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Miyao I, Osato S, Nakajima Y, Miyao T. Research trends on maxillary sinus septa in 2019-2021: a scoping review with scientometric analysis. Surg Radiol Anat 2024; 46:167-179. [PMID: 38273170 DOI: 10.1007/s00276-023-03272-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/20/2023] [Indexed: 01/27/2024]
Abstract
PURPOSE This study aimed to conduct a bibliometric analysis of trends in the description items within the literature published from 2019 to 2021 with "maxillary sinus septum" in the title or subtitle. METHODS Electronic data from PubMed (MEDLINE), Google Scholar, and ScienceDirect were searched from 2019 to 2021. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) to select 21 of 243 articles and examined their studies. Statistical calculations from data recorded by the authors were performed using the Chi-square, Mann-Whitney, and independent tests. Significance was set at P < 0.05. RESULTS The number of articles decreased annually. The highest number of publications was from Asia (64.3%), accounting for 71.4% of publications. The features of the septum were described for eight items, with one septum (70.14%) mentioned significantly more frequently, followed by on one side (65.89%) or the right side (62.22%). Location was mentioned significantly more frequently in the middle (55.22%) and for those aged 45 years and older (50.38%). No significant differences were observed in prevalence, age, height, or width between sexes; the patients' ages ranged from 18 to 90 years. Septa were significantly more prevalent in dentulous (45.38%) and partially edentulous (48.58%) patients, with significantly more patients exhibiting buccopalatal orientation (82.39%). CONCLUSIONS This study focused primarily on anatomical features using CBCT examination, and analyses of male-female differences and the origin of the sinus septum are necessary for the future.
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Affiliation(s)
- Irika Miyao
- Dento-Oral Science Institute, #2F Fukuoka 3rd Bldg., 1-4-7, Iidabashi, Chiyoda-Ku, Tokyo, 102-0072, Japan
| | - Shigeo Osato
- Dento-Oral Science Institute, #2F Fukuoka 3rd Bldg., 1-4-7, Iidabashi, Chiyoda-Ku, Tokyo, 102-0072, Japan.
| | - Yukari Nakajima
- Dento-Oral Science Institute, #2F Fukuoka 3rd Bldg., 1-4-7, Iidabashi, Chiyoda-Ku, Tokyo, 102-0072, Japan
| | - Tadakazu Miyao
- Dento-Oral Science Institute, #2F Fukuoka 3rd Bldg., 1-4-7, Iidabashi, Chiyoda-Ku, Tokyo, 102-0072, Japan
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Le Fort I Osteotomy Complicated by Presence of Maxillary Sinus Septa. J Craniofac Surg 2023; 34:e98-e101. [PMID: 32604301 DOI: 10.1097/scs.0000000000006650] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 04/12/2020] [Indexed: 01/11/2023] Open
Abstract
ABSTRACT Presence of maxillary sinus septa, an anatomical variant, has never been documented as a possible complication of Le Fort I orthognathic surgery procedure. This case report describes the difficulty faced by an experienced surgeon during Le Fort I down-fracture procedure. The osteotomized maxilla remained firm despite confirmation that all osteotomy cuts have been performed adequately. The presence of a bilateral sagittally oriented maxillary sinus septa extending from the floor to the roof of the sinus in this case had prevented separation of the lower maxilla during down-fracture maneuver. Such normal anatomical variant must be identified during orthognathic surgery treatment planning session to avoid grave complications.
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BULUT A, ÖZER AM. Erişkinlerde Maxiller Sinüs Septa ve Mukozal Kalınlaşmanın KIBT ile Değerlendirilmesi. İSTANBUL GELIŞIM ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2022. [DOI: 10.38079/igusabder.949252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Furtado DMM, Martins-Júnior PA, Alves TKC, Santos RPDM, Coutinho DCO, Neto ISA, Vidigal BCL, de Oliveira GAA, Alves E Silva MRM, Manzi FR. Prevalence and characterization of maxillary sinus septa in a brazilian population. J Clin Exp Dent 2021; 13:e642-e647. [PMID: 34306526 PMCID: PMC8291165 DOI: 10.4317/jced.56467] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 12/20/2020] [Indexed: 12/14/2022] Open
Abstract
Background The aim of this study was to assess the anatomic aspects of the maxillary sinus septa, by means of computed tomography images, in a Brazilian population. The results might be of clinical significance in sinus lift surgery planning.
Material and Methods In the study, 123 computed tomographs obtained from a private radiology clinic were used. They were analyzed by a single, trained and calibrated observer in order to evaluate the presence, quantity, localizations, dimensions, orientations and different characteristics in dentate, partially edentulous and completely edentulous individuals of the sinus septa.
Results Of the individuals analyzed, 26% had a septum in the maxillary sinus, with 59.6% being classified as complete, 44.2% showed prevalence for the middle region of the maxillary sinus. There was no statistically significant difference between the right and left sides (p>0.05).
Conclusions The majority of patients in the sample analyzed presented to septa in the maxillary sinuses, and when septa were present, a higher number of occurrence was noted in the middle region of the maxillary sinus. (This region is normally the choice of sinus lift surgery). There was no predilection relative to age, sex and type of dentition. Key words:Multislice computed tomography, maxillary antrum, anatomic variation.
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Affiliation(s)
- Deusa-Maria-Mendes Furtado
- DDS. Department of Dentistry of the Federal University of Minas Gerais. Faculty of Dentistry, Federal University of Minas Gerais. Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, Brazil
| | - Paulo-Antônio Martins-Júnior
- PhD. Department of Pediatric Dentistry of the Federal University of Minas Gerais. Faculty of Dentistry, Federal University of Minas Gerais. Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, Brazil
| | - Tatielly-Karine-Costa Alves
- DDS. Department of Dentistry of the Pontifical Catholic University of Minas Gerais. Graduate Program in Dentistry of the Pontifical Catholic University of Minas Gerais. Pontifícia Universidade Católica de Minas Gerais - Departamento de Odontologia Avenida Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, Minas Gerais, Brazil
| | - Rafael-Pereira-da Mata Santos
- Graduate Program in Dentistry of the Pontifical Catholic University of Minas Gerais. Pontifícia Universidade Católica de Minas Gerais - Departamento de Odontologia Avenida Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, Minas Gerais, Brazil
| | - Danielle-Carvalho-Oliveira Coutinho
- PhD. Department of Dentistry of the Federal University of Minas Gerais. Faculty of Dentistry, Federal University of Minas Gerais. Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, Brazil
| | - Idalísio-Soares-Aranha Neto
- MSc. Department of Dentistry of the Pontifical Catholic University of Minas Gerais. Graduate Program in Dentistry of the Pontifical Catholic University of Minas Gerais. Pontifícia Universidade Católica de Minas Gerais - Departamento de Odontologia Avenida Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, Minas Gerais, Brazil
| | - Bruno-César-Ladeira Vidigal
- PhD. Department of Dentistry of the Federal University of Minas Gerais. Faculty of Dentistry, Federal University of Minas Gerais. Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, Brazil
| | - Guilherme-Augusto-Alves de Oliveira
- MSc. Department of Dentistry of the Pontifical Catholic University of Minas Gerais. Graduate Program in Dentistry of the Pontifical Catholic University of Minas Gerais. Pontifícia Universidade Católica de Minas Gerais - Departamento de Odontologia Avenida Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, Minas Gerais, Brazil
| | - Micena-Roberta-Miranda Alves E Silva
- PhD. Department of Morphology of the Federal University of Minas Gerais. Faculty of Dentistry, Federal University of Minas Gerais. Universidade Federal de Minas Gerais, Avenida Presidente Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, Brazil
| | - Flávio-Ricardo Manzi
- PhD. Department of Dentistry of the Pontifical Catholic University of Minas Gerais. Graduate Program in Dentistry of the Pontifical Catholic University of Minas Gerais. Pontifícia Universidade Católica de Minas Gerais - Departamento de Odontologia Avenida Dom José Gaspar, 500, Coração Eucarístico, Belo Horizonte, Minas Gerais, Brazil
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Melnichenko YM, Mehtiev RS, Kabak SL, Savrasova NA. [Topography of maxillary sinus septa according to cone beam computed tomography data]. STOMATOLOGII︠A︡ 2020; 99:52-56. [PMID: 32608950 DOI: 10.17116/stomat20209903152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The aim of the study was to establish the location, orientation and height of the maxillary sinus primary septa. The data of 100 cone-beam computed tomography scans of patients with a mean age of 37.6±15.4 years from dental outpatient hospitals of Minsk, Belarus taken from 2012 to 2019 were analyzed. The prevalence of sinus septa was 45.6% for sinuses and 37.2% for patients. As a rule, septa were symmetric bilaterally. The heights of septa varied from 2-3 mm to 8-14 mm in the majority of cases. Orientation of septa was coronal in 94.7%, sagittal in 3.9%, and horizontal in 1.4% of cases. The location of the septa must be considered when planning for dental implants. In addition, septa in the upper and posterior regions of the maxillary sinus may interfere with mucociliary clearance.
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Affiliation(s)
| | - R S Mehtiev
- Belarusian State Medical University, Minsk, Republic of Belarus
| | - S L Kabak
- Belarusian State Medical University, Minsk, Republic of Belarus
| | - N A Savrasova
- Belarusian State Medical University, Minsk, Republic of Belarus
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Amine K, Slaoui S, Kanice FZ, Kissa J. Evaluation of maxillary sinus anatomical variations and lesions: A retrospective analysis using cone beam computed tomography. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2020; 121:484-489. [PMID: 31931183 DOI: 10.1016/j.jormas.2019.12.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 12/12/2019] [Accepted: 12/16/2019] [Indexed: 12/11/2022]
Abstract
INTRODUCTION The residual bone height in the posterior edentulous maxilla is frequently limited by the maxillary sinuses. Sinus floor elevation (SFE) is then considered to restore sufficient bone height. The preoperative analysis of the maxillary sinus is necessary for the success of this surgery. Therefore, we investigated the frequency of maxillary sinus anatomic variations and lesions by using cone beam computed tomography (CBCT). MATERIALS AND METHODS We retrospectively analysed all CBCTs performed at a private radiological center between January and November 2014. The following anatomical variations and lesions were assessed: sinus ventilation, sinus septa, the sinus totally compartmentalized, the hypoplastic sinus, sinus aplasia, the prolapsed sinus, thickness of the anterolateral wall, the position of antral artery, mucosa thickening, sinus opacity, the polyps and the cysts. RESULTS A total of 300 cone beam images were analyzed. The findings consisted in: ventilation 91%, septa 34.66%, total compartmentalized sinus 6%, hypoplastic sinus 5%, aplastic sinus 0%, prolapsed sinus 1.66%, endorsed position of the antral artery 53%, submucosa position 43%, thickening of the sinus mucosa 41%, sinus opacity 4%, polyps and the cysts 20.33%. The average thickness of the anterolateral wall was about 1.16±0.48mm. CONCLUSION The maxillary sinus has great interindividual anatomical variability. The cone beam is highly beneficial for the analysis of the anatomical structures in relationships with any sinus surgery.
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Affiliation(s)
- K Amine
- Faculty of dentistry, University Hassan II of Casablanca, Casablanca, Morocco.
| | - S Slaoui
- Faculty of dentistry, University Hassan II of Casablanca, Casablanca, Morocco
| | - F-Z Kanice
- Faculty of dentistry, University Hassan II of Casablanca, Casablanca, Morocco
| | - J Kissa
- Faculty of dentistry, University Hassan II of Casablanca, Casablanca, Morocco
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Anatomical characteristics of maxillary sinus septa visualized by cone beam computed tomography. Int J Oral Maxillofac Surg 2018; 48:382-387. [PMID: 30360991 DOI: 10.1016/j.ijom.2018.09.009] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 08/14/2018] [Accepted: 09/24/2018] [Indexed: 12/11/2022]
Abstract
Proper implant positioning in the posterior region of the edentulous maxilla commonly requires sinus floor elevation. Maxillary sinus septa increase the risk of membrane perforation during sinus floor elevation. The purpose of this retrospective, cone beam computed tomography (CBCT)-based study was to examine the frequency, number, location, and orientation of antral septa in the maxillary sinus. Further, possible associated factors were assessed. Measurements were performed on CBCT scans of 301 patients (602 sinuses). The data were analysed statistically with respect to patient age, sex, and dentition type. One or more septa were detected in 117 patients (38.9%). A total of 188 septa were found in the 602 sinuses (31.2%). Septa were most often coronally oriented (53.2%), followed by sagittal (24.5%) and transverse (22.3%) orientations. Septa were most often found in the region of the first and second molar (37.2%), followed by the posterior region of the third molar (33.0%) and the anterior region of the premolars and canines (29.8%). A significant association was found between edentulism and the presence of septa. For edentulous patients, the septa were most often transversally oriented. Maxillary sinus septa are encountered in every third patient. This may have an influence on the performance of sinus floor elevation.
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Lovasova K, Kachlik D, Rozpravkova M, Matusevska M, Ferkova J, Kluchova D. Three-dimensional CAD/CAM imaging of the maxillary sinus in ageing process. Ann Anat 2018; 218:69-82. [PMID: 29627610 DOI: 10.1016/j.aanat.2018.01.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 11/16/2017] [Accepted: 01/16/2018] [Indexed: 12/12/2022]
Abstract
OBJECTIVES During the physiological ageing process atrophy of the alveolar bone appears in vertical direction. This bone resorption causes pushing the limits of the maxillary sinus at the expense of a degraded bone. The sinus volume increases due to the facial development in children and adolescents or during the ageing process due to the loss of teeth and bone mass. The main aim of this study is to determine the sinus shape and sinus floor morphology related to age. MATERIALS AND METHODS Human adult male and female cadaveric heads (aged 37 to 83 years) with different dental status were used. The three-dimensional CAD/CAM software was used to scan the solid impressions of the maxillary sinus to visualize the real sinus shape and sinus floor. Subsequently, other findings are shown in tables and evaluated graphically. RESULTS The maxillary sinus morphology, its relationship to the nasal cavity, the sub sinus alveolar bone height, displacement of the lowest and highest points of sinus, and the sinus relationship to the roots of the upper teeth were studied and evaluated. Some septa, crests, and the prominent infraorbital canal were also found in the area of the sinus floor. CONCLUSIONS This paper provides a unique view on the maxillary sinus and its changes during the ageing process with preserved topographical relations in a representative sample of the Slovak population. The visualization of the maxillary sinus anatomy is necessary in the diagnosis and treatment plans for dental implants and during current surgical procedures.
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Affiliation(s)
- Kvetuse Lovasova
- Department of Anatomy, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Srobarova 2, 041 80 Kosice, Slovak Republic.
| | - David Kachlik
- Department of Anatomy, Second Faculty of Medicine, Charles University, U Nemocnice 3, 128 00 Prague, Czech Republic.
| | - Mirela Rozpravkova
- Orthodontic Department, Dentistry Clinic, Palacky University, Palackeho 12, 772 00 Olomouc, Czech Republic.
| | - Maria Matusevska
- Department of Dental Hygiene, Faculty of Health Care, University of Presov, Partizanska 1, 080 01 Presov, Slovak Republic.
| | - Jana Ferkova
- Department of Dental Hygiene, Faculty of Health Care, University of Presov, Partizanska 1, 080 01 Presov, Slovak Republic.
| | - Darina Kluchova
- Department of Anatomy, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Srobarova 2, 041 80 Kosice, Slovak Republic.
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