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Article: Visibility, location, and morphology of the primary maxillary sinus ostium and presence of accessory ostia: a retrospective analysis using cone beam computed tomography (CBCT)

TitleVisibility, location, and morphology of the primary maxillary sinus ostium and presence of accessory ostia: a retrospective analysis using cone beam computed tomography (CBCT)
Authors
KeywordsMaxillary sinus
Ostium
Cone beam computed tomography
Visibility
Location
Issue Date2019
PublisherSpringer for German Society of Oral and Maxillofacial Surgery. The Journal's web site is located at http://link.springer.de/link/service/journals/00784/index.htm
Citation
Clinical Oral Investigations, 2019, v. 23 n. 11, p. 3977-3986 How to Cite?
AbstractObjectives: This retrospective study evaluated the visibility, location, and morphology of the primary maxillary ostium (PMO), as well as the presence and number of accessory maxillary ostia (AMO) in the maxillary sinus using cone beam computed tomography (CBCT). Materials and methods: CBCT scans with a large field of view with both maxillary sinuses entirely visible, acquired from February 2016 to February 2018, were initially screened. Patients were included if there was no history of surgical intervention/trauma in the sinus region. Two observers evaluated the CBCTs for PMO and AMOs independently. PMO and AMOs were evaluated in axial, coronal, and sagittal CBCT views. In case of disagreement, a third observer served as a referee. The findings were correlated with age, gender, condition of the sinus mucosa, and status of the dentition to assess for potential influencing factors. Results: A total of 184 patients (368 maxillary sinuses) were included. PMO was present and patent in 346 (94.0%) of the 368 analyzed sinuses. Most of the PMOs were located above the attachment of and in the middle third of the inferior turbinate (76.1%) and exhibited a slit shape (71.1%). An AMO was present in 167 (45.5%) of the 368 analyzed sinuses, and 66 (17.9%) sinuses had multiple AMOs. Gender and sinus mucosa morphology were found to be influencing factors for the patency of the PMO. Furthermore, gender seems to be influencing the presence of an AMO. Conclusions: Most of the analyzed maxillary sinus cavities in the present population had a patent PMO. Being male and having morphological changes of the sinus mucosa were factors associated with a reduced prevalence of a patent PMO. Clinical relevance: A maxillary sinus with pathological findings of the mucosa seems to have a reduced prevalence of patent PMOs. Therefore, clinicians should take care to assess any clinical and radiographical sign indicating a potential maxillary sinusitis prior to surgical interventions in this region, especially in cases with planned sinus floor elevation.
Persistent Identifierhttp://hdl.handle.net/10722/279129
ISSN
2017 Impact Factor: 2.386
2015 SCImago Journal Rankings: 0.752

 

DC FieldValueLanguage
dc.contributor.authorYeung, AWK-
dc.contributor.authorColsoul, N-
dc.contributor.authorMontalvao, C-
dc.contributor.authorHUNG, K-
dc.contributor.authorJacobs, R-
dc.contributor.authorBornstein, MM-
dc.date.accessioned2019-10-21T02:20:06Z-
dc.date.available2019-10-21T02:20:06Z-
dc.date.issued2019-
dc.identifier.citationClinical Oral Investigations, 2019, v. 23 n. 11, p. 3977-3986-
dc.identifier.issn1432-6981-
dc.identifier.urihttp://hdl.handle.net/10722/279129-
dc.description.abstractObjectives: This retrospective study evaluated the visibility, location, and morphology of the primary maxillary ostium (PMO), as well as the presence and number of accessory maxillary ostia (AMO) in the maxillary sinus using cone beam computed tomography (CBCT). Materials and methods: CBCT scans with a large field of view with both maxillary sinuses entirely visible, acquired from February 2016 to February 2018, were initially screened. Patients were included if there was no history of surgical intervention/trauma in the sinus region. Two observers evaluated the CBCTs for PMO and AMOs independently. PMO and AMOs were evaluated in axial, coronal, and sagittal CBCT views. In case of disagreement, a third observer served as a referee. The findings were correlated with age, gender, condition of the sinus mucosa, and status of the dentition to assess for potential influencing factors. Results: A total of 184 patients (368 maxillary sinuses) were included. PMO was present and patent in 346 (94.0%) of the 368 analyzed sinuses. Most of the PMOs were located above the attachment of and in the middle third of the inferior turbinate (76.1%) and exhibited a slit shape (71.1%). An AMO was present in 167 (45.5%) of the 368 analyzed sinuses, and 66 (17.9%) sinuses had multiple AMOs. Gender and sinus mucosa morphology were found to be influencing factors for the patency of the PMO. Furthermore, gender seems to be influencing the presence of an AMO. Conclusions: Most of the analyzed maxillary sinus cavities in the present population had a patent PMO. Being male and having morphological changes of the sinus mucosa were factors associated with a reduced prevalence of a patent PMO. Clinical relevance: A maxillary sinus with pathological findings of the mucosa seems to have a reduced prevalence of patent PMOs. Therefore, clinicians should take care to assess any clinical and radiographical sign indicating a potential maxillary sinusitis prior to surgical interventions in this region, especially in cases with planned sinus floor elevation.-
dc.languageeng-
dc.publisherSpringer for German Society of Oral and Maxillofacial Surgery. The Journal's web site is located at http://link.springer.de/link/service/journals/00784/index.htm-
dc.relation.ispartofClinical Oral Investigations-
dc.subjectMaxillary sinus-
dc.subjectOstium-
dc.subjectCone beam computed tomography-
dc.subjectVisibility-
dc.subjectLocation-
dc.titleVisibility, location, and morphology of the primary maxillary sinus ostium and presence of accessory ostia: a retrospective analysis using cone beam computed tomography (CBCT)-
dc.typeArticle-
dc.identifier.emailYeung, AWK: ndyeung@hku.hk-
dc.identifier.emailMontalvao, C: montlv@hku.hk-
dc.identifier.emailBornstein, MM: bornst@hku.hk-
dc.identifier.authorityYeung, AWK=rp02143-
dc.identifier.authorityBornstein, MM=rp02217-
dc.description.naturelink_to_subscribed_fulltext-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00784-019-02829-9-
dc.identifier.pmid30737619-
dc.identifier.scopuseid_2-s2.0-85061235347-
dc.identifier.scopuseid_2-s2.0-85061235347-
dc.identifier.hkuros307380-
dc.identifier.volume23-
dc.identifier.issue11-
dc.identifier.spage3977-
dc.identifier.epage3986-
dc.publisher.placeGermany-

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