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Radioanatomic study of maxillary sinus palatal process pneumatization

Abstract

Objectives

To perform a detailed analysis of palatal process pneumatization (PPP) on cone beam computed tomography (CBCT) images.

Methods

This study consisted of 376 maxillary sinuses of 188 patients aged 22–88 years who had maxillary CBCT scans. The radioanatomy of the PPP was evaluated at distances 4, 8, 16, and 24 mm posterior to incisive foramen. The types of PPP were classified as follows: type I: maxillary sinus palatal process non-gasified; type II: palatal process gasification into the nasal floor, but not more than half of the width of the nasal floor; and type III: palatal process gasification into the nasal floor more than half of the width of nasal floor. Sinus opening angle (SOA), palatonasal recess angle (PNRA), palatal junction angle (PJA), and palatal depth measurement (PDM) were the evaluated parameters.

Results

Among the identified 1315 PPPs, type I PPP (880, 66.92%) was the most frequently observed, followed by type II (426, 32.4%), and the least observed was type III PPP (9, 0.68%). There was no significant difference between SOA and PJA according to the types of PPP (p > 0.05). The difference between PNRA and PDM of type I and type II PPP showed a statistically significant difference (p < 0.05). Type I PPP was the most encountered with the highest PDM, and PNRA was narrower in type III than in type II PPP.

Conclusion

Physicians must be aware of these variations to prevent possible complications during surgery because 33.08% of the maxillary sinuses showed extensive pneumatization through the palatal process.

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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.

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Authors and Affiliations

Authors

Contributions

DNG: conceptualization, resources, writing—original draft, TEK resources, writing—original draft, BA and EZA: writing—review and editing.

Corresponding author

Correspondence to Dilara Nil Günaçar.

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Conflict of interest

The authors deny any conflicts of interest related to this study.

Ethical approval

The study design was approved by the Ethics Committee of the Recep Tayyip Erdogan University Faculty of Medicine (2021/62).

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Informed consent was obtained from all individual participants included in the study.

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Patients signed informed consent regarding publishing their data and photographs.

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Günaçar, D.N., Köse, T.E., Arsan, B. et al. Radioanatomic study of maxillary sinus palatal process pneumatization. Oral Radiol 38, 398–404 (2022). https://doi.org/10.1007/s11282-021-00569-9

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  • DOI: https://doi.org/10.1007/s11282-021-00569-9

Keywords

  • Cone beam computed tomography
  • Diagnostic imaging
  • Maxillary sinus
  • Palate