Research Article
BibTex RIS Cite

Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus

Year 2018, Volume: 19 Issue: 4, 310 - 316, 31.12.2018

Abstract

Objective: The objective of this study was to establish the prevalence of nasal septal deviation, concha bullosa, and osteomeatal complex disease (obstruction), and odontogenic lesions, along with their potential relationships with maxillary sinus mucosal thickening.
Materials and Methods: (CBCT) images of 200 patients (101 males, 99 females) with 396 exposed maxillary sinuses, were inspected for presence of nasal septal deviation, concha bullosa, osteomeatal complex disease (obstruction), and odontogenic lesions related to maxillary sinus and maxillary sinus mucosal thickening.
Result: One hundred nineteen patients (59%) had nasal septal deviation, 100 (50%) had at least one concha bullosa, 26 (13%) had osteomeatal complex disease on at least one side, 39 (19.5%) had odontogenic lesions related to maxillary sinuses, and 112 (56%) had evidence of mucosal thickening. There was a statistically significant relationship among osteomeatal complex disease, odontogenic lesion and maxillary sinus mucosal thickening (p=0.00). No statistically significant relationship could be established among the presence of concha bullosa, nasal septal deviation and maxillary sinus mucosal thickening (p>0.05).
Conclusion: Odontogenic lesions and osteomeatal complex diseases have association with maxillary sinus mucosal thickening. CBCT imaging could be a diagnostic tool for assessment potential reasons of maxillary sinus mucosal thickening.

References

  • 1. Lechien JR, Filleul O, Costa de Araujo P, Hsieh JW, Chantrain G, Saussez S. Chronic maxillary rhinosinusitis of dental origin: A systematic review of 674 patient cases. Int J Otolaryngol 2014; 2014: 465173.
  • 2. Brisolla ADOP. Chronic maxillary sinusitis associated with dental impression material. Med Oral Patol Oral Cir Bucal 2009; 14: 163-6.
  • 3. Zinreich SJ, Mattox DE, Kennedy DW, Chisholm HL, Diffley DM, Rosenbaum AE. Concha bullosa: CT evaluation. J Comput Assist Tomogr 1988; 12: 778-84.
  • 4. Rode M, Podboj J, Kogoj-Rode M. Sinus maxillaries mycetoma of odontogenic origin: case report. Braz Dental J 2004; 15: 248-50.
  • 5. Newman LJ, Platts-Mills TA, Phillips CD, Hazen KC, Gross CW. Chronic sinusitis: relationship of computed tomographic findings to allergy, asthma, and eosinophilia. JAMA 1994; 271: 363-7.
  • 6. Krause HF. Allergy and chronic rhinosinusitis. Otolaryngol Head Neck Surg 2003; 128: 14-6.
  • 7. Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96: 128-35.
  • 8. Arias Irimia O, Barona Dorado C, Santos Marino JA, Martínez Rodríguez N, Martínez-González JM. Meta-analysis of the etiology of odontogenic maxillary sinusitis. Med Oral Patol Oral Cir Bucal 2010; 15: 70-3.
  • 9. Tomomatsu N, Uzawa N, Aragaki T, Harada K. Aperture width of the osteomeatal complex as a predictor of successful treatment of odontogenic maxillary sinusitis. Int J Oral Maxillofac Surg 2014; 43: 1386-90.
  • 10. Bell GW, Joshi BB, Macleod RI. Maxillary sinus disease: diagnosis and treatment. Br Dent J 2011; 210: 113-8.
  • 11. Bolger WE, Parsons DS, Butzin CA. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991; 101: 56-64.
  • 12. Tunçyürek Ö, Eyigör H, Songu M. The relationship among concha bullosa, septal deviation and chronic rhinosinusitis. J Med Updates 2013; 1: 1-7.
  • 13. Stallman JS, Joao NL, Peter MS. The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. AJNR Am J Neuroradiol 2004; 252: 1613-8.
  • 14. Yousem DM. Imaging of sinonasal inflammatory disease. Radiology 1993; 188: 303-14.
  • 15. Lee JS, Ko IJ, Kang HD, Lee HS. Massive concha bullosa with secondary maxillary sinusitis. Clin Exp Otorhinolaryngol 2008; 1: 221-3.
  • 16. Smith KD, Edwards PC, Saini TS, Norton NS. The prevalence of concha bullosa and nasal septal deviation and their relationship to maxillary sinusitis by volumetric tomography. Int J Dent 2010; 2010: 404982.
  • 17. Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, Zheng G, et al. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod 2012; 38: 1069-74.
  • 18. Endam LM, Cormier C, Bossé Y, Filali-Mouhim A, Desrosiers M. Association of IL1A, IL1B, and TNF gene polymorphisms with chronic rhinosinusitis with and without nasal polyposis: a replication study. Arch Otolaryngol Head Neck Surg 2010; 136: 187-92.
  • 19. Tammemagi CM, Davis RM, Benninger MS, Holm AL, Krajenta R. Secondhand smoke as a potential cause of chronic rhinosinusitis: a case-control study. Arch Otolaryngol Head Neck Surg 2010; 136: 327-34.
  • 20. Hatipoğlu HG, Cetin MA, Yüksel E. Concha bullosa types: their relationship with sinusitis, ostiomeatal and frontal recess disease. Diagn Interv Radiol 2005; 11: 145-9.
  • 21. Deosthale NV, Khadakkar SP, Singh B, Harkare VV, Dhoke PR, Dhote KS. Anatomical variations of Nose and Paranasal Sinuses in Chronic Rhinosinusitis. PSJR 2014; 7: 2.
  • 22. Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1988; 12: 778-4.
  • 23. Tsai TL, Lan MY, Ho CY. There is no structural relationship between nasal septal deviation, concha bullosa, and paranasal sinus fungus balls. Scientific World Journal 2012; 2012: 181246.
  • 24. Yiğit Ö, Acıoğlu E, Çakır ZA, Şişman AS, Barut AY. Concha bullosa and septal deviation. Eur Arch Otorhinolaryngol 2010; 267: 1397-401.
  • 25. Tonai A, Baba S. Anatomic variations of the bone in sinonasal CT. Acta Otolaryngol 1996; 525: 9-13.
  • 26. Subramanian S, Lekhraj RG, Wong EF, Mastura S, Razi A. Concha bullosa in chronic sinusitis. Med J Malaysia 2005; 60: 535-9.
  • 27. Calhoun KH, Waggenspack GA, Simpson CB, Hokanson JA, Bailey BJ. CT evaluation of the paranasal sinuses in symptomatic and asymptomatic populations. Otolaryngology Head Neck Surg 1991; 104: 480-3.
  • 28. Lam WWM, Liang EY, Woo JKS, Van Hasselt A, Metreweli C. The etiological role of concha bullosa in chronic sinusitis. Eur Radiol 1996; 6: 50-2.
  • 29. Unlu HH, Akyar S, Caylan R, Nalca Y. Concha bullosa. J Otolaryngol 1994; 23: 23-7.
  • 30. Lu Y, Liu Z, Zhang L, Zhou X, Zheng Q, Duan X, Zheng G, Wang H, Huang D. Associations between maxillary sinus mucosal thickening and apical periodontitis using cone-beam computed tomography scanning: a retrospective study. J Endod 2012; 38: 1069-74.
  • 31. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone-beam computed tomography evaluation of maxillary sinusitis. J Endod 2011; 37: 753-75.
  • 32. Halicioglu K, Celikoglu M, Buyuk SK, Sekerci AE, Ucar FI, Yavuz I. Three-dimensional evaluation of the mandibular third molars’ development in unilateral crossbite patients: A cone beam computed tomography study. Eur J Dent 2014; 8: 389-94.
  • 33. Nur BG, Ok E, Altunsoy M, Aglarci OS, Colak M, Gungor E. Evaluation of the root and canal morphology of mandibular permanent molars in a south-eastern Turkish population using cone-beam computed tomography. Eur J Dent 2014; 8: 154.
  • 34. Roberts JA, Drage NA, Davies J, Thomas DW. Effective dose from cone beam CT examinations in dentistry. Br J Radiol 2009; 82: 35-40.
  • 35. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 634-40.
  • 36. Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre‐operative evaluation: relationship between mucosal thickening and maxillary sinus function. Clin Oral Implants Res 2011; 22: 78-82.
There are 36 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Research Article
Authors

Emre Köse

Emin Murat Canger

Duygu Göller Bulut

Publication Date December 31, 2018
Published in Issue Year 2018 Volume: 19 Issue: 4

Cite

EndNote Köse E, Canger EM, Göller Bulut D (December 1, 2018) Cone Beam Computed Tomographic Analysis of Paranasal Variations, Osteomeatal Complex Disease, Odontogenic Lesion and Their Effect on Maxillary Sinus. Meandros Medical And Dental Journal 19 4 310–316.