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Comparison of Diagnostic Accuracy of Panoramic Radiography to CBCT in Maxillary Sinus Diseases

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Abstract

We aimed to compare the effectiveness of panoramic radiography (PR) and cone beam computed tomography (CBCT) in radiographic diagnosis of maxillary sinus (MS) diseases. MS diseases (mucosal thickening, mucus retention cyst, polyp sinusitis, mucocele and tumoral formations) was carried out on both PR and CBCT images belonging to 625 patients. Analyzes were performed separately for right and left maxillary sinus, and total of 1250 PR and CBCT images. While a diagnosis of disease was made in 42.96% of a total of 1250 MS according to CBCT. According to PR, diagnosis was made in 58.72%. The 537 diagnoses where lesion presence was determined on CBCT in our study were compared over PR, and it was observed that, there was the right diagnosis (true positive) in 106 (19.73%) of these including respectively mucus retention cyst (n = 88), polyp (n = 16), 1 sinusitis and 1 tumor, and there was an incorrect diagnosis (false positive) in 221 (41.15%). In 42.92% of the MS that were identified as healthy based on CBCT, the correct diagnosis was also made on PR (true negative). The use of CBCT instead of PR in the diagnosis of pathological or inflammatory diseases contributes to a more accurate radiographic differential diagnosis.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. All co-authors have seen and agree with the contents of the manuscript and there is no financial interest to report. We certify that the submission is original work and is not under review at any other publication.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, School of Dentistry, Adıyaman University, Adıyaman, Turkey

    Bilal Ege, Muhammed Yusuf Kurt & Mahmut Koparal

  2. Oral and Maxillofacial Surgery Clinic, Sakarya Oral and Dental Health Center, Sakarya, Turkey

    Abdussamed Geyik

  3. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Adıyaman University, Adıyaman, Turkey

    Kadir Kaplanoglu

Authors
  1. Bilal Ege
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  2. Muhammed Yusuf Kurt
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  3. Mahmut Koparal
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  4. Abdussamed Geyik
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  5. Kadir Kaplanoglu
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Contributions

Conception and design of study—BE, MK, KK; Acquisition of data: laboratory or clinical—MYK, AG; Analysis of data—BE, MK; Drafting of article and/or critical revision—BE, KK; Final approval of manuscript—BE, MYK.

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Correspondence to Bilal Ege.

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All authors declare that they have no conflict of interest.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. The study protocol was approved by the Local Research Ethics Committee of Adiyaman University (Approval Number: 2020/3–30).

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Ege, B., Kurt, M.Y., Koparal, M. et al. Comparison of Diagnostic Accuracy of Panoramic Radiography to CBCT in Maxillary Sinus Diseases. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 881–892 (2023). https://doi.org/10.1007/s12070-023-03475-0

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