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Maxillary sinus vascular anatomy and its relation to sinus lift surgery

Identifieur interne : 003789 ( Istex/Corpus ); précédent : 003788; suivant : 003790

Maxillary sinus vascular anatomy and its relation to sinus lift surgery

Auteurs : Gabriele Rosano ; Silvio Taschieri ; Jean-François Gaudy ; Tommaso Weinstein ; Massimo Del Fabbro

Source :

RBID : ISTEX:70DFD1C57EE4A3A3E60C1C0538AE9E6C53267FBB

English descriptors

Abstract

Objectives: To investigate the prevalence, location, size and course of the anastomosis between the dental branch of the posterior superior alveolar artery (PSAA), known as alveolar antral artery (AAA), and the infraorbital artery (IOA).

Url:
DOI: 10.1111/j.1600-0501.2010.02045.x

Links to Exploration step

ISTEX:70DFD1C57EE4A3A3E60C1C0538AE9E6C53267FBB

Le document en format XML

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<p>
<hi rend="bold">Material and methods: </hi>
The first part of the study was performed on 30 maxillary sinuses deriving from 15 human cadaver heads. In order to visualize such anastomosis, the vascular network afferent to the sinus was injected with liquid latex mixed with green India ink through the external carotid artery. The second part of the study consisted of 100 CT scans from patients scheduled for sinus lift surgery.</p>
<p>
<hi rend="bold">Results: </hi>
An anastomosis between the AAA and the IOA was found by dissection in the context of the sinus anterolateral wall in 100% of cases, while a well‐defined bony canal was detected radiographically in 94 out of 200 sinuses (47% of cases).</p>
<p>The mean vertical distance from the lowest point of this bony canal to the alveolar crest was 11.25±2.99 mm (SD) in maxillae examined by CT. The canal diameter was <1 mm in 55.3% of cases, 1–2 mm in 40.4% of cases and 2–3 mm in 4.3% of cases.</p>
<p>In 100% of cases, the AAA was found to be partially intra‐osseous, that is between the Schneiderian membrane and the lateral bony wall of the sinus, in the area selected for sinus antrostomy.</p>
<p>
<hi rend="bold">Conclusions: </hi>
A sound knowledge of the maxillary sinus vascular anatomy and its careful analysis by CT scan is essential to prevent complications during surgical interventions involving this region.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Rosano G, Taschieri S, Gaudy J‐F, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery.

<hi rend="italic">Clin. Oral Impl. Res</hi>
.
<hi rend="bold">22</hi>
, 2011; 711–715
doi: 10.1111/j.1600‐0501.2010.02045.x</p>
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Università degli Studi di Milano
Dipartimento di Tecnologie per la Salute
IRCCS Istituto Ortopedico Galeazzi
Via R. Galeazzi, 4
20161 – Milano
Italy
Tel.:+39 02 50319950
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e‐mail:
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<b>Objectives: </b>
To investigate the prevalence, location, size and course of the anastomosis between the dental branch of the posterior superior alveolar artery (PSAA), known as alveolar antral artery (AAA), and the infraorbital artery (IOA).</p>
<p>
<b>Material and methods: </b>
The first part of the study was performed on 30 maxillary sinuses deriving from 15 human cadaver heads. In order to visualize such anastomosis, the vascular network afferent to the sinus was injected with liquid latex mixed with green India ink through the external carotid artery. The second part of the study consisted of 100 CT scans from patients scheduled for sinus lift surgery.</p>
<p>
<b>Results: </b>
An anastomosis between the AAA and the IOA was found by dissection in the context of the sinus anterolateral wall in 100% of cases, while a well‐defined bony canal was detected radiographically in 94 out of 200 sinuses (47% of cases).</p>
<p>The mean vertical distance from the lowest point of this bony canal to the alveolar crest was 11.25±2.99 mm (SD) in maxillae examined by CT. The canal diameter was <1 mm in 55.3% of cases, 1–2 mm in 40.4% of cases and 2–3 mm in 4.3% of cases.</p>
<p>In 100% of cases, the AAA was found to be partially intra‐osseous, that is between the Schneiderian membrane and the lateral bony wall of the sinus, in the area selected for sinus antrostomy.</p>
<p>
<b>Conclusions: </b>
A sound knowledge of the maxillary sinus vascular anatomy and its careful analysis by CT scan is essential to prevent complications during surgical interventions involving this region.</p>
<p>
<b>To cite this article:</b>

Rosano G, Taschieri S, Gaudy J‐F, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery.

<i>Clin. Oral Impl. Res</i>
.
<b>22</b>
, 2011; 711–715
doi: 10.1111/j.1600‐0501.2010.02045.x</p>
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<abstract>Objectives: To investigate the prevalence, location, size and course of the anastomosis between the dental branch of the posterior superior alveolar artery (PSAA), known as alveolar antral artery (AAA), and the infraorbital artery (IOA).</abstract>
<abstract>Material and methods: The first part of the study was performed on 30 maxillary sinuses deriving from 15 human cadaver heads. In order to visualize such anastomosis, the vascular network afferent to the sinus was injected with liquid latex mixed with green India ink through the external carotid artery. The second part of the study consisted of 100 CT scans from patients scheduled for sinus lift surgery.</abstract>
<abstract>Results: An anastomosis between the AAA and the IOA was found by dissection in the context of the sinus anterolateral wall in 100% of cases, while a well‐defined bony canal was detected radiographically in 94 out of 200 sinuses (47% of cases).</abstract>
<abstract>The mean vertical distance from the lowest point of this bony canal to the alveolar crest was 11.25±2.99 mm (SD) in maxillae examined by CT. The canal diameter was <1 mm in 55.3% of cases, 1–2 mm in 40.4% of cases and 2–3 mm in 4.3% of cases.</abstract>
<abstract>In 100% of cases, the AAA was found to be partially intra‐osseous, that is between the Schneiderian membrane and the lateral bony wall of the sinus, in the area selected for sinus antrostomy.</abstract>
<abstract>Conclusions: A sound knowledge of the maxillary sinus vascular anatomy and its careful analysis by CT scan is essential to prevent complications during surgical interventions involving this region.</abstract>
<abstract>To cite this article: 
Rosano G, Taschieri S, Gaudy J‐F, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery.
Clin. Oral Impl. Res. 22, 2011; 711–715
doi: 10.1111/j.1600‐0501.2010.02045.x</abstract>
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