Topography of septa of the maxillary sinus floor
https://doi.org/10.51922/1818-426X.2023.4.86
Abstract
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. The data of cone-beam computed tomography of 150 dental patients (295 maxillary sinuses) were analyzed.
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. 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.
References
1. Alhumaidan, G., Eltahir M. A., Shaikh S. S. Retrospective analysis of maxillary sinus septa – A cone beam computed tomography study // Saudi Dental Journal. – 2021. – Vol. 33, № 7. – P. 467–473.
2. Dragan, E., Odri G. A., Melian G., Haba D., Olszewski R. Three-Dimensional Evaluation of Maxillary Sinus Septa for Implant Placement. Medical Science Monitor. – 2017. – № 23. – P. 1394–1400.
3. Iizuka, N., Kawashima Y., Tokunaga S., Ito K., Hara Y., Hirahara N., Sawada E., Sekiya K., Kaneda T. Forms of Maxillary Sinus with Septa can Cause by Mucosal Thickening of Maxillary Sinus: Computed Tomographic Study // International Journal of OralMedical Sciences. – 2019. – Vol. 18, № 1. – P. 57–61.
4. Irinakis, T., Dabuleanu V., Aldahlawi S. Complications During Maxillary Sinus Augmentation Associated with Interfering Septa: A New Classification of Septa // The Open Dentistry Journal. – 2017. – № 11. – P. 140–150.
5. Krennmair, G., Ulm C. W., Lugmayr H., Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla //Journal of Oral and Maxillofacial Surgery. – 1999. – Vol. 57, № 6. – P. 667–671.
6. Neugebauer, J., Ritter L., Mischkowski R. A., Dreiseidler T., Scherer P., Ketterle M., Rothamel D., Zöller J. E. Evaluation of maxillary sinus anatomy by cone-beam CT prior to sinus floor elevation // International Journal of Oral and Maxillofacial Implants. – 2010. – Vol. 25, № 2. – P. 258–265.
7. Pommer, B., Ulm C., Lorenzoni M., Palmer R., Watzek G., Zechner W. Prevalence, location and morphology of maxillary sinus septa: systematic review and meta-analysis // Journal of Clinical Periodontology. – 2012. – Vol. 39, № 8. – P. 769–773.
8. Sigaroudi, A. K., Kajan Z. D., Rastgar S., Asli H. N. Frequency of different maxillary sinus septal patterns found on cone-beam computed tomography and predicting the associated risk of sinus membrane perforation during sinus lifting // Imaging Science in Dentistry. – 2017. – Vol. 47, № 4. – P. 261–267.
9. Tadinada, А., Jalali E., Al-Salman W., Jambhekar S., Katechia B., Almas K. Prevalence of bony septa, antral pathology, and dimensions of the maxillary sinus from a sinus augmentation perspective: A retrospective cone-beam computed tomography study // Imaging science in dentistry. – 2016. – Vol. 46, № 2. – P. 109–115.
10. Velásquez-Plata, D., Hovey L. R., Peach C. C., Alder M. E. Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis // The International Journal of Oral & Maxillofacial Implants. – 2002. – Vol. 77, № 6. – P. 854–860.
Review
For citations:
Mekhtiev R.S. Topography of septa of the maxillary sinus floor. Medical Journal. 2023;(4):86-92. (In Russ.) https://doi.org/10.51922/1818-426X.2023.4.86