinus. The most common variation was observed to be accessory ostium.
The rate of patients with at least one anatomical variation was 77.8%. For this reason, a detailed analysis should be performed to avoid complications before surgical procedures are performed in the area.
上颌后区对牙医来说具有挑战性的原因是其结构和解剖结构的变化。因此,有必要对上颌区域的解剖结构有全面的了解。在牙科中,CBCT 可为该区域提供所需评估的必要信息。它提供三维评估和具有测量可靠性的事实强调了它在手术应用中的重要性。鼻中隔、哈勒氏细胞和副窦口是上颌窦的变异。文献中很少有研究检查上颌窦直径与其变异之间的关系。本研究的目的是确定上颌窦变异的发生率和上颌窦直径的平均值,根据年龄和性别检查它们之间的关系,并评估上颌窦直径对变异的影响。
在这项回顾性研究中,检查了 212 名患者的 CBCT 图像。对检查的 CBCT 图像进行了分析,并在多个部分进行了记录。使用描述性统计、卡方检验、独立 t 检验、单因素方差分析来评估数据。
结果,在形态特征方面,上颌窦的变异、性别和年龄组之间存在统计学显著差异。最常见的变异是副窦口。
至少有一种解剖变异的患者比例为 77.8%。因此,在该区域进行手术前,应进行详细分析以避免并发症。