Anbiaee Najmeh, Shooshtari Zahra, Ghavam Haniehsadat, Shahri Arsalan
Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
Dental Research Center, Mashhad Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4373-4380. doi: 10.1007/s12070-024-04865-8. Epub 2024 Jul 5.
The presence of maxillary sinusitis can complicate dental procedures. This study aimed to explore the relationship between maxillary sinus radiomorphometric factors, observed in cone-beam computed tomography (CBCT) images, and inflammatory sinus diseases. In this cross-sectional study, CBCT images from patients referred to a private radiology center between January 2018-January 2020 were analyzed. Sinuses were categorized as healthy or pathologic. Sinus pathologies were further classified into subgroups; mucosal thickening, retention cyst, partial opacification, complete opacification and air-fluid level. Radiomorphometric parameters, including ostium height, drainage length, ostium opening size, and drainage angle, were measured in the coronal plane. A value less than 0.05 was considered statistically significant. A total of 433 maxillary sinuses from 258 patients were examined. Height of the ostium and drainage path length in the groups with various sinus pathologies was significantly higher than in healthy sinuses ( < 0.05 for each subgroup) except for air-fluid level ( = 0.334 and = 0.520, respectively). Drainage path length was significantly longer in all patient groups. Maxillary ostium openings were significantly smaller in retention cyst and partial opacification subgroups, compared to healthy patients ( = 0.000 and = 0.006, respectively) except for mucosal thickening or air-fluid levels conditions ( = 0.094 and = 0.62). Drainage angle did not significantly differ. This study reveals that longer drainage length is associated with a higher risk of inflammatory sinus diseases, with increased severity. Smaller ostium openings are linked to retention cysts and partial opacification, while higher ostium locations increase the likelihood of sinus inflammation and disease severity.
上颌窦炎的存在会使牙科手术变得复杂。本研究旨在探讨在锥形束计算机断层扫描（CBCT）图像中观察到的上颌窦放射形态计量学因素与鼻窦炎性疾病之间的关系。在这项横断面研究中，分析了2018年1月至2020年1月期间转诊至一家私立放射学中心的患者的CBCT图像。鼻窦被分类为健康或病理状态。鼻窦病变进一步分为亚组；黏膜增厚、潴留囊肿、部分混浊、完全混浊和气液平面。在冠状面测量包括窦口高度、引流长度、窦口开口大小和引流角度在内的放射形态计量学参数。P值小于0.05被认为具有统计学意义。共检查了258例患者的433个上颌窦。除气液平面外（分别为P = 0.334和P = 0.520），各种鼻窦病变组的窦口高度和引流路径长度均显著高于健康鼻窦（每个亚组P < 0.05）。所有患者组的引流路径长度均显著更长。与健康患者相比，潴留囊肿和部分混浊亚组的上颌窦口明显更小（分别为P = 0.000和P = 0.006），黏膜增厚或气液平面情况除外（P = 0.094和P = 0.62）。引流角度无显著差异。本研究表明，较长的引流长度与鼻窦炎性疾病风险较高及严重程度增加相关。较小的窦口与潴留囊肿和部分混浊有关，而较高的窦口位置会增加鼻窦炎症和疾病严重程度的可能性。
