Nelke Kamil, Diakowska Dorota, Morawska-Kochman Monika, Janeczek Maciej, Pasicka Edyta, Łukaszewski Marceli, Żak Krzysztof, Nienartowicz Jan, Dobrzyński Maciej
Maxillo-Facial Surgery Ward, EMC Hospital, Pilczycka 144, 54-144 Wrocław, Poland.
Academy of Applied Sciences, Health Department, Academy of Silesius in Wałbrzych, Zamkowa 4, 58-300 Wałbrzych, Poland.
J Pers Med. 2023 Aug 14;13(8):1258. doi: 10.3390/jpm13081258.
The presence of bone septum in the maxillary sinus is one of the most common anatomical findings. So-called Underwood septa (US) are an atypical bone formation in the maxillary sinuses. Mostly they are quite easily found in CBCT studies and have major importance in sinus lift procedures in dental surgery. Furthermore, the shape, location, and size of the bony septa are important in each maxillary sinus surgery. A retrospective study of 120CBCT scans from the authors' own database was conducted. Approximately 37.5% of each CBCT was associated with the occurrence of US, while just 25% had a full septum, and a total of only 14 patients had a half septa. More females have US, while healthy pneumatized maxillary sinus is most commonly found (82.22%). There is no correlation between the occurrence of silent sinus syndrome ( = 0.174), mucosal thickening ( = 0.325), or retention cyst formation ( = 0.272). Most sinuses are without any opacification in CBCT evaluation (91.11%), while other syndromes are not statistically relevant. It seems that the occurrence of Underwood septa is not statistically related to any clinical, radiological, or pathological condition within the sinus ( > 0.05). Furthermore, a more full or partial appearance of US was found in female patients.
上颌窦中骨隔的存在是最常见的解剖学发现之一。所谓的安德伍德骨隔（US）是上颌窦中的一种非典型骨形成。在锥形束计算机断层扫描（CBCT）研究中，它们大多很容易被发现，并且在牙科手术的窦底提升术中具有重要意义。此外，骨隔的形状、位置和大小在每例上颌窦手术中都很重要。对作者自己数据库中的120例CBCT扫描进行了回顾性研究。大约37.5%的CBCT与安德伍德骨隔的出现有关，而只有25%有完整的骨隔，总共只有14例患者有半骨隔。女性中安德伍德骨隔更为常见，而健康的气化良好的上颌窦最为常见（82.22%）。无症状性窦综合征的发生（=0.174）、黏膜增厚（=0.325）或潴留囊肿形成（=0.272）之间无相关性。在CBCT评估中，大多数鼻窦没有任何混浊（91.11%），而其他综合征无统计学意义。似乎安德伍德骨隔的发生与窦内的任何临床、放射学或病理状况均无统计学相关性（>0.05）。此外，在女性患者中发现安德伍德骨隔的表现更完整或更部分。
