Zhang Limin, Zhang Yanan, Xu Qimei, Shu Jingjing, Xu Bin, Liu Liuhui, Chen Huijuan, Hu Yue, Li Yinghua, Song Liang
Department of Stomatology, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, China.
Department of Stomatology, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan 250001, China.
Heliyon. 2023 Jul 6;9(7):e18050. doi: 10.1016/j.heliyon.2023.e18050. eCollection 2023 Jul.
This study aimed to evaluate the effects of factors related to periapical lesions (PALs) on sinus membrane thickening (SMT) in the Chinese population using cone-beam computed tomography (CBCT).
In this retrospective study, CBCT images (n = 512) of maxillary sinuses of 446 patients were evaluated by two examiners for SMT and PALs, PAL size, and the distance between the maxillary sinus floor (MSF), and the PAL's edge/root apex. The data were analyzed using analysis of variance, the Kruskal-Wallis test, χ-test, and logistic regression.
A binary logistic regression model showed that the prevalence and severity of SMT > 2 mm were significantly associated with older age (>60 years) (odds ratio [OR]: 4.03, 95% confidence interval [CI]): 2.24-7.72, < 0.001], male sex (OR: 2.08, 95% CI: 1.21-3.56, < 0.006), and PALs (OR: 6.89, 95% CI: 3.93-12.08, < 0.001). The type of contact and penetration between the MSF and PALs or root apex showed a more significant relation with SMT > 2 mm than did distance after adjusting for confounding factors, including age and sex (PALs: OR = 10.17 and 14.57, < 0.001; root apex: OR = 3.49 and 5.86, < 0.001).
The prevalence and severity of SMT were significantly associated with older age, male sex, PALs, PAL size, and the distance between the MSF and PALs/root apex. Therefore, communication between dental surgeons and an otolaryngology specialist is important for the timely diagnosis and treatment of SMT of dental origin.
本研究旨在使用锥形束计算机断层扫描（CBCT）评估根尖周病变（PALs）相关因素对中国人群上颌窦膜增厚（SMT）的影响。
在这项回顾性研究中，两名检查人员对446例患者上颌窦的CBCT图像（n = 512）进行了SMT和PALs、PAL大小以及上颌窦底（MSF）与PAL边缘/根尖之间距离的评估。使用方差分析、Kruskal-Wallis检验、χ检验和逻辑回归对数据进行分析。
二元逻辑回归模型显示，SMT>2 mm的患病率和严重程度与年龄较大（>60岁）（比值比[OR]：4.03，95%置信区间[CI]：2.24 - 7.72，<0.001）、男性（OR：2.08，95%CI：1.21 - 3.56，<0.006）和PALs（OR：6.89，95%CI：3.93 - 12.08，<0.001）显著相关。在调整包括年龄和性别在内的混杂因素后，MSF与PALs或根尖之间的接触和穿透类型与SMT>2 mm的关系比距离更显著（PALs：OR = 10.17和14.57，<0.001；根尖：OR = 3.49和5.86，<0.001）。
SMT的患病率和严重程度与年龄较大、男性、PALs、PAL大小以及MSF与PALs/根尖之间的距离显著相关。因此，牙科医生与耳鼻喉科专家之间的沟通对于牙源性SMT的及时诊断和治疗很重要。
