scholarly journals Relative area measurement of maxillary sinus by computed tomography

2014 ◽  
Vol 62 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Ronaldo Andrade Figueiredo de OLIVEIRA ◽  
Maria Cristina PEDRAZINI ◽  
Thomaz WASSALL
Keyword(s):  
Maxillary Sinus ◽  
Area Measurement ◽  
Graft Material ◽  
Relative Area ◽  
Donor Region ◽  
Posterior Maxilla ◽  
Significant Difference ◽  
Material Choice ◽  
Student’S T ◽  
Maxillary Sinuses

OBJECTIVE: To evaluate the relative area of the maxillary sinus in edentulous posterior maxilla with regard to linear area, bone septa and sinus pathologies. METHODS: A retrospective longitudinal study was conducted of tomographic exams in 60 individuals between 35 and 75 years of age, with the inclusion criteria being the uni- or bilateral edentulous posterior maxilla. Measurements were taken by the program in 101 maxillary sinuses. The horizontal and vertical measurements of each sinus were multiplied and resulted in a linear area in mm2. RESULTS: Of the 101 maxillary sinuses evaluated, 14 presented sinus pathologies (13.86%) and 22 (21.78%) with bone septa. The mean mesio distal distance was 38.4 mm (p ≤ 0.05), mean height 34. 5 mm (p ≤ 0.05) and mean linear area of 1335.88 mm² (p = 0.05). The Student's-t and analysis of variance (ANOVA) tests were applied for statistical analysis There were no statistically significant difference in the height and width of the edentulous maxillary sinuses between genders, but there was a variation in the linear area and the finding of the presence of bone septa and sinus pathologies. CONCLUSION: The conclusion of this study corroborates those of previous study about the need for imaging exams with the purpose of obtaining information about the dimensions of the maxillary sinus, as guidance with regard to the quantity of graft material, choice of donor region, and presence of septa. These data serve as guidance in the sinus lift technique and the presence of sinus pathologies, which involve treatment before bone graft surgeries.

Axial Triangle of the Maxillary Sinus, and its Surgical Implication With the Position of Maxillary Sinus Septa During Sinus Floor Elevation: A CBCT Analysis

2020 ◽  
Vol 46 (4) ◽  
pp. 415-422
Author(s):  
Junho Jung ◽  
Jung Soo Park ◽  
Seoung-Jin Hong ◽  
Gyu-Tae Kim ◽  
Yong-Dae Kwon
Keyword(s):  
Maxillary Sinus ◽  
Surgical Techniques ◽  
Lateral Sinus ◽  
Sinus Floor Elevation ◽  
Second Molar ◽  
Sinus Wall ◽  
Posterior Maxilla ◽  
Significant Difference ◽  
Sinus Floor ◽  
Molar Region

The aim of this study was to measure the convexity of the lateral wall of the maxillary (Mx) sinus and identify the locational distribution of antral septa in relation to the zygomaticomaxillary buttress (ZMB), in order to suggest another anatomical consideration and surgical modification of sinus floor elevation procedures. This study was designed as a cross-sectional study, and a total of 134 patients and 161 sinuses containing edentulous alveolar ridges were analyzed. The angle between the anterior and lateral walls of the Mx sinus (lateral sinus angle [LSA]), and the angle between the midpalatal line and the anterior sinus wall (anterior sinus angle [ASA]) were measured. Mean LSAs and ASAs were 105.9° ± 9.86° and 58.4° ± 6.43°, respectively. No significant difference between left and right sides was found (LSA, P = .420; right = 105.5° ± 9.27°; left = 105.5° ± 9.27° and ASA, P = .564; right = 57.9° ± 6.80°; left = 58.8° ± 6.02°). The prevalence of septa was 37.3%, and it was most frequently noted in the second molar region (32.8%), followed by the first molar (20.9%), retromolar (16.4%), and second premolar regions (14.9%). Septa were most frequently located posterior to the ZMB (49.2%), while ZMB was mostly located in the first molar region (66.4%). Narrow LSAs may complicate the surgical approach to the posterior maxilla, especially when sinus elevation should be used in the second molar region. Considering the occasional presence of antral septa, membrane elevation may be complicated when a septum is encountered during the procedure. These results suggest that 3-dimensional examination of the convexity of the Mx sinus should be performed preoperatively to choose proper surgical techniques and minimize surgical complications.

scholarly journals Evaluating Endoscopic Ipsilateral Endonasal Corridor Approaches to the Anterolateral Wall of the Maxillary Sinus: A Computerized Tomography Study

2021 ◽  
Author(s):  
Navarat Vatcharayothin ◽  
Pornthep Kasemsiri ◽  
Sanguansak Thanaviratananich ◽  
Cattleya Thongrong
Keyword(s):  
Confidence Interval ◽  
Maxillary Sinus ◽  
Inferior Turbinate ◽  
Radial Access ◽  
Sinus Wall ◽  
Nasal Floor ◽  
Significant Difference ◽  
Anterolateral Wall ◽  
The Mean ◽  
Maxillary Sinuses

Abstract Introduction The endoscopic access to lesions in the anterolateral wall of the maxillary sinus is a challenging issue; therefore, the evaluation of access should be performed. Objective To assess the accessibility of three endoscopic ipsilateral endonasal corridors. Methods Three corridors were created in each of the 30 maxillary sinuses from 19 head cadavers. Accessing the anterolateral wall of the maxillary sinus was documented with a straight stereotactic navigator probe at the level of the nasal floor and of the axilla of the inferior turbinate. Results At level of the nasal floor, the prelacrimal approach, the modified endoscopic Denker approach, and the endoscopic Denker approach allowed mean radial access to the anterolateral maxillary sinus wall of 42.6 ± 7.3 (95% confidence interval [CI]: 39.9–45.3), 56.0 ± 6.1 (95%CI: 53.7–58.3), and 60.1 ± 6.2 (95%CI: 57.8–62.4), respectively. Furthermore, these approaches provided more lateral access to the maxillary sinus at the level of the axilla of the inferior turbinate, with mean radial access of 45.8 ± 6.9 (95%CI: 43.3–48.4) for the prelacrimal approach, 59.8 ± 4.7 (95% CI:58.1–61.6) for the modified endoscopic Denker approach, and 63.6 ± 5.5 (95%CI: 61.6–65.7) for the endoscopic Denker approach. The mean radial access in each corridor, either at the level of the nasal floor or the axilla of the inferior turbinate, showed a statistically significant difference in all comparison approaches (p < 0.05). Conclusions The prelacrimal approach provided a narrow radial access, which allows access to anteromedial lesions of the maxillary sinus, whereas the modified endoscopic Denker and the endoscopic Denker approaches provided more lateral radial access and improved operational feasibility on far anterolateral maxillary sinus lesions.

scholarly journals Evaluation of the Prevalence of Maxillary Sinuses Abnormalities through Spiral Computed Tomography (CT)

2016 ◽  
Vol 21 (02) ◽  
pp. 126-133 ◽  
Author(s):  
João Drumond ◽  
Bruna Allegro ◽  
Neil Novo ◽  
Sérgio de Miranda ◽  
Wilson Sendyk
Keyword(s):  
Maxillary Sinus ◽  
Foreign Bodies ◽  
Chronic Sinusitis ◽  
Bone Lesions ◽  
Male And Female ◽  
Oroantral Fistula ◽  
Significant Difference ◽  
High Prevalence ◽  
Odontogenic Sinusitis ◽  
Maxillary Sinuses

Introduction Maxillary sinus disease is common and numerous disorders can affect this anatomical area. Abnormalities can be classified as: non-neoplastic, neoplastic benign, and neoplastic malignant. Objective Evaluate through CT the prevalence of diseases in maxillary sinuses, using the Radiology Department's database of a hospital in São Paulo city. Methods The sample consisted of 762 facial CT scans that we divided into three groups: Group A (12–19 years old); Group B (20–49 years old); Group C (above 50 years old); and male or female. We considered the following pathological processes: I - Mucoperiosteal Thickening; II - Chronic Sinusitis; III - Chronic Odontogenic Sinusitis; IV - Rhinosinusitis; V - Polypoid Lesions; VI - Bone Lesions; VII - Neoplasms; VIII - Antrolith; IX - Foreign Bodies; X - Oroantral Fistula. Results Our study found that 305 exams (40.02%) were normal and 457 exams (59.97%) were abnormal. We found the following disease frequencies: focal mucoperiosteal thickening (21.25%); polypoid lesions (10.76%); chronic sinusitis (7.48%); chronic odontogenic sinusitis (2.29%); neoplasms (2.03%); rhinosinusitis (1.77%); bone lesions, foreign bodies and oroantral fistula in 0.65%; 0.13% and 0.06% respectively. There was no significant difference between male and female, and Groups A, B, or C when relating the frequencies of abnormalities found. There was no significant difference between male and female and the age group for the side of the altered maxillary sinus. Conclusion We observed a high prevalence of sinus maxillary diseases. Mucoperiosteal thickening; acute, chronic, and odontogenic sinusitis; polypoid lesions and neoplasms have high prevalence in maxillary sinuses. Thus, facial CT exam was effective for the evaluation of diseases in maxillary sinuses.

scholarly journals A study on maxillary sinus dimensions by computed tomography in population of Tamil Nadu

2016 ◽  
Vol 05 (02) ◽  
pp. 091-096
Author(s):  
N Muthukumaravel ◽  
K.Y Manjunath
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Tamil Nadu ◽  
Maximum Width ◽  
Average Width ◽  
Computed Tomographic ◽  
Significant Difference ◽  
The Difference ◽  
The Right ◽  
Maxillary Sinuses

Abstract Background and aims: Maxillary sinuses are the largest of the paranasal sinuses known for variability in their dimensions. The maxillary sinus dimensions can be better ascertained in living by using computed tomography instead of plain radiography. This study was planned for highlighting the variations in the dimensions of the maxillary sinuses of population of Tamil Nadu region. The aims of the present study were to estimate dimensions of the maxillary sinuses on computed tomographic (CT) scan of the head of patients from Tamil Nadu and to compare the data gender wise and sidewise. Material and methods: Maximum width, height and depth of maxillary sinus of both sides were measured in CT - head images of 100 males and 100 females of 20-50 years of age in Tamil Nadu. Comparison of data between genders and sides by applying unpaired student "t" test was done. Results : The mean depth, height and width of both right and left maxillary sinuses were comparatively less in females than the males and the difference was found to be statistically significant ( P <.0001). On comparison between the sides of maxillary sinuses, the depth and the height of maxillary sinus did not show any significant difference in the measurements (p >.05), whereas the width of the left side (23.96 mm) was higher than that of the right side (23.69) and the difference was found to be statistically significant (P<.05). The combined average maxillary sinus dimensions (in mm) for both genders in the study population of Tamil Nadu are as follows: Right side depth: 33.71 ± 1.00; Left side depth : 33.65 ± 1.22; Right side height: 34.66 ± 2.71; Left side height: 34.74± 2.48; Right side width: 23.69 ± 0.78 and Left side width: 23.96 ± 0.86. Conclusion: The dimensions of maxillary sinuses in males were found to be larger than those of females and this difference was statistically significant. The average width of the maxillary sinuses on the left side is significantly more than that of right sided sinuses. Computed tomography measurements of maxillary sinuses may be useful in gender determination.

scholarly journals Assessment of the Relationship between the Maxillary Sinus and the Canine Root tip using Cone Beam Computed Tomography

2021 ◽  
Author(s):  
Leila Khojastepour ◽  
Najmeh Movahhedian ◽  
Mohadeseh Zolghadrpour
Keyword(s):  
Maxillary Sinus ◽  
Age Groups ◽  
Older Age ◽  
Anterior Region ◽  
Cone Beam ◽  
Type I ◽  
Age Group ◽  
Vertical Distance ◽  
Significant Difference ◽  
Maxillary Sinuses

Abstract Background: The purpose of the present study is to investigate the frequency and amount of extension of the maxillary sinus to the anterior region and to evaluate the vertical distance between the maxillary sinus floor and canine apices.Methods: Cone beam computed tomographic images of 300 individuals (154 males and 146 females) over 20 years (with mean age of 35.12 ± 8.40 years) were evaluated. The subjects were categorized into three age groups (20-30, 30-40 and 40-50 years). When maxillary sinus extended to the canine area, the vertical distance between them were recorded and their relationship were classified into three types: I (> 2 mm distance), II (2 mm < distance or in-contact) and III (interlock). Results: 413 out of 600 maxillary sinuses (68.8%) were extended into the canine area or beyond. Among them, 15 maxillary sinuses pneumatized into the incisor area (2.5%). The prevalence of the maxillary sinuses extended to the anterior region of the jaw was not significantly different between genders, but it was significantly less frequent in older age group and more frequent in the left side. The mean amount of anterior extension of maxillary sinus (mm) was significantly lower in older age group. Type I was the most frequent vertical relationship between the maxillary sinuses and canine apices with no significant difference in gender, side and age groups.Conclusions: Most of the maxillary sinuses extended to the canine area. Maxillary sinus extended into incisor area with the frequency of 2.5% . The amount of extension of the maxillary sinus to the anterior region and its vertical distance with canine apices decreased in older age group.

scholarly journals Gender differences in the maxillary sinus volume : a study using computed tomography scans of a sample of Tamil Nadu population

2016 ◽  
Vol 05 (03) ◽  
pp. 138-142
Author(s):  
N Muthukumaravel ◽  
K. Y. Manjunath
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Tamil Nadu ◽  
Ct Images ◽  
Ct Scans ◽  
P Value ◽  
Gender Determination ◽  
Maxillary Sinus Volume ◽  
Significant Difference ◽  
Maxillary Sinuses

Abstract Background and aims : Measurements of the maxillary sinus volumes in computed tomography (CT) scans can be used for determination of gender when other methods are inconclusive. Maxillary sinus dimension measurements are valuable in studying sexual dimorphism and can assist in gender determination. The radiographic images can provide adequate measurements for maxillary sinuses that cannot be approached by other means. The purpose of the present study was to determine and compare the volume of the maxillary sinus between males and females of Tamil Nadu region using CT scans. Materials and methods : This study was carried out by using CT images of head region of 100 males and 100 females who underwent CT scanning for indications other than the pathology of the maxillary sinuses. The CT images obtained were of patients between 20 to 50 years of age. The maxillary sinus volume of each side were calculated by using the following formula: Maximal width X Maximal height X Maximal depth X 0.5. Comparison of data between genders and sides was done. The statistical inference was derived by applying unpaired student "t" test and the p value was obtained (p value <.05 was considered statistical significant). Results: Oncomparison of males with females, the mean volumes of maxillary sinuses on each side (left and right) had shown a statistically significant difference (p<.OOOl ). The maxillary sinus volumes of the males were found to be significantly higher than that of the females. Among males, the average mean volume of maxillary sinuses (right + left) is 15.15 ± 0.45 cm3. Among females, the average mean volume of maxillary sinuses (right + left) is 12.77 ± 1.34 em' which is significantly lesser than that of the males. Conclusion : It can be concluded that the volumes of the maxillary sinuses of males are larger than those of the females and this difference is statistically significant. Maxillary sinus dimension measurements can assist in gender determination.

scholarly journals Surgeons’ Performance Determining the Amount of Graft Material for Sinus Floor Augmentation Using Tomography

2017 ◽  
Vol 28 (3) ◽  
pp. 385-390 ◽  
Author(s):  
Adriana Dibo Cruz ◽  
Guilherme Alvares Peixoto ◽  
Marcelo Freitas Aguiar ◽  
Gabriela Alessandra Cruz Galhardo Camargo ◽  
Nicolas Homs
Keyword(s):  
Maxillary Sinus ◽  
Diagnostic Tools ◽  
Graft Material ◽  
Convenience Sample ◽  
Computed Tomography Images ◽  
Posterior Maxilla ◽  
Sinus Floor Augmentation ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Maxillary Sinus Floor Augmentation

Abstract This study aimed to assess the performance of surgeons in determining the amount of graft material required for maxillary sinus floor augmentation in a preoperative analysis using cone-beam computed tomography images. A convenience sample of 10 retrospective CBCT exams (i-CAT®) was selected. Scans of the posterior maxilla area with an absence of at least one tooth and residual alveolar bone with an up to 5 mm height were used. Templates (n=20) contained images of representative cross-sections in multiplanar view. Ten expert surgeons voluntarily participated as appraisers of the templates for grafting surgical planning of a 10 mm long implant. Appraisers could choose a better amount of graft material using scores: 0) when considered grafting unnecessary, 1) for 0.25 g in graft material, 2) for 0.50 g, 3) for 1.00 g and 4) for 1.50 g or more. Reliability of the response pattern was analyzed using Cronbach’s a. Wilcoxon and Mann-Whitney tests were performed to compare scores. Regression analysis was performed to evaluate whether the volume of sinuses (mm3) influenced the choose of scores. In the reliability analysis, all values were low and the score distribution was independent of the volume of the maxillary sinuses (p>0.05), which did not influence choosing the amount of graft material. Surgeons were unreliable to determine the best amount of graft material for the maxillary sinus floor augmentation using only CBCT images. Surgeons require auxiliary diagnostic tools to measure the volume associated to CBCT exams in order to perform better.

scholarly journals Sinus Floor Elevation via an Osteotome Technique without Biomaterials

2021 ◽  
Vol 18 (3) ◽  
pp. 1103
Author(s):  
Rodrigo Andrés-García ◽  
José Vicente Ríos-Santos ◽  
Mariano Herrero-Climent ◽  
Pedro Bullón ◽  
Javier Fernández-Farhall ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Treatment Time ◽  
Valsalva Maneuver ◽  
Primary Stability ◽  
Graft Material ◽  
Sinus Augmentation ◽  
Side Window ◽  
Posterior Maxilla ◽  
Augmentation Techniques ◽  
Sinus Floor

According to classic Hirschfeld studies, the first teeth to be lost are the first and second maxillary molars. After the teeth are extracted and the alveolar process is developed, the maxillary sinus is reabsorbed and pneumatized with a decrease in bone availability in the posterior sector of the maxilla. This process often creates the need to perform regeneration techniques for the placement of implants in this area due to the low availability of bone. The most frequently used and documented technique for the elevation of the sinus maxillary floor is elevation by the side window, as proposed by Tatum. In 1994, Summers proposed a technique that allowed the elevation of the sinus floor from a crestal access using an instrument called an osteotome, as well as the placement of the implant in the same surgical act. The aimed of the study was to evaluate the survival of 32 implants placed in posterior maxilla with bone availability less than 5 mm performing a sinus lift augmentation technique with osteotome without biomaterials. The results of this study show a survival rate of 100% for 32 implants placed in situations with an initial bone availability of 2 to 5 mm without the use of graft material. The infra-drilling technique used offers an increase in the primary stability of implants that allows adequate osteointegration Implants placed were charged at 12 weeks. In all cases, spontaneous bone formation was observed, even in cases where a positive Valsalva maneuver was observed. This proposed technique reduces treatment time and the need for more invasive maxillary sinus augmentation techniques.

Early Effect of Exogenous Na Hyaluronate on Mucociliary Clearance

2005 ◽  
Vol 19 (3) ◽  
pp. 244-247 ◽  
Author(s):  
Altan Yildirim ◽  
Bulent Turgut ◽  
Ali Ihsan Bebek ◽  
Cesur Gumus ◽  
Sinan Kocaturk ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Surgical Procedure ◽  
Mucociliary Clearance ◽  
Physiological Solution ◽  
Control Group ◽  
Scintigraphic Imaging ◽  
Early Effect ◽  
Significant Difference ◽  
The Mean ◽  
Maxillary Sinuses

Background An animal study is performed to determine the early effect of 1% Na hyaluronate on mucociliary clearance function. Methods One percent of Na hyaluronate was introduced into the maxillary sinuses of rabbits by anterior antrostomy. A physiological solution of 1% NaCl was introduced into the maxillary sinuses of a control group to equalize the influence of Na for both groups. The treatment material was sprayed with an atomizer for coating the maxillary sinus lining. Technetium-99m diethylenetriamine pentaacetate dynamic scintigraphic imaging was performed to evaluate mucociliary clearance function on all rabbits 72 hours after the surgical procedure. Results Although the mean rate of mucociliary clearance of the Na hyaluronate group was slightly worse than the control group; there was no statistically significant difference between them. Conclusion There is no early effect of exogenous 1% Na hyaluronate on mucociliary clearance function.

scholarly journals Comparative Histological and Histomorphometric Results of Six Biomaterials Used in Two-Stage Maxillary Sinus Augmentation Model after 6-Month Healing

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Gerardo La Monaca ◽  
Giovanna Iezzi ◽  
Maria Paola Cristalli ◽  
Nicola Pranno ◽  
Gian Luca Sfasciotti ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Bone Allograft ◽  
Bovine Bone ◽  
Graft Material ◽  
Histomorphometric Analysis ◽  
Sinus Augmentation ◽  
Maxillary Sinus Augmentation ◽  
Freeze Dried ◽  
Posterior Maxilla ◽  
Bone Biopsies

Objectives. To evaluate the performances of six different bone substitute materials used as graft in maxillary sinus augmentation by means of histological and histomorphometric analysis of bone biopsies retrieved from human subjects after a 6-month healing period. Materials and Methods. Six consecutive patients (3 males, 3 females, aged 50-72 years), healthy, nonsmokers, and with good oral hygiene, presenting edentulous posterior maxilla with a residual bone crest measuring ≤ 4 mm in vertical height and 3 to 5 mm in horizontal thickness at radiographic examination, were selected to receive sinus augmentation and delayed implant placement. Under randomized conditions, sinus augmentation procedures were carried out using mineralized solvent-dehydrated bone allograft (MCBA), freeze-dried mineralized bone allograft (FDBA), anorganic bovine bone (ABB), equine-derived bone (EB), synthetic micro-macroporous biphasic calcium-phosphate block consisting of 70% beta-tricalcium phosphate and 30% hydroxyapatite (HA-β-TCP 30/70), or bioapatite-collagen (BC). After 6 months, bone core biopsies were retrieved and 13 implants were placed. Bone samples were processed for histological and histomorphometric analysis. CT scans were taken before and after surgery. After 4 months of healing, patients were restored with a provisional fixed acrylic resin prosthesis, as well as after further 2-4 months with a definitive cemented zirconia or porcelain-fused-to-metal crowns. Results. There were no postoperative complications or implant failures. The histological examination showed that all biomaterials were in close contact with newly formed bone, surrounding the graft granules with a bridge-like network. No signs of acute inflammation were observed. The histomorphometry revealed 20.1% newly formed bone for MCBA, 32.1% for FDBA, 16.1% for ABB, 22.8% for EB, 20.3% for HA-β-TCP 30/70, and 21.4% for BC. Conclusions. Within the limitations of the present investigation, all the six tested biomaterials showed good biocompatibility and osteoconductive properties when used in sinus augmentation procedures, although the FDBA seemed to have a better histomorphometric result in terms of newly formed bone and residual graft material. This trial is registered with ClinicalTrials.gov Identifier (Registration Number): NCT03496688.

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