medjournalМедицинский журналMedical Journal1818-426XБелорусский государственный медицинский университет10.51922/1818-426X.2023.4.86medjournal-40Research ArticleОРИГИНАЛЬНЫЕ НАУЧНЫЕ ПУБЛИКАЦИИORIGINAL SCIENTIFIC PUBLICATIONSТопография септ в области дна верхнечелюстной пазухиTopography of septa of the maxillary sinus floorМехтиевР. С.MekhtievR. S.УО «Белорусский государственный медицинский университет»Belarus202317062025048692Copyright © Мехтиев Р.С., 20252025Мехтиев Р.С.Mekhtiev R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medjournal.ejournal.by/jour/article/view/40

Цель исследования – выявить частоту встречаемости, размеры и локализацию септ в области нижней стенки верхнечелюстной пазухи при наличии боковых зубов верхней челюсти.

Материалы и методы

Материалы и методы. Проанализированы данные конусно-лучевой компьютерной томографии (КЛКТ) 150 пациентов (295 верхнечелюстных пазух).

Результаты

Результаты. Костные перегородки верхнечелюстной пазухи были идентифицированы у 43,3 % пациентов в области нижней стенки 98 из 295 пазух (33,2 %). Большинство септ (112 из 122) располагались вертикально во фронтальной плоскости (медиально-латерально). В 49,2 % случаев они обнаруживались в области первого и второго верхних моляров. Протяженность септ варьировала от 2,5 мм до 17,31 мм (6,58 ± 3,18 мм). Полные септы, разделяющие пазуху на относительно изолированные участки, обнаружены в 19,4 % случаев.

Заключение

Заключение. Установление с помощью КЛКТ топографии септ в области нижней стенки верхнечелюстной пазухи на этапе планирования открытого синуслифтинга должно способствовать снижению интра- и послеоперационных осложнений этой операции.

The aim of the study was to establish the prevalence, size and location of maxillary sinus septa in patients with a dentate posterior maxilla.

Materials and methods

Materials and methods. The data of cone-beam computed tomography of 150 dental patients (295 maxillary sinuses) were analyzed.

Results

Results. Maxillary sinus septa were identified in 43.3 % of patients inside 98 of 295 sinuses (33.2 %). The most common orientation of septa was medio-lateral for a number of 112 from 122 (91.8 %). Septa were most common (49.2 %) in the region of the first and second maxillary molars. The mean size of septa was 6.58 ± 3.18 mm (range 2.5–17.31 mm). Complete septa (dividing the sinus into two relatively separated cavities) were identified in 19.4 % of cases.

Conclusion

Conclusion. Detection of the topography of maxillary sinus septa by using cone-beam computed tomography is essential when planning sinus augmentation procedures in order to avoid unnecessary intra- and postoperative complications.

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The authors declare that there are no conflicts of interest present.