Almeida Luara da Silveira Roberto, Ruffo Aline da Silva, Devito Karina Lopes
Faculty of Dentistry, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
Postgraduation Program in Dentistry, Faculty of Dentistry, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
Int Arch Otorhinolaryngol. 2025 Jan 27;29(1):1-7. doi: 10.1055/s-0044-1788909. eCollection 2025 Jan.
In the literature, there is divergence about the relationship between anatomical variations of the turbinates and nasal septum (NS) and alterations in the maxillary sinus (MS) mucosa. To determine, through cone-beam computed tomography (CBCT) images of Brazilian individuals, the prevalence and relationship of anatomical variations of the turbinates and NS with alterations in the mucosa of the MS, as well as to analyze the relationships of these variables with demographic data. The present cross-sectional study involved the analysis of 120 CBCT scans using the i-CAT Vision software, conducted by 2 calibrated examiners. The MS, lower and medium turbinates, and NS were evaluated. Data on gender, age, and the side affected by anatomical variation were also collected. The intra- and interexaminer agreements were assessed using Kappa indices. The association was analyzed using the Chi-squared or Fisher exact tests, and measured by the Phi, Cramer V, or Kendall Tau-C values. Most patients presented partial opacification of the MS (89.2%), inferior turbinate hypertrophy (TH) (60.8%), and NS deviation (85%). There were no cases of inferior concha bullosa (CB), while the prevalence of middle CB was of 20%. Variation in the turbinates, CB, and NS were not significantly related to changes in the MS mucosa. We can conclude that, in the evaluated sample, there was no significant associations involving the studied variables.
在文献中，关于鼻甲和鼻中隔（NS）的解剖变异与上颌窦（MS）黏膜改变之间的关系存在分歧。 通过巴西人的锥形束计算机断层扫描（CBCT）图像，确定鼻甲和NS的解剖变异与MS黏膜改变的患病率及关系，并分析这些变量与人口统计学数据的关系。 本横断面研究涉及使用i-CAT Vision软件对120例CBCT扫描进行分析，由2名经过校准的检查人员进行。对MS、下鼻甲和中鼻甲以及NS进行了评估。还收集了性别、年龄和受解剖变异影响侧的数据。使用Kappa指数评估检查者内和检查者间的一致性。使用卡方检验或Fisher精确检验分析关联，并通过Phi、Cramer V或Kendall Tau-C值进行测量。 大多数患者表现为MS部分混浊（89.2%）、下鼻甲肥大（TH）（60.8%）和NS偏曲（85%）。没有下鼻甲气化（CB）的病例，而中鼻甲气化的患病率为20%。鼻甲、CB和NS的变异与MS黏膜的变化无显著相关性。 我们可以得出结论，在评估的样本中，所研究的变量之间没有显著关联。
