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Relationship between maxillary sinus mucosal cyst and sinus ostium 2D area in three-dimensional volumetric paranasal CT ımages

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Abstract

Objective

To investigate the relationship between the maxillary sinus ostium 2D area (SOA) and the development of mucosal cysts of the maxillary sinus (MMC).

Methods

Thirty patients (≥ 18 years) with unilateral MMC who underwent paranasal sinus CT (PNsCT) were included in this single-center retrospective study. Non-MMC sinus was used as the control group. Cyst and air volume of the maxillary sinuses, diameter, and 2-dimensional area of the ostium of the patients were calculated in the 3-dimensional volumetric analysis program. Both correlation and linear regression model analyses were performed for the relationship between MMC and SOA.

Results

Thirty patients were included (mean age of 42.30 ± 17.62 years). A total of 15/30 (50%) were male. The mean SOA in patients with MMC (8.91 ± 1.10 mm2) was lower than in patients without MMC (12.94 ± 1.35 mm2), which was statistically significant (p < 0.001). The mean sinus ostium diameter in patients with MMC (2.12 ± 0.71 mm) was higher than in patients without MMC (1.91 ± 0.82 mm), which was statistically insignificant (p = 0.295). There was a statistically significant, good level of negative linear correlation between SOA and total cyst volume (TCV) [correlation coefficient (r) = – 0.680, p < 0.001]). As a result, the regression model consisting of "Age, Sinus air volume, and TCV" variables is a good model and has statistically significant relations with SOA.

Conclusion

In conclusion, small SOAs contribute to the development of MMC. There was a negative correlation between SOA and TCV. In addition, 2D area measurement may be a more accurate method instead of diameter measurement.

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Data availability

The data that support the findings of this study are available on request from the corresponding author, [ATK].

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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

  1. Department of Radiology, Faculty of Medicine, Amasya University, Amasya, Turkey

    Ahmet Turan Kaya

  2. Faculty of Engineering, Amasya University, Amasya, Turkey

    Levent Uğur

Authors
  1. Ahmet Turan Kaya
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  2. Levent Uğur
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Contributions

ATK: Methodology. ATK, LV: Formal analysis and investigation. ATK: Writing—original draft preparation. ATK, LV: Writing—review and editing. ATK, LV: Supervision. All of the authors declare that they have all participated in the design, execution, and analysis of the paper and that they have approved the final version

Corresponding author

Correspondence to Ahmet Turan Kaya.

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Conflict of interest

In this study, there were no competing interests or financial benefits to the authors.

Ethical approval

This retrospective and the single-center study was approved by the Ethical Committee of Amasya University Sabuncuoğlu Şerefeddin Training and Research Hospital 6 September 2022, number: 94). The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Informed consent

The study is retrospective, patient information was obtained from electronic records and censored. Since the study was retrospective, the ethics committee did not find it necessary to obtain written informed consent from the patients.

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Kaya, A.T., Uğur, L. Relationship between maxillary sinus mucosal cyst and sinus ostium 2D area in three-dimensional volumetric paranasal CT ımages. Oral Radiol 40, 199–206 (2024). https://doi.org/10.1007/s11282-023-00722-6

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  • DOI: https://doi.org/10.1007/s11282-023-00722-6

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