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Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography

Identifieur interne : 006F12 ( Ncbi/Merge ); précédent : 006F11; suivant : 006F13

Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography

Auteurs : Maryam Tehranchi [Iran] ; Ferial Taleghani [Iran] ; Shahriar Shahab [Iran] ; Arash Nouri [Iran]

Source :

RBID : PMC:5370253

Abstract

Purpose

Insufficient knowledge of the anatomy of the maxillary sinuses prior to sinus graft surgery may lead to perioperative or postoperative complications. This study sought to characterize the position of the posterior superior alveolar artery (PSAA) within the maxillary sinuses using cone-beam computed tomography (CBCT).

Materials and Methods

A total of 300 patients with edentulous posterior maxillae, including 138 females and 162 males with an age range of 33-86 years, who presented to a radiology clinic between 2013 and 2015 were enrolled in this retrospective cross-sectional study. The distance from the inferior border of the PSAA to the alveolar crest according to the residual ridge classification by Lekholm and Zarb, the distance from the PSAA to the nasal septum and zygomatic arch, and the diameter and position of the PSAA were all assessed on patients' CBCT scans. The data were analyzed using the Mann-Whitney test and the t-test.

Results

The PSAA was detected on the CBCT scans of 87% of the patients; it was located beneath the sinus membrane in 47% of cases and was intraosseous in 47% of cases. The diameter of the artery was between 1 and 2 mm in most patients (72%). The mean diameter of the artery was 1.29±0.39 mm, and the mean distances from the PSAA to the zygomatic arch, nasal septum, and alveolar crest were 22.59±4.89 mm, 26.51±3.52 mm, and 16.7±3.96 mm, respectively.

Conclusion

The likelihood of detecting the PSAA on CBCT scans is high; its location is intraosseous or beneath the sinus membrane in most patients. Determining the exact location of the PSAA on CBCT scans preoperatively can help prevent it from being damaged during surgery.


Url:
DOI: 10.5624/isd.2017.47.1.39
PubMed: 28361028
PubMed Central: 5370253

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PMC:5370253

Le document en format XML

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<title>Purpose</title>
<p>Insufficient knowledge of the anatomy of the maxillary sinuses prior to sinus graft surgery may lead to perioperative or postoperative complications. This study sought to characterize the position of the posterior superior alveolar artery (PSAA) within the maxillary sinuses using cone-beam computed tomography (CBCT).</p>
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<title>Materials and Methods</title>
<p>A total of 300 patients with edentulous posterior maxillae, including 138 females and 162 males with an age range of 33-86 years, who presented to a radiology clinic between 2013 and 2015 were enrolled in this retrospective cross-sectional study. The distance from the inferior border of the PSAA to the alveolar crest according to the residual ridge classification by Lekholm and Zarb, the distance from the PSAA to the nasal septum and zygomatic arch, and the diameter and position of the PSAA were all assessed on patients' CBCT scans. The data were analyzed using the Mann-Whitney test and the t-test.</p>
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<title>Results</title>
<p>The PSAA was detected on the CBCT scans of 87% of the patients; it was located beneath the sinus membrane in 47% of cases and was intraosseous in 47% of cases. The diameter of the artery was between 1 and 2 mm in most patients (72%). The mean diameter of the artery was 1.29±0.39 mm, and the mean distances from the PSAA to the zygomatic arch, nasal septum, and alveolar crest were 22.59±4.89 mm, 26.51±3.52 mm, and 16.7±3.96 mm, respectively.</p>
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<title>Conclusion</title>
<p>The likelihood of detecting the PSAA on CBCT scans is high; its location is intraosseous or beneath the sinus membrane in most patients. Determining the exact location of the PSAA on CBCT scans preoperatively can help prevent it from being damaged during surgery.</p>
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<journal-meta>
<journal-id journal-id-type="nlm-ta">Imaging Sci Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Imaging Sci Dent</journal-id>
<journal-id journal-id-type="publisher-id">ISD</journal-id>
<journal-title-group>
<journal-title>Imaging Science in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2233-7822</issn>
<issn pub-type="epub">2233-7830</issn>
<publisher>
<publisher-name>Korean Academy of Oral and Maxillofacial Radiology</publisher-name>
</publisher>
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<article-id pub-id-type="pmid">28361028</article-id>
<article-id pub-id-type="pmc">5370253</article-id>
<article-id pub-id-type="doi">10.5624/isd.2017.47.1.39</article-id>
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<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Prevalence and location of the posterior superior alveolar artery using cone-beam computed tomography</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tehranchi</surname>
<given-names>Maryam</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Taleghani</surname>
<given-names>Ferial</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shahab</surname>
<given-names>Shahriar</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Nouri</surname>
<given-names>Arash</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Periodontology, Faculty of Dentistry, Shahed University, Tehran, Iran.</aff>
<aff id="A2">
<label>2</label>
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Shahed University, Tehran, Iran.</aff>
<aff id="A3">
<label>3</label>
Nouri's Dental Clinic, Tehran, Iran.</aff>
<author-notes>
<corresp>Correspondence to: Prof. Ferial Taleghani. Department of Periodontology, Faculty of Dentistry, Shahed University, Vesal Str. Italia Str. No 39 PC 14177, Teheran, Iran. Tel) 98-912-1460485, Fax) 98-218-8967618,
<email>ferial2002@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>47</volume>
<issue>1</issue>
<fpage>39</fpage>
<lpage>44</lpage>
<history>
<date date-type="received">
<day>21</day>
<month>9</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>11</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>13</day>
<month>12</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 by Korean Academy of Oral and Maxillofacial Radiology</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Purpose</title>
<p>Insufficient knowledge of the anatomy of the maxillary sinuses prior to sinus graft surgery may lead to perioperative or postoperative complications. This study sought to characterize the position of the posterior superior alveolar artery (PSAA) within the maxillary sinuses using cone-beam computed tomography (CBCT).</p>
</sec>
<sec>
<title>Materials and Methods</title>
<p>A total of 300 patients with edentulous posterior maxillae, including 138 females and 162 males with an age range of 33-86 years, who presented to a radiology clinic between 2013 and 2015 were enrolled in this retrospective cross-sectional study. The distance from the inferior border of the PSAA to the alveolar crest according to the residual ridge classification by Lekholm and Zarb, the distance from the PSAA to the nasal septum and zygomatic arch, and the diameter and position of the PSAA were all assessed on patients' CBCT scans. The data were analyzed using the Mann-Whitney test and the t-test.</p>
</sec>
<sec>
<title>Results</title>
<p>The PSAA was detected on the CBCT scans of 87% of the patients; it was located beneath the sinus membrane in 47% of cases and was intraosseous in 47% of cases. The diameter of the artery was between 1 and 2 mm in most patients (72%). The mean diameter of the artery was 1.29±0.39 mm, and the mean distances from the PSAA to the zygomatic arch, nasal septum, and alveolar crest were 22.59±4.89 mm, 26.51±3.52 mm, and 16.7±3.96 mm, respectively.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The likelihood of detecting the PSAA on CBCT scans is high; its location is intraosseous or beneath the sinus membrane in most patients. Determining the exact location of the PSAA on CBCT scans preoperatively can help prevent it from being damaged during surgery.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Maxillary Sinus</kwd>
<kwd>Artery</kwd>
<kwd>Cone-Beam Computed Tomography</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="IR">
<institution-wrap>
<institution>Shahed University</institution>
</institution-wrap>
</funding-source>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" orientation="portrait" position="float">
<label>Fig. 1</label>
<caption>
<title>Distance from the lower border of the artery to the alveolar crest.</title>
</caption>
<graphic xlink:href="isd-47-39-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float">
<label>Fig. 2</label>
<caption>
<title>Coronal view of the maxillary sinus, showing the intraosseous artery.</title>
</caption>
<graphic xlink:href="isd-47-39-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float">
<label>Fig. 3</label>
<caption>
<title>Coronal view of the maxillary sinus, showing the artery (arrow), which is below the membrane.</title>
</caption>
<graphic xlink:href="isd-47-39-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float">
<label>Fig. 4</label>
<caption>
<title>Coronal view of the maxillary sinus, showing the artery (arrow), which runs over the external cortex of the lateral sinus wall.</title>
</caption>
<graphic xlink:href="isd-47-39-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float">
<label>Fig. 5</label>
<caption>
<title>Distance from the artery to the zygomatic arch (A) and to the nasal septum (B).</title>
</caption>
<graphic xlink:href="isd-47-39-g005"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<title>Position of the posterior superior alveolar artery based on sex and type of edentulism</title>
</caption>
<graphic xlink:href="isd-47-39-i001"></graphic>
</table-wrap>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<title>Descriptive statistics related to the PSAA based on sex (mean±standard deviation)</title>
</caption>
<graphic xlink:href="isd-47-39-i002"></graphic>
<table-wrap-foot>
<fn>
<p>
<sup>*</sup>
:
<italic>P</italic>
<.05</p>
<p>PSAA, posterior superior alveolar artery.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" orientation="portrait" position="float">
<label>Table 3</label>
<caption>
<title>Assessment of the type of residual ridge according to the classification of Lekholm and Zarb
<xref rid="B10" ref-type="bibr">10</xref>
</title>
</caption>
<graphic xlink:href="isd-47-39-i003"></graphic>
<table-wrap-foot>
<fn>
<p>PSAA: posterior superior alveolar artery.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Iran</li>
</country>
</list>
<tree>
<country name="Iran">
<noRegion>
<name sortKey="Tehranchi, Maryam" sort="Tehranchi, Maryam" uniqKey="Tehranchi M" first="Maryam" last="Tehranchi">Maryam Tehranchi</name>
</noRegion>
<name sortKey="Nouri, Arash" sort="Nouri, Arash" uniqKey="Nouri A" first="Arash" last="Nouri">Arash Nouri</name>
<name sortKey="Shahab, Shahriar" sort="Shahab, Shahriar" uniqKey="Shahab S" first="Shahriar" last="Shahab">Shahriar Shahab</name>
<name sortKey="Taleghani, Ferial" sort="Taleghani, Ferial" uniqKey="Taleghani F" first="Ferial" last="Taleghani">Ferial Taleghani</name>
</country>
</tree>
</affiliations>
</record>

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