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Maxillary sinus septa : incidence, morphology and clinical implications

Identifieur interne : 009F30 ( Main/Exploration ); précédent : 009F29; suivant : 009F31

Maxillary sinus septa : incidence, morphology and clinical implications

Auteurs : G. Krennmair [Autriche] ; C. Ulm [Autriche] ; H. Lugmayr [Autriche]

Source :

RBID : Pascal:97-0543503

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English descriptors

Abstract

This study was carried out to examine the incidence, morphology and clinical implication of antral septa. Out of 265 maxillary sinuses, 65 sinuses in atrophic maxillae were examined clinically during sinus floor elevation and 200 sinuses examined radiographically (CT), the latter being further subdivided into non-atrophic/ dentate and atrophic/edentulous maxillary segments. Eighteen (27.7%) out of 65 clinically-examined maxillae and 32 (16%) out of the 200 non-preselected CT-examined maxillary sinuses showed antral septa. CT-topogram subclassification revealed 21 septa (13.2%) in 159 non-atrophic and 11 septa (26.8%) in 41 atrophic maxillary segments (P<0.01). Morphologically, CT examination yielded one complete septum (0.5%), 21 incomplete septa on the sinus floor and 10 incomplete septa on the anterior antral wall (5%). CT revealed a significantly greater dimension of antral septa in non-atrophic maxillary segments than in atrophic ones (P<0.01). In atrophic maxillary sinuses, the incidence (27.7% vs 26.8%), morphology (all septa located on sinus floor) and height (8.1±2.5mm vs 6.8±1.6mm) did not differ between the clinical and the CT examinations. Detailed knowledge about location, morphology and height of antral septa is clinically relevant to reduce the rate of complications when maxillary sinus surgery, i.e. sinus floor elevation, is carried out.


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Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alveolar Ridge Augmentation</term>
<term>Atrophia</term>
<term>Atrophy</term>
<term>Bone Resorption (diagnostic imaging)</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Resorption (pathology)</term>
<term>Computerized axial tomography</term>
<term>Dental Implantation, Endosseous</term>
<term>Edentulousness</term>
<term>Exploration</term>
<term>False Positive Reactions</term>
<term>Female</term>
<term>Height</term>
<term>Human</term>
<term>Humans</term>
<term>Incidence</term>
<term>Intraoperative Complications (prevention & control)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous, Partially (diagnostic imaging)</term>
<term>Jaw, Edentulous, Partially (pathology)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Maxillary Sinus (pathology)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Maxillary sinus</term>
<term>Middle Aged</term>
<term>Morphology</term>
<term>Paranasal Sinus Diseases (diagnostic imaging)</term>
<term>Paranasal Sinus Diseases (etiology)</term>
<term>Paranasal Sinus Diseases (pathology)</term>
<term>Radiography, Panoramic</term>
<term>Tomography, X-Ray Computed</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Complications peropératoires ()</term>
<term>Faux positifs</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Maladies des sinus (anatomopathologie)</term>
<term>Maladies des sinus (imagerie diagnostique)</term>
<term>Maladies des sinus (étiologie)</term>
<term>Maxillaire ()</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée (anatomopathologie)</term>
<term>Mâchoire partiellement édentée (imagerie diagnostique)</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Radiographie panoramique</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Résorption osseuse (anatomopathologie)</term>
<term>Résorption osseuse (imagerie diagnostique)</term>
<term>Résorption osseuse (étiologie)</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (anatomopathologie)</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie</term>
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<term>Maladies des sinus</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
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<term>Maxillary Sinus</term>
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<term>Paranasal Sinus Diseases</term>
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<term>Maladies des sinus</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
<term>Résorption osseuse</term>
<term>Sinus maxillaire</term>
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<term>Bone Resorption</term>
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Maladies des sinus</term>
<term>Résorption osseuse</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Atrophy</term>
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<term>False Positive Reactions</term>
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<term>Humans</term>
<term>Incidence</term>
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<term>Faux positifs</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Maxillaire</term>
<term>Mâle</term>
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<front>
<div type="abstract" xml:lang="en">This study was carried out to examine the incidence, morphology and clinical implication of antral septa. Out of 265 maxillary sinuses, 65 sinuses in atrophic maxillae were examined clinically during sinus floor elevation and 200 sinuses examined radiographically (CT), the latter being further subdivided into non-atrophic/ dentate and atrophic/edentulous maxillary segments. Eighteen (27.7%) out of 65 clinically-examined maxillae and 32 (16%) out of the 200 non-preselected CT-examined maxillary sinuses showed antral septa. CT-topogram subclassification revealed 21 septa (13.2%) in 159 non-atrophic and 11 septa (26.8%) in 41 atrophic maxillary segments (P<0.01). Morphologically, CT examination yielded one complete septum (0.5%), 21 incomplete septa on the sinus floor and 10 incomplete septa on the anterior antral wall (5%). CT revealed a significantly greater dimension of antral septa in non-atrophic maxillary segments than in atrophic ones (P<0.01). In atrophic maxillary sinuses, the incidence (27.7% vs 26.8%), morphology (all septa located on sinus floor) and height (8.1±2.5mm vs 6.8±1.6mm) did not differ between the clinical and the CT examinations. Detailed knowledge about location, morphology and height of antral septa is clinically relevant to reduce the rate of complications when maxillary sinus surgery, i.e. sinus floor elevation, is carried out.</div>
</front>
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