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Prevalence, Location, and Size of Maxillary Sinus Septa: Panoramic Radiograph Versus Computed Tomography Scan

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Prevalence, Location, and Size of Maxillary Sinus Septa: Panoramic Radiograph Versus Computed Tomography Scan

Auteurs : Laura Maestre-Ferrin [Espagne] ; Celia Carrillo-Garcia [Espagne] ; S Nnica Galan-Gil [Espagne] ; Maria Penarrocha-Diago [Espagne] ; Miguel Penarrocha-Diago [Espagne]

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2011.

RBID : Pascal:11-0104517

Descripteurs français

Pascal (Inist)
- Radiographie panoramique, Tomographie panoramique, Tomodensitométrie, Prévalence, Taille, Sinus maxillaire, Etude comparative, Chirurgie, Stomatologie, Traitement.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Comparative study, Computerized axial tomography, Maxillary sinus, Panoramic radiography, Panoramic tomography, Prevalence, Size, Stomatology, Surgery, Treatment.

Abstract

Purpose: To determine the prevalence, location, and size of maxillary sinus septa, and to compare the results of panoramic radiographs and computed tomography (CT) scans. Materials and Methods: This study included 30 patients, 17 women and 13 men, with a mean age of 50.9 years (range, 28-73 years), undergoing treatment planning for implant-supported restorations in the maxilla. Three observers analyzed the panoramic radiographs, the conventional CT scans in acetate, and the Implametric 3-dimensional CT (3Dent, Valencia, Spain). The maxillary sinus septa of each patient and the type of septa, as well as its location and size, were recorded. Results: In 60 maxillary sinuses, panoramic radiographs showed 32 septa (53.3%); CT in acetate showed 42 septa (70%); and Implametric 3-dimensional CT showed 40 septa (66.7%). Most septa (60%) were located in the middle region of the maxillary sinus, 22.5% in the posterior region, and 17.5% in the anterior region. The mean height of the septa was 4.78 ± 1.76 mm. Panoramic radiographs led to an erroneous diagnosis in 46.5% of the cases. Conclusions: Maxillary sinus septa are a frequent anatomic variation. They can be found in any of the maxillary sinus regions independently of patient edentulism. The panoramic radiograph can lead to false-positive and false-negative findings in the visualization of septa in almost half of cases. Therefore, whenever a maxillary sinus lift is planned, a thorough study of the affected sinus should be made using CT.

Affiliations:

Espagne

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Le document en format XML

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<front><div type="abstract" xml:lang="en">Purpose: To determine the prevalence, location, and size of maxillary sinus septa, and to compare the results of panoramic radiographs and computed tomography (CT) scans. Materials and Methods: This study included 30 patients, 17 women and 13 men, with a mean age of 50.9 years (range, 28-73 years), undergoing treatment planning for implant-supported restorations in the maxilla. Three observers analyzed the panoramic radiographs, the conventional CT scans in acetate, and the Implametric 3-dimensional CT (3Dent, Valencia, Spain). The maxillary sinus septa of each patient and the type of septa, as well as its location and size, were recorded. Results: In 60 maxillary sinuses, panoramic radiographs showed 32 septa (53.3%); CT in acetate showed 42 septa (70%); and Implametric 3-dimensional CT showed 40 septa (66.7%). Most septa (60%) were located in the middle region of the maxillary sinus, 22.5% in the posterior region, and 17.5% in the anterior region. The mean height of the septa was 4.78 ± 1.76 mm. Panoramic radiographs led to an erroneous diagnosis in 46.5% of the cases. Conclusions: Maxillary sinus septa are a frequent anatomic variation. They can be found in any of the maxillary sinus regions independently of patient edentulism. The panoramic radiograph can lead to false-positive and false-negative findings in the visualization of septa in almost half of cases. Therefore, whenever a maxillary sinus lift is planned, a thorough study of the affected sinus should be made using CT.</div>
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Prevalence, Location, and Size of Maxillary Sinus Septa: Panoramic Radiograph Versus Computed Tomography Scan

Prevalence, Location, and Size of Maxillary Sinus Septa: Panoramic Radiograph Versus Computed Tomography Scan

Source :

Descripteurs français

English descriptors

Abstract

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