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Year 2013, Volume: 16 Issue: 3, 181 - 187, 19.03.2013

Akif Sumbullu Oguzhan Altun Dogan Durna Binali Cakur

https://doi.org/10.7126/cdj.2013.2062

Abstract

Objectives: The maxillary sinuses are importantanatomical structures for dental procedures indentistry. The normal function of the sinuses iseffective in the success of these dental procedures.The continuation of the normal functions of theparanasal sinuses, the maxillary and osteomeatalcomplex (OMC) has an important role. In thisstudy, we aimed to investigate the frequency ofosteomeatal complex anatomic variations withcone-beam computed tomography.Material and Methods: In this retrospectivestudy, in cone-beam computed topographies of 280patients (154 men, 126 women), anatomicvariations of paranasal sinuses (deviated septum,inferior turbinate hypertrophy, concha bullosa,paradoxical middle turbinate, Agger nasi, Haller’scell, Onodi cell, pneumatized uncinate process(uncinate bulla), pneumatized crista galli,pneumatized septum) were analyzed.Results: In our study, septal deviation 85%;inferior turbinate hypertrophy 48.6%; middleconcha bullosa 40%; Agger nasi cells 28.6%;Haller’s cells 9.6%; pneumatized septum 4.6%;paradoxical middle turbinate 2.5%; pneumatizeduncinate process 2.5%; pneumatized crista galli1.4%; Onodi %1.1 were found.Conclusion: Variations of the osteomeatalcomplex due to the effect of the paranasal sinusesshould be considered in maxillary dental implantplanning.

Keywords

Anatomic variation osteomeatalcomplex cone-beam computed tomography.

References

  • Çakur B, Sümbüllü MA, Durna D. Relationship among Schneiderian membrane, Underwood’s septa, and the maxillary sinus inferior border. Clin Implant Dent Relat Res. DOI: 10.1111/j.1708-8208.2011.00336.
  • Güven O, Kaymak TE . İmplantolojide Maksiller Sinüsün Önemi ve Sinüs Lifting İşlemleri.J Dental Sci 2010;1(1):31-9.
  • Dursun E, Korkmaz H, Şafak MA, Samim E, Bayız Ü, Akmansu H, Özeri C. Paranazal sinüs infeksiyonlarında ostiomeatal komplekdeki anatomik varyasyonlar. K.B.B. ve Baş Boyun Cerrahisi Dergisi, 1998; 6 (3): 147-156.
  • Levine HL, May M. Endoscopic sinus surgery. Thieme Medical Publishers, New York, 1993:64-90.
  • Pata YS, Ünal M, Akbaş Y. Paranazal Sinüsler ve Nazal Kavitenin Anatomik Varyasyonları: Bilgiyasarlı Tomografi Çalışması. Turk Arch Otolaryngol, 2005; 43(4): 201-206
  • Earwaker J. Anatomic variants in sinonasal CT. Radiographics, 13:381-415,1993.
  • East CA, Annis JAD. Preoperatif CT scanning for endoscopic sinus surgery: A rational approach. Clin Otolaryngol, 17:60-66, 1992.
  • Basak S. Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery. Rhinology 1998; 36: 162-7.
  • Aktaş D, Kalcıoğlu MT, Kutlu R, Özturan O, Öncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003; 41: 103-6.
  • Kennedy DW. Functional endoscopic sinus surgery: Theory and diagnostic evaluation. Arch Otolaryngol 1985; 111: 576-82.
  • Dursun E. Kronik Paranazal Sinüs Hastalıklarının preoperatif değerlendirilmesi ve fonksiyonel endoskopik sinüs cerrahisinin tedavideki yeri. Uzmanlık tezi. S.B. Ankara Eğitim ve Araştırma Hastanesi K.B.B. Kliniği, 1995.
  • Erkuş S. Paranazal sinüsler ve nazal osteitik anatomik varyasyonlar ve mukozal anomaliler. KBB postası 1992; 1: 32-35.
  • Arslan H. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999; 26: 39-48.
  • Friedman WH. Staging system for chronic sinus disease. ENT J 1994; 73, 480-4.
  • Çakur B, Sümbüllü MA, Yılmaz AB. Alt Konka Hipertrofisi, Nazal Septum Deviasyonu ve Antral Retansiyon Kisti Arasındaki İlişki. Atatürk Üniv Diş Hek Fak Derg. 2011;21(1): 59.
  • Güney A. Kronik sinüzit ve anatomik varyasyonlar. KBB ve Baş Boyun Cerrahisi Dergisi 1995; 3: 227-230.
  • Saraçel A. Fonksiyonel endoskopik sinüs cerrahisi. Kronik sinüzit cerrahisinde yeni yaklaşım. KBB Postası 1988; 1: 23- 28.
  • Rudralingam M, Jones K, Woolford TJ. The unilateral opaque maxillary sinus on computed tomography. Br J Oral Maxillofac Surg 2002;40(6):504-7.
  • Karabulut N, Akti U, Kazil S. Comparison of low dose and standard dose CT in the evaluation of inflammatory diseases of paranasal sinuses. Tanı Girisim Radyol 2003;9(3):315-20.
  • Dursun E, Korkmaz H, Bayız Ü, Göçmen H, Samim E, Eryılmaz A, et al. Maksiller Mukozal Retansiyon Kistlerinde Cerrahi Yaklasımlar ve Ostiomeatal Kompleks Anatomik Varyasyonları. T Klin K B B 2001;(1 ):154-61.
  • Schuknecht B, Simmen D. State of the Art. Diagnostic imaging of paranasal sinus diseases. Laryngorhinootologie 2002;81(2):126-46.
  • Anzai Y, Yueh B. Imaging evaluation of sinusitis: diagnostic performance and impact on health outcome. Neuroimaging Clin N Am 2003;13(2):251-63.
  • Chao TK. Uncommon anatomic variations in patients with chronic paranasal sinusitis. Otolaryngol Head Neck Surg 2005;132(2):221-5.

Nazal kavite ve osteomeatal kompleks anatomik varyasyonları

Year 2013, Volume: 16 Issue: 3, 181 - 187, 19.03.2013

Akif Sumbullu Oguzhan Altun Dogan Durna Binali Cakur

https://doi.org/10.7126/cdj.2013.2062

Abstract

Objectives: The maxillary sinuses are important anatomical structures for dental procedures in dentistry. The normal function of the sinuses is effective in the success of these dental procedures. The continuation of the normal functions of the paranasal sinuses, the maxillary and osteomeatal complex (OMC) has an important role. In this study, we aimed to investigate the frequency of osteomeatal complex anatomic variations with cone-beam computed tomography.

Material and Methods: In this retrospective study, in cone-beam computed topographies of 280 patients (154 men, 126 women), anatomic variations of paranasal sinuses (deviated septum, inferior turbinate hypertrophy, concha bullosa, paradoxical middle turbinate, Agger nasi, Haller’s cell, Onodi cell, pneumatized uncinate process (uncinate bulla), pneumatized crista galli, pneumatized septum) were analyzed.

Results: In our study, septal deviation 85%; inferior turbinate hypertrophy 48.6%; middle concha bullosa 40%; Agger nasi cells 28.6%; Haller’s cells 9.6%; pneumatized septum 4.6%; paradoxical middle turbinate 2.5%; pneumatized uncinate process 2.5%; pneumatized crista galli 1.4%; Onodi %1.1 were found.

Conclusion: Variations of the osteomeatal complex due to the effect of the paranasal sinuses should be considered in maxillary dental implant planning.

Keywords: Anatomic variation, osteomeatal complex, cone-beam computed tomography.

 

ÖZET

Amaç: Diş hekimliğinde maksiller sinüsler dental girişimler için önemli anatomik yapılardır. Bu girişimlerin başarısında sinüslerin normal fonksiyonları etkilidir. Maksiller ve diğer paranazal sinüslerin normal fonksiyonlarını sürdürmesinde osteomeatal kompleks (OMK) önemli bir role sahiptir. Bu çalışmada nazal fossa ve osteomeatal kompleks anatomik varyasyonlarının konik ışınlı bilgisayarlı tomografi (KIBT) ile sıklığının araştırılması amaçlandı.

Gereç ve Yöntem: Bu retrospektif çalışmada 280 hastanın (154 erkek, 126 kadın) konik ışınlı bilgisayarlı tomografilerinde paranazal sinüslerin anatomik varyasyonları (Agger nazi hücresi, Haller hücresi, Onodi hücresi, orta konka bulloza, paradoksal orta konka, pnömatize unsinat proses (uncinate bulla), pnömatize krista galli, pnömatize septum, alt konka hipertrofisi, septum deviasyonu) incelendi.

Bulgular: Çalışmamızda septum deviasyonu %85; alt konka hipertrofisi %48.6; orta konka bulloza %40; Agger nazi hücreleri %28.6; Haller hücreleri %9.6; pnömatize septum %4.6; paradoksal orta konka %2.5; unsinat proses pnömatizasyonu %2.5; pnömatize krista galli %1.4; Onodi hücresi %1.1 olarak bulundu.

Sonuç: Osteomeatal kompleks varyasyonları paranasal sinüslere olan etkisi nedeniyle maksiller dental implant planlamalarında dikkate alınmalıdır.

Keywords

Anatomik varyasyon osteomeatal kompleks konik ışınlı bilgisayarlı tomografi.

References

  • Çakur B, Sümbüllü MA, Durna D. Relationship among Schneiderian membrane, Underwood’s septa, and the maxillary sinus inferior border. Clin Implant Dent Relat Res. DOI: 10.1111/j.1708-8208.2011.00336.
  • Güven O, Kaymak TE . İmplantolojide Maksiller Sinüsün Önemi ve Sinüs Lifting İşlemleri.J Dental Sci 2010;1(1):31-9.
  • Dursun E, Korkmaz H, Şafak MA, Samim E, Bayız Ü, Akmansu H, Özeri C. Paranazal sinüs infeksiyonlarında ostiomeatal komplekdeki anatomik varyasyonlar. K.B.B. ve Baş Boyun Cerrahisi Dergisi, 1998; 6 (3): 147-156.
  • Levine HL, May M. Endoscopic sinus surgery. Thieme Medical Publishers, New York, 1993:64-90.
  • Pata YS, Ünal M, Akbaş Y. Paranazal Sinüsler ve Nazal Kavitenin Anatomik Varyasyonları: Bilgiyasarlı Tomografi Çalışması. Turk Arch Otolaryngol, 2005; 43(4): 201-206
  • Earwaker J. Anatomic variants in sinonasal CT. Radiographics, 13:381-415,1993.
  • East CA, Annis JAD. Preoperatif CT scanning for endoscopic sinus surgery: A rational approach. Clin Otolaryngol, 17:60-66, 1992.
  • Basak S. Evaluation of some important anatomical variations and dangerous areas of the paranasal sinuses by CT for safer endonasal surgery. Rhinology 1998; 36: 162-7.
  • Aktaş D, Kalcıoğlu MT, Kutlu R, Özturan O, Öncel S. The relationship between the concha bullosa, nasal septal deviation and sinusitis. Rhinology 2003; 41: 103-6.
  • Kennedy DW. Functional endoscopic sinus surgery: Theory and diagnostic evaluation. Arch Otolaryngol 1985; 111: 576-82.
  • Dursun E. Kronik Paranazal Sinüs Hastalıklarının preoperatif değerlendirilmesi ve fonksiyonel endoskopik sinüs cerrahisinin tedavideki yeri. Uzmanlık tezi. S.B. Ankara Eğitim ve Araştırma Hastanesi K.B.B. Kliniği, 1995.
  • Erkuş S. Paranazal sinüsler ve nazal osteitik anatomik varyasyonlar ve mukozal anomaliler. KBB postası 1992; 1: 32-35.
  • Arslan H. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999; 26: 39-48.
  • Friedman WH. Staging system for chronic sinus disease. ENT J 1994; 73, 480-4.
  • Çakur B, Sümbüllü MA, Yılmaz AB. Alt Konka Hipertrofisi, Nazal Septum Deviasyonu ve Antral Retansiyon Kisti Arasındaki İlişki. Atatürk Üniv Diş Hek Fak Derg. 2011;21(1): 59.
  • Güney A. Kronik sinüzit ve anatomik varyasyonlar. KBB ve Baş Boyun Cerrahisi Dergisi 1995; 3: 227-230.
  • Saraçel A. Fonksiyonel endoskopik sinüs cerrahisi. Kronik sinüzit cerrahisinde yeni yaklaşım. KBB Postası 1988; 1: 23- 28.
  • Rudralingam M, Jones K, Woolford TJ. The unilateral opaque maxillary sinus on computed tomography. Br J Oral Maxillofac Surg 2002;40(6):504-7.
  • Karabulut N, Akti U, Kazil S. Comparison of low dose and standard dose CT in the evaluation of inflammatory diseases of paranasal sinuses. Tanı Girisim Radyol 2003;9(3):315-20.
  • Dursun E, Korkmaz H, Bayız Ü, Göçmen H, Samim E, Eryılmaz A, et al. Maksiller Mukozal Retansiyon Kistlerinde Cerrahi Yaklasımlar ve Ostiomeatal Kompleks Anatomik Varyasyonları. T Klin K B B 2001;(1 ):154-61.
  • Schuknecht B, Simmen D. State of the Art. Diagnostic imaging of paranasal sinus diseases. Laryngorhinootologie 2002;81(2):126-46.
  • Anzai Y, Yueh B. Imaging evaluation of sinusitis: diagnostic performance and impact on health outcome. Neuroimaging Clin N Am 2003;13(2):251-63.
  • Chao TK. Uncommon anatomic variations in patients with chronic paranasal sinusitis. Otolaryngol Head Neck Surg 2005;132(2):221-5.
There are 23 citations in total.

Details

Primary Language Turkish
Journal Section Original Research Articles
Authors

Akif Sumbullu

Oguzhan Altun

Dogan Durna

Binali Cakur

Publication Date March 19, 2013
Submission Date March 19, 2013
Published in Issue Year 2013Volume: 16 Issue: 3

Cite

EndNote Sumbullu A, Altun O, Durna D, Cakur B (July 1, 2013) Nazal kavite ve osteomeatal kompleks anatomik varyasyonları. Cumhuriyet Dental Journal 16 3 181–187.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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