Abstract
Purpose
Various mechanisms play an important role in the growth of maxillary sinus cavities. The purpose of this study was to investigate the correlations of maxillary sinus volume (MSV) with nasal septal deviation (NSD), concha bullosa (CB) and impacted teeth using cone-beam computed tomography (CBCT) images.
Methods
From 55 patients, a total of 110 maxillary sinus images were obtained and examined. Data including age, gender, impacted third molar, canine teeth, NSD, and CB were examined. MSV was measured using the MIMICS software (Materialise HQ Technologielaan, Leuven, Belgium). All statistical analyses were performed using the SPSS (Statistical Package for Social Sciences, version 21) software and p values < 0.05 were considered to indicate statistical significance.
Results
Mean volume of the right maxillary sinus was 13.566 cm3, while the left was 13.882 cm3. The rate of patients with right and left impacted third molar teeth was 49.1% and 47.3%, respectively. The rate of right and left impacted canines was 1.8% and 5.5%, respectively. NSD was found in 56.4% of CBCT examinations and right and left CB were observed in 30.9% and 32.7% of the patients' examinations, respectively. Males had a significantly higher mean sinus volume than females for both sides (p < 0.05). There were no significant correlations between MSV and age (p > 0.05). No significant differences were found between MSV and impacted teeth, NSD and CB (p > 0.05).
Conclusion
NSD, CB, impacted teeth, and age were not found to be related to MSV. Gender had an effect on MSV and males had higher mean sinus volume than females.
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References
Oz AZ, Oz AA, El H, Palomo JM (2017) Maxillary sinus volume in patients with impacted canines. Angle Orthod 87:25–32
Kalabalik F, Tarim Ertas E (2018) Investigation of maxillary sinus volume relationships with nasal septal deviation, concha bullosa, and impacted or missing teeth using cone-beam computed tomography. Oral Radiol. https://doi.org/10.1007/s11282-018-0360-x
Jun BC, Song SW, Park CS, Lee DH, Cho KJ, Cho JH (2005) The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high-resolutional CT scanning. Otolaryngol Head Neck Surg 132:429–434
Scuderi AJ, Harnsberger HR, Boyer RS (1993) Pneumatization of the paranasal sinuses: normal features of importance to the accurate interpretation of CT scans and MR images. AJR Am J Roentgenol 160:1101–1104
Kalavagunta S, Reddy KT (2003) Extensive maxillary sinus pneumatization. Rhinology 41:113–117
Demir UL, Akca ME, Ozpar R, Albayrak C, Hakyemez B (2015) Anatomical correlation between existence of concha bullosa and maxillary sinus volume. Surg Radiol Anat 37:1093–1098
Pamporakis P, Nevzatoglu S, Kucukkeles N (2014) Three-dimensional alterations in pharyngeal airway and maxillary sinus volumes in class III maxillary deficiency subjects undergoing orthopedic facemask treatment. Angle Orthod 84:701–707
Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8:1558–1564
Bremke M, Sesterhenn AM, Murthum T, Al Hail A, Bien S, Werner JA (2009) Digital volume tomography (DVT) as a diagnostic modality of the anterior skull base. Acta Otolaryngol 129:1106–1114
Maestre-Ferrin L, Galan-Gil S, Carrillo-Garcia C, Penarrocha-Diago M (2011) Radiographic findings in the maxillary sinus: comparison of panoramic radiography with computed tomography. Int JOral Maxillofac Implants 26:341–346
Shanbhag S, Karnik P, Shirke P, Shanbhag V (2013) Association between periapical lesions and maxillary sinus mucosal thickening: a retrospective cone-beam computed tomographic study. J Endod 39:853–857
Ludlow JB, Ivanovic M (2008) Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:106–114
Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X et al (2012) Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod 38:1069–1074
Howe RB (2009) First molar radicular bone near the maxillary sinus: a comparison of CBCT analysis and gross anatomic dissection for small bony measurement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108:264–269
Al-Rawi NH, Uthman AT, Abdulhameed E, Al Nuaimi AS, Seraj Z (2019) Concha bullosa, nasal septal deviation, and their impacts on maxillary sinus volume among Emirati people: a cone-beam computed tomography study. Imaging Sci Dent 49:45–51
Bolger WE, Butzin CA, Parsons DS (1991) Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 101:56–64
Orhan I, Ormeci T, Aydin S, Altin G, Urger E, Soylu E et al (2014) Morphometric analysis of the maxillary sinus in patients with nasal septum deviation. Eur Arch Otorhinolaryngol 271:727–732
Panou E, Motro M, Ates M, Acar A, Erverdi N (2013) Dimensional changes of maxillary sinuses and pharyngeal airway in Class III patients undergoing bimaxillary orthognathic surgery. Angle Orthod 83:824–831
Aktuna Belgin C, Colak M, Adiguzel O, Akkus Z, Orhan K (2019) Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. Eur Arch Otorhinolaryngol 276:1493–1499
Bhandary SK, Kamath PSD (2009) Study of relationship of concha bullosa to nasal septal deviation and sinusitis. Indian J Otolaryngol Head Neck Surg 61:227–229
Elahi MM, Frenkiel S, Fageeh N (1997) Paraseptal structural changes and chronic sinus disease in relation to the deviated septum. J Otolaryngol 26:236–240
Evans R (1988) Incidence of lower second permanent molar impaction. Br J Orthod 15:199–203
Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ (1991) CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngol Head Neck Surg 104:480–483
Caughey RJ, Jameson MJ, Gross CW, Han JK (2005) Anatomic risk factors for sinus disease: fact or fiction? Am J Rhinol 19:334–339
Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 25:1613–1618
Gencer ZK, Ozkiris M, Okur A, Karacavus S, Saydam L (2013) The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhinolaryngol 270:3069–3073
Kawarai Y, Fukushima K, Ogawa T, Nishizaki K, Gunduz M, Fujimoto M et al (1999) Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol 540:45–49
Fernandes CL (2004) Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography. J Laryngol Otol 118:877–881
Thayyil S, Schievano S, Robertson NJ, Jones R, Chitty LS, Sebire NJ et al (2009) A semi-automated method for non-invasive internal organ weight estimation by post-mortem magnetic resonance imaging in fetuses, newborns and children. Eur J Radiol 72:321–326
Ariji Y, Kuroki T, Moriguchi S, Ariji E, Kanda S (1994) Age changes in the volume of the human maxillary sinus: a study using computed tomography. Dentomaxillofac Radiol 23:163–168
Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A (2007) Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx 34:191–195
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Tassoker, M., Magat, G., Lale, B. et al. Is the maxillary sinus volume affected by concha bullosa, nasal septal deviation, and impacted teeth? A CBCT study. Eur Arch Otorhinolaryngol 277, 227–233 (2020). https://doi.org/10.1007/s00405-019-05651-x
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DOI: https://doi.org/10.1007/s00405-019-05651-x