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Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study is to examine the sphenoid sinus morphology and variations in patients with cleft lip and palate (CLP) on cone-beam computed tomography (CBCT) images, and to compare them with healthy controls.

Methods

CBCT images of 54 patients (28 males and 26 females,) with CLP and 54 age- and gender-matched healthy individuals (28 males and 26 females) were retrospectively evaluated. Sphenoid sinus main types (conchal, presellar, sellar, postsellar), sellar subtypes, clival and lateral extensions, and sinus septation were analyzed in CLP and control groups. The data were statistically analyzed using Chi-square test to compare the groups.

Results

A statistically significant difference was found between CLP and control groups for sphenoid sinus main types (p < 0.05). Presellar type was more commonly observed in CLP group (18.5%), while the postsellar (31.5%) and clival (17.7%) types were more frequent in control group. There was a significant difference between the groups among different sellar sinus subtypes (p < 0.05). A significant difference was detected between the groups for clival extensions of sphenoid sinus (p < 0.05), but no difference was found for the lateral extensions (p > 0.05). No significant difference was determined between groups for sphenoid sinus septation (p > 0.05).

Conclusion

Significant differences were found between the CLP and control groups in terms of sphenoid sinus main types, sellar subtypes and the clival extensions. Knowledge of sphenoid sinus pneumatization in patients with CLP is important for preventing complications during transsphenoidal surgery.

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Authors and Affiliations

  1. Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Gaziantep University, Sehitkamil, 27310, Gaziantep, Turkey

    Eda Didem Yalcin

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  1. Eda Didem Yalcin
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Correspondence to Eda Didem Yalcin.

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There is no conflict of interest and financial disclosure.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This retrospective study was approved by Ethical Committee of Gaziantep University (Decision No: 2018/199) and conducted in the Dentomaxillofacial Radiology Department of Gaziantep University, Faculty of Dentistry.

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Informed consent was obtained from all patients for being included in the study.

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Yalcin, E.D. Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT. Eur Arch Otorhinolaryngol 277, 1101–1108 (2020). https://doi.org/10.1007/s00405-020-05810-5

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  • DOI: https://doi.org/10.1007/s00405-020-05810-5

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