Is There a Relationship Between Maxillary Sinus's Inferior Pneumatisation and Sinonasal Variations? A Retrospective CBCT Study

Overview

Journal J Oral Maxillofac Res

Date 2023 Nov 16

PMID 37969952

Authors

Sevde Goksel

Arif Yigit Guler

Affiliations

Soon will be listed here.

Abstract

Objectives: This retrospective study aims to analyse alveolar and palatal process pneumatisation and their relationships with sinonasal variations using cone-beam computed tomography.

Material And Methods: The study included 500 patients aged 18 to 87 years, involving 1000 maxillary sinuses with cone-beam computed tomography scans. We examined the relationship between inferior maxillary pneumatisation and the following anatomic variations: Haller cell, concha bullosa, paradoxical concha, bifid concha, and septal deviation.

Results: Among the 1000 maxillary sinuses assessed, we found 223 (22.3%) with alveolar process pneumatisation (APP), 37 (3.7%) with palatal process pneumatisation (PPP), and 23 (2.3%) with the presence of both APP and PPP. Significant relationships were observed between the Haller cell (P = 0.005), nasal septum deviation (P = 0.000), and middle concha bullosa (P = 0.01) with APP. However, there were no significant relationships between the paradoxical middle concha (P = 0.07), bifid middle concha (P = 0.74), and APP. Similarly, significant relationships were observed between the Haller cell (P = 0.001), paradoxical middle concha (P = 0.009), bifid middle concha (P = 0.000), and PPP. However, there were no significant relationships between concha bullosa (P = 0.799) and PPP. Additionally, we found significant relationships between the Haller cell (P = 0.003) and the presence of both APP and PPP.

Conclusions: This study provides an anatomical basis for imaging diagnosis by investigating the frequency of inferior pneumatisation of the maxillary sinus and its relationship with certain sinonasal variations.

References

Liu T, Han D, Wang J, Tan J, Zang H, Wang T . Effects of septal deviation on the airflow characteristics: using computational fluid dynamics models. Acta Otolaryngol. 2011; 132(3):290-8. DOI: 10.3109/00016489.2011.637233. View

Whyte A, Boeddinghaus R . The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofac Radiol. 2019; 48(8):20190205. PMC: 6951102. DOI: 10.1259/dmfr.20190205. View

Bozdemir E, Gormez O, Yildirim D, Erik A . Paranasal sinus pathoses on cone beam computed tomography. J Istanb Univ Fac Dent. 2017; 50(1):27-34. PMC: 5573450. DOI: 10.17096/jiufd.47796. View

Lee J, Park S, Cha S, Moon J, Kim M . Does Nasal Septal Deviation and Concha Bullosa Have Effect on Maxillary Sinus Volume and Maxillary Sinusitis?: A Retrospective Study. Taehan Yongsang Uihakhoe Chi. 2022; 81(6):1377-1388. PMC: 9431850. DOI: 10.3348/jksr.2019.0169. View

Hamdy R, Abdel-Wahed N . Three-dimensional linear and volumetric analysis of maxillary sinus pneumatization. J Adv Res. 2015; 5(3):387-95. PMC: 4294758. DOI: 10.1016/j.jare.2013.06.006. View

Al-Rawi N, Uthman A, Abdulhameed E, Nuaimi A, Seraj Z . Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: A cone-beam computed tomography study. Imaging Sci Dent. 2019; 49(1):45-51. PMC: 6444003. DOI: 10.5624/isd.2019.49.1.45. View

Lim H, Kim S, Kim D, Herr Y, Chung J, Shin S . Factors affecting maxillary sinus pneumatization following posterior maxillary tooth extraction. J Periodontal Implant Sci. 2021; 51(4):285-295. PMC: 8367647. DOI: 10.5051/jpis.2007220361. View

Alqahtani S, Alsheraimi A, Alshareef A, Alsaban R, AlQahtani A, Almgran M . Maxillary Sinus Pneumatization Following Extractions in Riyadh, Saudi Arabia: A Cross-sectional Study. Cureus. 2020; 12(1):e6611. PMC: 6957056. DOI: 10.7759/cureus.6611. View

Asantogrol F, Cosgunarslan A . The effect of anatomical variations of the sinonasal region on maxillary sinus volume and dimensions: a three-dimensional study. Braz J Otorhinolaryngol. 2021; 88 Suppl 1:S118-S127. PMC: 9734263. DOI: 10.1016/j.bjorl.2021.05.001. View

10.

Kim H, Friedman E, Sulek M, Duncan N, McCluggage C . Paranasal sinus development in chronic sinusitis, cystic fibrosis, and normal comparison population: a computerized tomography correlation study. Am J Rhinol. 1997; 11(4):275-81. DOI: 10.2500/105065897781446676. View

11.

Patel S, Dawood A, Pitt Ford T, Whaites E . The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007; 40(10):818-30. DOI: 10.1111/j.1365-2591.2007.01299.x. View

12.

Gencer Z, Ozkiris M, Okur A, Karacavus S, Saydam L . The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhinolaryngol. 2013; 270(12):3069-73. DOI: 10.1007/s00405-013-2435-y. View

13.

Luz J, Greutmann D, Wiedemeier D, Rostetter C, Rucker M, Stadlinger B . 3D-evaluation of the maxillary sinus in cone-beam computed tomography. Int J Implant Dent. 2018; 4(1):17. PMC: 5986688. DOI: 10.1186/s40729-018-0128-4. View

14.

Smith K, Edwards P, Saini T, Norton N . The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent. 2010; 2010. PMC: 2938434. DOI: 10.1155/2010/404982. View

15.

Sharan A, Madjar D . Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants. 2008; 23(1):48-56. View

16.

Demir U, Akca M, Ozpar R, Albayrak C, Hakyemez B . Anatomical correlation between existence of concha bullosa and maxillary sinus volume. Surg Radiol Anat. 2015; 37(9):1093-8. DOI: 10.1007/s00276-015-1459-y. View

17.

Lawson W, Patel Z, Lin F . The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec (Hoboken). 2008; 291(11):1554-63. DOI: 10.1002/ar.20774. View

18.

Anbiaee N, Khodabakhsh R, Bagherpour A . Relationship between Anatomical Variations of Sinonasal Area and Maxillary Sinus Pneumatization. Iran J Otorhinolaryngol. 2019; 31(105):229-234. PMC: 6666940. View

19.

Distefano S, Cannarozzo M, Spagnuolo G, Bucci M, Lo Giudice R . The "Dedicated" C.B.C.T. in Dentistry. Int J Environ Res Public Health. 2023; 20(11). PMC: 10252385. DOI: 10.3390/ijerph20115954. View

20.

Kucybala I, Janik K, Ciuk S, Storman D, Urbanik A . Nasal Septal Deviation and Concha Bullosa - Do They Have an Impact on Maxillary Sinus Volumes and Prevalence of Maxillary Sinusitis?. Pol J Radiol. 2017; 82:126-133. PMC: 5347520. DOI: 10.12659/PJR.900634. View