Öz
Purpose: To evaluate the incidence, morphology and localization of antral septa with computed tomography and panoramic radiography.
Materials and Methods: 2390 maxillary sinuses examined radiographically with computed tomography and panoramic radiography retrospectively. The morphology and localization of sinus septa is also evaluated by panoramic radiography.
Results: The sinus septa prevalance was determined as 13.7% with computed tomography and 18% with panoramic radiography. The maxillary sinus septa is more commonly found in edentulous maxillae than in dentate maxilla. The septa is mostly localized at the middle part of the sinus and the size of the septa mostly changed between 6-10 mm.
Conclusion: Detailed knowledge about location, morphology and height of antral septa is clinically important to reduce the rate of complications when maxillary sinus surgery, i.e. sinus flor elevation, is carried out.
ÖZET
Amaç: Bilgisayarlı tomografi ve panoramik radyografi kullanarak maksiller sinüste görülen septa oranını, lokalizasyonunu ve boyutlarını belirlemek.
Gereç ve Yöntem: 2390 maksiller sinüs radyografik olarak bilgisayarlı tomografi ve panoramik radyografi kullanılarak retrospektif olarak değerlendirilmiştir. Panoramik radyografi üzerinde ayrıca sinüs septa boyutu ve lokalizasyonu açısından değerlendirme yapılmıştır.
Bulgular: Bilgisayarlı tomografi ile sinüs septa oranı % 13.7 olarak bulunurken, panoramik radyografi ile bu oran % 18 olarak belirlenmiştir. Dişsiz kretlerde görülen septa sayısının dişli kretlere göre daha fazla olduğu, septanın en çok maksiller sinüs orta bölgesinde yer aldığı ve boyutunun 6-10 mm arasında değiştiği belirlenmiştir.
Sonuç: Maksiller sinüse yapılacak olan sinüs augmentasyonu gibi operasyonlarda maksiller sinüs anatomisinin ayrıntılı olarak bilinmesi komplikasyon oranının azaltılması açısından önemlidir.
Anahtar Sözcükler: Maksiller sinüs septa, antral septa, bilgisayarlı tomografi, panoramik radyografi
Kaynakça
- Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910; 44: 354-69.
- Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res ; 11: 256-65. Garg AK. Augmentation grafting of the maxillary sinus for placement of DentalImplants. Anatomy, physiology, and procedures. Implant Dent 1999; 8: 36–46.
- Misch CH. Contemporary implant dentistry. 2nd edition. St Louis: Mosby Inc; 1999. p. 469-95.
- White Pharoah Oral Radiology Principles and interpretation fifth edition p 179 Chanavaz M. Maxillary sinus. Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantol 1990; 16:199-209.
- Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus lift procedures. Int Oral Maxillofac Implants 1995; 10: 462-5.
- Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove). 2002; 45: 173-5.
- Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999; 57: 667-71.
- Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997; 25: 261-5.
- Oh HK, Ryu SY. Clinico-anatomical study of septum in the maxillary sinus. J Korean Assoc Oral Maxillofac Surg 1998; 24: 208-212.
- Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002; 17: 854-60.
- Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006; 77: 903-8.
- Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994; 52: 332-3.
- Tidwell JK, Blijdorp PA, Stoelinga PJ, Brouns JB, Hinderks F. Composite grafting of the maxillary sinus for placement of endosteal implants. A preliminary report of 48 patients. Int J Oral Maxillofac Surg 1992; 21: 204-9.
- Garg AK. Bone biology, harvesting, grafting for dental implants rationale and clinical applications. 1th edition. Illionis: Quintessence Publishing Co, Inc.; 2004. p. 171-211.
- Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980; 38: 613-6.
Öz
Amaç: Bilgisayarlı tomografi ve panoramik radyografi kullanarak maksiller sinüste görülen septa oranını, lokalizasyonunu ve boyutlarını belirlemek. Gereç ve Yöntem: 2390 maksiller sinüs radyografik olarak bilgisayarlı tomografi ve panoramik radyografi kullanılarak retrospektif olarak değerlendirilmiştir. Panoramik radyografi üzerinde ayrıca sinüs septa boyutu ve lokalizasyonu açısından değerlendirme yapılmıştır.Bulgular: Bilgisayarlı tomografi ile sinüs septa oranı % 13.7 olarak bulunurken, panoramik radyografi ile bu oran % 18 olarak belirlenmiştir. Dişsiz kretlerde görülen septa sayısının dişli kretlere göre daha fazla olduğu, septanın en çok maksiller sinüs orta bölgesinde yer aldığı ve boyutunun 6-10 mm arasında değiştiği belirlenmiştir. Sonuç: Maksiller sinüse yapılacak olan sinüs augmentasyonu gibioperasyonlarda maksiller sinüs anatomisinin ayrıntılı olarak bilinmesi komplikasyon oranının azaltılması açısından önemlidir
Anahtar Kelimeler
Maksiller sinüs septa antral septa bilgisayarlıtomografi panoramik radyografi
Kaynakça
- Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910; 44: 354-69.
- Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res ; 11: 256-65. Garg AK. Augmentation grafting of the maxillary sinus for placement of DentalImplants. Anatomy, physiology, and procedures. Implant Dent 1999; 8: 36–46.
- Misch CH. Contemporary implant dentistry. 2nd edition. St Louis: Mosby Inc; 1999. p. 469-95.
- White Pharoah Oral Radiology Principles and interpretation fifth edition p 179 Chanavaz M. Maxillary sinus. Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantol 1990; 16:199-209.
- Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus lift procedures. Int Oral Maxillofac Implants 1995; 10: 462-5.
- Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove). 2002; 45: 173-5.
- Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999; 57: 667-71.
- Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997; 25: 261-5.
- Oh HK, Ryu SY. Clinico-anatomical study of septum in the maxillary sinus. J Korean Assoc Oral Maxillofac Surg 1998; 24: 208-212.
- Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002; 17: 854-60.
- Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006; 77: 903-8.
- Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994; 52: 332-3.
- Tidwell JK, Blijdorp PA, Stoelinga PJ, Brouns JB, Hinderks F. Composite grafting of the maxillary sinus for placement of endosteal implants. A preliminary report of 48 patients. Int J Oral Maxillofac Surg 1992; 21: 204-9.
- Garg AK. Bone biology, harvesting, grafting for dental implants rationale and clinical applications. 1th edition. Illionis: Quintessence Publishing Co, Inc.; 2004. p. 171-211.
- Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980; 38: 613-6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Kasım 2011 |
| Gönderilme Tarihi | 4 Kasım 2011 |
| Yayımlandığı Sayı | Yıl 2008Cilt: 11 Sayı: 2 |
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