Skip to main content

Advertisement

SpringerLink
Log in

Research trends on maxillary sinus septa in 2019–2021: a scoping review with scientometric analysis

  • Review article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to conduct a bibliometric analysis of trends in the description items within the literature published from 2019 to 2021 with "maxillary sinus septum" in the title or subtitle.

Methods

Electronic data from PubMed (MEDLINE), Google Scholar, and ScienceDirect were searched from 2019 to 2021. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) to select 21 of 243 articles and examined their studies. Statistical calculations from data recorded by the authors were performed using the Chi-square, Mann–Whitney, and independent tests. Significance was set at P < 0.05.

Results

The number of articles decreased annually. The highest number of publications was from Asia (64.3%), accounting for 71.4% of publications. The features of the septum were described for eight items, with one septum (70.14%) mentioned significantly more frequently, followed by on one side (65.89%) or the right side (62.22%). Location was mentioned significantly more frequently in the middle (55.22%) and for those aged 45 years and older (50.38%). No significant differences were observed in prevalence, age, height, or width between sexes; the patients’ ages ranged from 18 to 90 years. Septa were significantly more prevalent in dentulous (45.38%) and partially edentulous (48.58%) patients, with significantly more patients exhibiting buccopalatal orientation (82.39%).

Conclusions

This study focused primarily on anatomical features using CBCT examination, and analyses of male–female differences and the origin of the sinus septum are necessary for the future.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Data availability

All data generated or analyzed during this study are presented within the article.

Abbreviations

CBCT:

Cone beam computed tomography

Chi2 :

Chi-square

HAG:

High age group

LAG:

Low age group

References

  1. Al-Zahrani MS, Al-Ahmari MM, Al-Zahrani AA, Al-Mutairi KD, Zawawi KH (2020) Prevalence and morphological variations of maxillary sinus septa in different age groups: a CBCT analysis. Ann Saudi Med 40:200–206. https://doi.org/10.5144/0256-4947.2020.200

    Article  PubMed  PubMed Central  Google Scholar 

  2. Alhumaidan G, Eltahir MA, Shaikh SS (2021) Retrospective analysis of maxillary sinus septa - A cone beam computed tomography study. Saudi Dent J 33:467–473. https://doi.org/10.1016/j.sdentj.2020.11.001

    Article  PubMed  Google Scholar 

  3. Archana TS, Vinod Kumar AR, Shetty A, Ahmed N, Veerabasvaiah BT, Ahmed F (2022) Cone-beam computed tomography (CBCT) analysis of maxillary sinus septa in Indians. Bioinformation 18:251–254. https://doi.org/10.6026/97320630018251

    Article  PubMed  PubMed Central  Google Scholar 

  4. Assari A, Alotaibi N, Alajaji MA, Alqarni A, Ali Alarishi M (2022) Characteristics of maxillary sinus septa: a cone-beam computed tomography evaluation. Int J Dent 2022:2050257. https://doi.org/10.1155/2022/2050257

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bornstein MM, Seiffert C, Maestre-Ferrín L, Fodich I, Jacobs R, Buser D, von Arx T (2016) An analysis of frequency, morphology, and locations of maxillary sinus septa using cone beam computed tomography. Int J Oral Maxillofac Implants 31:280–287. https://doi.org/10.11607/jomi.4188

    Article  PubMed  Google Scholar 

  6. Chatzopoulos GS, Wolff LF (2023) Dental implant failure and bone augmentation: a retrospective study. J Clin Exp Dent 15:e195–e204. https://doi.org/10.4317/jced.60171

    Article  PubMed  PubMed Central  Google Scholar 

  7. Dandekeri SS, Hegde C, Kavassery P, Sowmya MK, Shetty B (2020) CBCT study of morphologic variations of maxillary sinus septa in relevance to sinus augmentation procedures. Ann Maxillofac Surg 10:51–56. https://doi.org/10.4103/ams.ams_141_19

    Article  PubMed  PubMed Central  Google Scholar 

  8. Demirkol M, Demirkol N (2019) The effects of posterior alveolar bone height on the height of maxillary sinus septa. Surg Radiol Anat 41:1003–1009. https://doi.org/10.1007/s00276-019-02271-2

    Article  PubMed  Google Scholar 

  9. Dhami B, Shrestha P, Saha A, Pandey N, Aryal D (2021) Prevalence and location of maxillary sinus septum and its relation to maxillary sinusitis. JNSPOI 5:77–81. https://doi.org/10.3126/jnspoi.v5i2.52965

    Article  Google Scholar 

  10. Dragan E, Odri GA, Melian G, Haba D, Olszewski R (2017) Three-dimensional evaluation of maxillary sinus septa for implant placement. Med Sci Monit 23:1394–1400. https://doi.org/10.12659/msm.900327

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ducommun J, El Kholy K, Rahman L, Schimmel M, Chappuis V, Buser D (2019) Analysis of trends in implant therapy at a surgical specialty clinic: patient pool, indications, surgical procedures, and rate of early failures-A 15-year retrospective analysis. Clin Oral Implants Res 30:1097–1106. https://doi.org/10.1111/clr.13523

    Article  PubMed  Google Scholar 

  12. Furtado DM, Martins-Júnior PA, Alves TK, Santos RM, Coutinho DC, Neto IS, Vidigal BC, De Oliveira GA, Alves Silva EMR, Manzi FR (2021) Prevalence and characterization of maxillary sinus septa in a Brazilian population. J Clin Exp Dent 13:e642–e647. https://doi.org/10.4317/jced.56467

    Article  PubMed  PubMed Central  Google Scholar 

  13. Gandhi KR, Wabale RN, Siddiqui AU, Farooqui MS (2015) The incidence and morphology of maxillary sinus septa in dentate and edentulous maxillae: a cadaveric study with a brief review of the literature. J Korean Assoc Oral Maxillofac Surg 41:30–36. https://doi.org/10.5125/jkaoms.2015.41.1.30

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ghasemirad M, Chitsazi MT, Faramarzi M, Roshangar L, Babaloo A, Chitsazha R (2023) Histological examination of the effect of concentrated growth factor (CGF) on healing outcomes after maxillary sinus floor augmentation surgery. J Med Life 16:267–276. https://doi.org/10.25122/jml-2021-0294

    Article  PubMed  PubMed Central  Google Scholar 

  15. González-Santana H, Peñarrocha-Diago M, Guarinos-Carbó J, Sorní-Bröker M (2007) A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 33:340–343. https://doi.org/10.1563/1548-1336(2007)33[340:ASOTSI]2.0.CO;2

    Article  PubMed  Google Scholar 

  16. Heidari A, Salemi F, Arefpoor Z, Tajik M, Soltanian AR, Ghaderi S (2020) Anatomical variations of the maxillary sinus septa of an Iranian population using cone-beam computed tomography: a retrospective study. J Oral Res 9:171–179. https://doi.org/10.17126/joralres.2020.033

    Article  Google Scholar 

  17. Henriques I, Caramês J, Francisco H, Caramês G, Hernández-Alfaro F, Marques D (2022) Prevalence of maxillary sinus septa: systematic review and meta-analysis. Int J Oral Maxillofac Surg 51:823–831. https://doi.org/10.1016/j.ijom.2021.10.008

    Article  CAS  PubMed  Google Scholar 

  18. Hong SO, Shim GJ, Kwon YD (2017) Novel approach to the maxillary sinusitis after sinus graft. Maxillofac Plast Reconstr Surg 39:18. https://doi.org/10.1186/s40902-017-0115-3

    Article  PubMed  PubMed Central  Google Scholar 

  19. Hungerbühler A, Rostetter C, Lübbers HT, Rücker M, Stadlinger B (2019) Anatomical characteristics of maxillary sinus septa visualized by cone beam computed tomography. Int J Oral Maxillofac Surg 48:382–387. https://doi.org/10.1016/j.ijom.2018.09.009

    Article  PubMed  Google Scholar 

  20. Iizuka N, Kawashima Y, Tokunaga S, Ito K, HaraY HN, Sawada E, Sekiya K, Kaneda T (2019) Forms of maxillary sinus with septa can cause by mucosal thickening of maxillary sinus: computed tomographic study. Int J Oral-Med Sci 18:57–61

    Article  Google Scholar 

  21. Irinakis T, Dabuleanu V, Aldahlawi S (2017) complications during maxillary sinus augmentation associated with interfering septa: a new classification of septa. Open Dent J 11:140–150. https://doi.org/10.2174/1874210601711010140

    Article  PubMed  PubMed Central  Google Scholar 

  22. Jamcoski VH, Faot F, Marcello-Machado RM, Melo ACM, Fontão FNGK (2023) 15-year retrospective study on the success rate of maxillary sinus augmentation and implants: influence of bone substitute type, presurgical bone height, and membrane perforation during sinus lift. Biomed Res Int 20(2023):9144661. https://doi.org/10.1155/2023/9144661

    Article  Google Scholar 

  23. Jung J, Hwang BY, Kim BS, Lee JW (2019) Floating septum technique: easy and safe method maxillary sinus septa in sinus lifting procedure. Maxillofac Plast Reconstr Surg 41:54. https://doi.org/10.1186/s40902-019-0233-1

    Article  PubMed  PubMed Central  Google Scholar 

  24. Jung J, Park JS, Hong SJ, Kim GT, Kwon YD (2020) Axial triangle of the maxillary sinus, and its surgical implication with the position of maxillary sinus septa during sinus floor elevation: a cbct analysis. J Oral Implantol 46:415–422. https://doi.org/10.1563/aaid-joi-D-18-00229

    Article  PubMed  Google Scholar 

  25. Kato S, Omori Y, Kanayama M, Hirota A, Ferri M, Apaza Alccayhuaman KA, Botticelli D (2021) Sinus mucosa thickness changes and ostium involvement after maxillary sinus floor elevation in sinus with septa. A cone beam computed tomography study. Dent J (Basel) 9:82. https://doi.org/10.3390/dj9080082

    Article  PubMed  Google Scholar 

  26. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, Cho KS (2006) Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 77:903–908. https://doi.org/10.1902/jop.2006.050247

    Article  PubMed  Google Scholar 

  27. Kocak N, Alpoz E, Boyacıoglu H (2019) Morphological Assessment of maxillary sinus septa variations with cone-beam computed tomography in a Turkish population. Eur J Dent 13:42–46. https://doi.org/10.1055/s-0039-1688541

    Article  PubMed  PubMed Central  Google Scholar 

  28. Koymen R, Gocmen-Mas N, Karacayli U, Ortakoglu K, Ozen T, Yazici AC (2009) Anatomic evaluation of maxillary sinus septa: surgery and radiology. Clin Anat 22:563–570. https://doi.org/10.1002/ca.20813

    Article  PubMed  Google Scholar 

  29. Krennmair G, Ulm C, Lugmayr H (1997) Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 25:261–265. https://doi.org/10.1016/s1010-5182(97)80063-7

    Article  CAS  PubMed  Google Scholar 

  30. Krennmair G, Ulm CW, Lugmayr H, Solar P (1999) The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg. https://doi.org/10.1016/s0278-2391(99)90427-5

    Article  PubMed  Google Scholar 

  31. Laçin N, İzol BS (2019) Evaluation of septas in maxillary sinus with cone-beam computed tomography. Int Dent Res 9:41–45. https://doi.org/10.5577/intdentres.2019.vol9.no2.1

    Article  Google Scholar 

  32. Maestre-Ferrín L, Galán-Gil S, Rubio-Serrano M, Peñarrocha-Diago M, Peñarrocha-Oltra D (2010) Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 15:e383–e386. https://doi.org/10.4317/medoral.15.e383

    Article  PubMed  Google Scholar 

  33. Mirdad A, Alaqeely R, Ajlan S, Aldosimani MA, Ashri N (2023) Incidence of maxillary sinus septa in the saudi population. BMC Med Imaging 23:23. https://doi.org/10.1186/s12880-023-00980-0

    Article  PubMed  PubMed Central  Google Scholar 

  34. Mohamed AA, Farid FM, Ahmed SF, Eiid SB (2020) Prevalence of maxillary sinus septa and assessment of their characteristics in a sample of Egyptian population using CBCT: a cross-sectional study. Egypt Dent J 66:1

    Google Scholar 

  35. Molnár B, Jung AK, Papp Z, Martin A, Orbán K, Pröhl A, Jung O, Barbeck M, Windisch P (2022) Comparative analysis of lateral maxillary sinus augmentation with a xenogeneic bone substitute material in combination with piezosurgical preparation and bony wall repositioning or rotary instrumentation and membrane coverage: a prospective randomized clinical and histological study. Clin Oral Investig 26:5261–5272. https://doi.org/10.1007/s00784-022-04494-x

    Article  PubMed  PubMed Central  Google Scholar 

  36. Nasseh I, Aoun G, El-Outa A, Nassar J, Nasseh P, Hayek E (2020) Mapping maxillary sinus septa in a lebanese sample: a radio-anatomical study. Acta Inform Med 28:214–218. https://doi.org/10.5455/aim.2020.28.214-218

    Article  PubMed  PubMed Central  Google Scholar 

  37. Okada T, Kawana H (2019) Two-step procedure for the treatment of a maxillary sinus with complex sinus septa: a highly predictive method for sinus floor augmentation after perforation of the maxillary sinus membrane. Int J Periodontics Restorative Dent 39:e175–e180. https://doi.org/10.11607/prd.3888

    Article  PubMed  Google Scholar 

  38. Osama OA, Eiman AA, Abtehag AT, Mohamed AA, Azza SHG (2019) Normal anatomical variations of maxillary sinus septa using computerized tomography from Benghazi–Libya. ARC Journal of Radiology and Medical Imaging 4:19–26. https://www.arcjournals.org/pdfs/ajrmi/v4-i1/4.pdf

  39. Park YB, Jeon HS, Shim JS, Lee KW, Moon HS (2011) Analysis of the anatomy of the maxillary sinus septum using 3-dimensional computed tomography. J Oral Maxillofac Surg 69:1070–1078. https://doi.org/10.1016/j.joms.2010.07.020

    Article  PubMed  Google Scholar 

  40. Pommer B, Ulm C, Lorenzoni M, Palmer R, Watzek G, Zechner W (2012) Prevalence, location and morphology of maxillary sinus septa: systematic review and meta-analysis. J Clin Periodontol 39:769–773. https://doi.org/10.1111/j.1600-051X.2012.01897.x

    Article  PubMed  Google Scholar 

  41. Raghoebar GM, Onclin P, Boven GC, Vissink A, Meijer HJA (2019) Long-term effectiveness of maxillary sinus floor augmentation: a systematic review and meta-analysis. J Clin Periodontol 46(Suppl 21):307–318. https://doi.org/10.1111/jcpe.13055

    Article  PubMed  Google Scholar 

  42. Samsudin AR, Qabbani A, Wahbi S (2023) Le Fort I osteotomy complicated by presence of maxillary sinus septa. J Craniofac Surg 34:e98–e101. https://doi.org/10.1097/SCS.0000000000006650

    Article  PubMed  Google Scholar 

  43. Souza CF, Loures AO, Lopes DGF, Devito KL (2019) Analysis of maxillary sinus septa by cone-beam computed tomography. Rev Odontol UNESP 48:e20190034. https://doi.org/10.1590/1807-2577.03419

    Article  Google Scholar 

  44. Takeda D, Hasegawa T, Saito I, Arimoto S, Akashi M, Komori T (2019) A radiologic evaluation of the incidence and morphology of maxillary sinus septa in Japanese dentate maxillae. Oral Maxillofac Surg 23:233–237. https://doi.org/10.1007/s10006-019-00773-2

    Article  PubMed  Google Scholar 

  45. Talo Yildirim T, Güncü GN, Colak M, Nares S, Tözüm TF (2017) Evaluation of maxillary sinus septa: a retrospective clinical study with cone beam computerized tomography (CBCT). Eur Rev Med Pharmacol Sci 21:5306–5314. https://doi.org/10.26355/eurrev_201712_13912

    Article  CAS  PubMed  Google Scholar 

  46. Toprak ME, Ataç MS (2021) Maxillary sinus septa and anatomical correlation with the dentition type of sinus region: a cone beam computed tomographic study. Br J Oral Maxillofac Surg 59:419–424. https://doi.org/10.1016/j.bjoms.2020.08.038

    Article  CAS  PubMed  Google Scholar 

  47. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G (1995) Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants 10:462–465

    CAS  PubMed  Google Scholar 

  48. Underwood AS (1910) An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol Pt4:354–369

    Google Scholar 

  49. Wang W, Jin L, Ge H, Zhang F (2022) Analysis of the prevalence, location, and morphology of maxillary sinus septa in a northern Chinese population by cone beam computed tomography. Comput Math Methods Med 2022:1644734. https://doi.org/10.1155/2022/1644734

    Article  PubMed  PubMed Central  Google Scholar 

  50. Wen SC, Chan HL, Wang HL (2013) Classification and management of antral septa for maxillary sinus augmentation. Int J Periodontics Restorative Dent 33:509–517. https://doi.org/10.11607/prd.1609

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Ms. Kyoko Fujii for her generous and extensive assistance with the submission of this manuscript.

Funding

This study received a partial grant from the SNDCs Foundation, which consists of two dental clinics (SNDC: 20211201-MI-01).

Author information

Authors and Affiliations

  1. Dento-Oral Science Institute, #2F Fukuoka 3rd Bldg., 1-4-7, Iidabashi, Chiyoda-Ku, Tokyo, 102-0072, Japan

    Irika Miyao, Shigeo Osato, Yukari Nakajima & Tadakazu Miyao

Authors
  1. Irika Miyao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shigeo Osato
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yukari Nakajima
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tadakazu Miyao
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

IM: conceptualization, data curation, methodology, formal analysis, investigation, manuscript writing/editing; SO: conceptualization, data curation, methodology, formal analysis, investigation, manuscript writing/editing; YN: data curation, methodology, investigation, manuscript editing; TM: data curation, methodology, investigation, manuscript editing.

Corresponding author

Correspondence to Shigeo Osato.

Ethics declarations

Competing interests

The authors declare no competing interests.

Conflict of interest

The authors declare no competing interest associated with this article.

Ethical approval

Not applicable.

Consent to participate

Written consent was obtained from all of the participants in this study.

Consent for publication

Not Applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Miyao, I., Osato, S., Nakajima, Y. et al. Research trends on maxillary sinus septa in 2019–2021: a scoping review with scientometric analysis. Surg Radiol Anat 46, 167–179 (2024). https://doi.org/10.1007/s00276-023-03272-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-023-03272-y

Keywords

Search

Navigation