Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study
Identifieur interne : 000408 ( Pmc/Curation ); précédent : 000407; suivant : 000409Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study
Auteurs : Gökhan Göçmen ; Mehmet O Uz Borahan ; Sertac Aktop ; As M Dumlu ; Filiz Namdar Pekiner ; Kamil GökerSource :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
Url:
DOI: 10.2174/1874210601509010282
PubMed: 26464596
PubMed Central: 4598377
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study</title>
<author><name sortKey="Gocmen, Gokhan" sort="Gocmen, Gokhan" uniqKey="Gocmen G" first="Gökhan" last="Göçmen">Gökhan Göçmen</name>
</author>
<author><name sortKey="Borahan, Mehmet O Uz" sort="Borahan, Mehmet O Uz" uniqKey="Borahan M" first="Mehmet O Uz" last="Borahan">Mehmet O Uz Borahan</name>
</author>
<author><name sortKey="Aktop, Sertac" sort="Aktop, Sertac" uniqKey="Aktop S" first="Sertac" last="Aktop">Sertac Aktop</name>
</author>
<author><name sortKey="Dumlu, As M" sort="Dumlu, As M" uniqKey="Dumlu A" first="As M" last="Dumlu">As M Dumlu</name>
</author>
<author><name sortKey="Pekiner, Filiz Namdar" sort="Pekiner, Filiz Namdar" uniqKey="Pekiner F" first="Filiz Namdar" last="Pekiner">Filiz Namdar Pekiner</name>
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<author><name sortKey="Goker, Kamil" sort="Goker, Kamil" uniqKey="Goker K" first="Kamil" last="Göker">Kamil Göker</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study</title>
<author><name sortKey="Gocmen, Gokhan" sort="Gocmen, Gokhan" uniqKey="Gocmen G" first="Gökhan" last="Göçmen">Gökhan Göçmen</name>
</author>
<author><name sortKey="Borahan, Mehmet O Uz" sort="Borahan, Mehmet O Uz" uniqKey="Borahan M" first="Mehmet O Uz" last="Borahan">Mehmet O Uz Borahan</name>
</author>
<author><name sortKey="Aktop, Sertac" sort="Aktop, Sertac" uniqKey="Aktop S" first="Sertac" last="Aktop">Sertac Aktop</name>
</author>
<author><name sortKey="Dumlu, As M" sort="Dumlu, As M" uniqKey="Dumlu A" first="As M" last="Dumlu">As M Dumlu</name>
</author>
<author><name sortKey="Pekiner, Filiz Namdar" sort="Pekiner, Filiz Namdar" uniqKey="Pekiner F" first="Filiz Namdar" last="Pekiner">Filiz Namdar Pekiner</name>
</author>
<author><name sortKey="Goker, Kamil" sort="Goker, Kamil" uniqKey="Goker K" first="Kamil" last="Göker">Kamil Göker</name>
</author>
</analytic>
<series><title level="j">The Open Dentistry Journal</title>
<idno type="eISSN">1874-2106</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
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</sourceDesc>
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<front><div type="abstract" xml:lang="en"><p><underline>Purpose</underline>
: Maxillary sinus’s inferior pneumatization is a physiological process, which increase with time and accelerates following extraction. The aim of this study was to determine the prevalence of nasal septal deviation (NSD), concha bullosa (CB), and Haller’s cells (HC) and to examine the correlation of maxillary sinus inferior pneumatization (MSIP) with these anatomical variations. <italic><underline>Material and Methods</underline>
:</italic>
300 (150 m, 150 f) CBCT scans taken at the Marmara University School of Dentistry from 2011 to 2014 were retrospectively reviewed for the presence of CB, NSD, HC and MSIP. The correlation between pneumatization to the anatomic variants was then compared. Data were analyzed with a Chi-square test. <italic><underline>Results</underline>
:</italic>
Of the 300 CBCT scans, 44.3% have CB, 37.3% NSD, 19.3% HC and 27.7% MSIP. There was no statistical significancewhen comparing the relationship of patients with CB, NSD, HC and pneumatization. <italic><underline>Conclusion</underline>
:</italic>
NSD, CB and HC do not have a definite role on sinus’s inferior pneumatization. Further studies should be conducted including potential factors related pneumatization with more sample size for further correlation with NSD, CB,HC.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id>
<journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id>
<journal-id journal-id-type="publisher-id">TODENTJ</journal-id>
<journal-title-group><journal-title>The Open Dentistry Journal</journal-title>
</journal-title-group>
<issn pub-type="epub">1874-2106</issn>
<publisher><publisher-name>Bentham Open</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26464596</article-id>
<article-id pub-id-type="pmc">4598377</article-id>
<article-id pub-id-type="publisher-id">TODENTJ-9-282</article-id>
<article-id pub-id-type="doi">10.2174/1874210601509010282</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
<series-title>Suppl 2: M5</series-title>
</article-categories>
<title-group><article-title>Effect of Septal Deviation, Concha Bullosa and Haller’s Cell on Maxillary Sinus’s Inferior Pneumatization; a Retrospective Study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Göçmen</surname>
<given-names>Gökhan</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Borahan</surname>
<given-names>Mehmet Oğuz</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Aktop</surname>
<given-names>Sertac</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Dumlu</surname>
<given-names>Asım</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Pekiner</surname>
<given-names>Filiz Namdar</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Göker</surname>
<given-names>Kamil</given-names>
</name>
</contrib>
</contrib-group>
<aff>Marmara University, Faculty of Dentistry, Department of Oral & Maxillofacial Surgery, Istanbul, Turkey</aff>
<author-notes><corresp id="cor1"><label>*</label>
Address correspondence to this author at the Marmara University Oral and Maxillofacial Surgery Department, Büyük Çiftlik Sk. No: 6 34365 Nisantasi, Turkey; Tel: 902122319120; Fax: 902122465247;
E-mail: <email xlink:href="gocmengokhan@hotmail.com">gocmengokhan@hotmail.com</email>
, <email xlink:href="gokhangocmen@gmail.com">gokhangocmen@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>31</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>9</volume>
<fpage>282</fpage>
<lpage>286</lpage>
<history><date date-type="received"><day>10</day>
<month>10</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>17</day>
<month>11</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>25</day>
<month>5</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement> © Göçmen <italic>et al.</italic>
; Licensee <italic>Bentham Open.</italic>
</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Göçmen</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>
) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p>
</license>
</permissions>
<abstract><p><underline>Purpose</underline>
: Maxillary sinus’s inferior pneumatization is a physiological process, which increase with time and accelerates following extraction. The aim of this study was to determine the prevalence of nasal septal deviation (NSD), concha bullosa (CB), and Haller’s cells (HC) and to examine the correlation of maxillary sinus inferior pneumatization (MSIP) with these anatomical variations. <italic><underline>Material and Methods</underline>
:</italic>
300 (150 m, 150 f) CBCT scans taken at the Marmara University School of Dentistry from 2011 to 2014 were retrospectively reviewed for the presence of CB, NSD, HC and MSIP. The correlation between pneumatization to the anatomic variants was then compared. Data were analyzed with a Chi-square test. <italic><underline>Results</underline>
:</italic>
Of the 300 CBCT scans, 44.3% have CB, 37.3% NSD, 19.3% HC and 27.7% MSIP. There was no statistical significancewhen comparing the relationship of patients with CB, NSD, HC and pneumatization. <italic><underline>Conclusion</underline>
:</italic>
NSD, CB and HC do not have a definite role on sinus’s inferior pneumatization. Further studies should be conducted including potential factors related pneumatization with more sample size for further correlation with NSD, CB,HC.</p>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Concha bullosa</kwd>
<kwd>Haller’s cell</kwd>
<kwd>nasal septal deviation</kwd>
<kwd>maxillary sinus pneumatization</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Fig. (1)</label>
<caption><p>Coronal CBCT scan demonstrating bilateral maxillary pneumatization (arrows). (a) Right middle concha bullosa (asterisk). Left
nasal septal deviation (arrow). Left maxillary pneumatization (arrow) (b) Bilateral middle concha bullosa (asterisk). </p>
</caption>
<graphic xlink:href="TODENTJ-9-282_F1"></graphic>
</fig>
<fig id="F2" position="float"><label>Fig. (2)</label>
<caption><p>Coronal CBCT scans demonstrating bilateral middle concha bullosa (arrows). (b) Right nasal septal deviation (asterisk)
(a) Left nasal septal deviation (asterisk). No concha bullosa or Haller's cells is evident. </p>
</caption>
<graphic xlink:href="TODENTJ-9-282_F2"></graphic>
</fig>
<fig id="F3" position="float"><label>Fig. (3)</label>
<caption><p>Coronal CBCT images showing bilateral (b) and unilateral (a, c) Haller's cells (arrows). </p>
</caption>
<graphic xlink:href="TODENTJ-9-282_F3"></graphic>
</fig>
<table-wrap id="T1" position="float"><label>Table 1.</label>
<caption><p>Prevalence and gender distribution of concha bullosa, nasal septal deviation, Haller’s cells and maxillary pneumatization.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th>
<th colspan="2" rowspan="1">Concha Bullosa </th>
<th colspan="2" rowspan="1">Septal Deviation </th>
<th colspan="2" rowspan="1">Haller Cells </th>
<th colspan="2" rowspan="1">Maxillary Pneumatization </th>
</tr>
<tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1">Present </th>
<th align="center" rowspan="1" colspan="1">Absent </th>
<th align="center" rowspan="1" colspan="1">Present </th>
<th align="center" rowspan="1" colspan="1">Absent </th>
<th align="center" rowspan="1" colspan="1">Present </th>
<th align="center" rowspan="1" colspan="1">Absent </th>
<th align="center" rowspan="1" colspan="1">Present </th>
<th align="center" rowspan="1" colspan="1">Absent </th>
</tr>
</thead>
<tbody><tr><td align="center" rowspan="1" colspan="1">Total </td>
<td align="center" rowspan="1" colspan="1">133(44.3%) </td>
<td align="center" rowspan="1" colspan="1">167(55.7%) </td>
<td align="center" rowspan="1" colspan="1">112(37.3%) </td>
<td align="center" rowspan="1" colspan="1">188(62.7%) </td>
<td align="center" rowspan="1" colspan="1">58(19.3%) </td>
<td align="center" rowspan="1" colspan="1">242(80.7%) </td>
<td align="center" rowspan="1" colspan="1">83(27.7%) </td>
<td align="center" rowspan="1" colspan="1">217(72.3%) </td>
</tr>
<tr><td colspan="9" rowspan="1">Gender </td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Male </td>
<td align="center" rowspan="1" colspan="1">60(40%) </td>
<td align="center" rowspan="1" colspan="1">90(60%) </td>
<td align="center" rowspan="1" colspan="1">82(54.7%) </td>
<td align="center" rowspan="1" colspan="1">68(45.3%) </td>
<td align="center" rowspan="1" colspan="1">43(28.7%) </td>
<td align="center" rowspan="1" colspan="1">107(71.3%) </td>
<td align="center" rowspan="1" colspan="1">43(28.7) </td>
<td align="center" rowspan="1" colspan="1">107(71.3%) </td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Female </td>
<td align="center" rowspan="1" colspan="1">73(48.7%) </td>
<td align="center" rowspan="1" colspan="1">77(51.3%) </td>
<td align="center" rowspan="1" colspan="1">30(20%) </td>
<td align="center" rowspan="1" colspan="1">120(80%) </td>
<td align="center" rowspan="1" colspan="1">15(10%) </td>
<td align="center" rowspan="1" colspan="1">135(90%) </td>
<td align="center" rowspan="1" colspan="1">40(26.7) </td>
<td align="center" rowspan="1" colspan="1">110(73.3%) </td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T2" position="float"><label>Table 2.</label>
<caption><p>Relationship of concha bullosa and pneumatization.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th colspan="2" rowspan="1">Concha Bullosa </th>
</tr>
<tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1">Present</th>
<th align="center" rowspan="1" colspan="1">Absent</th>
</tr>
</thead>
<tbody><tr><td rowspan="2" colspan="1">Pneumatization </td>
<td align="center" rowspan="1" colspan="1">Present</td>
<td align="center" rowspan="1" colspan="1">44(14.7%)</td>
<td align="center" rowspan="1" colspan="1">39(13%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Absent</td>
<td align="center" rowspan="1" colspan="1">89(29.7%)</td>
<td align="center" rowspan="1" colspan="1">128(42.7%)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T3" position="float"><label>Table 3.</label>
<caption><p>Relationship of nasal septal deviation and pneumatization.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th colspan="2" rowspan="1">Nasal Septal Deviation</th>
</tr>
<tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1">Present</th>
<th align="center" rowspan="1" colspan="1">Absent</th>
</tr>
</thead>
<tbody><tr><td rowspan="2" colspan="1">Pneumatization</td>
<td align="center" rowspan="1" colspan="1">Present</td>
<td align="center" rowspan="1" colspan="1">48(16%)</td>
<td align="center" rowspan="1" colspan="1">35(11.7%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Absent</td>
<td align="center" rowspan="1" colspan="1">140(46.7%)</td>
<td align="center" rowspan="1" colspan="1">77(25.7%)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T4" position="float"><label>Table 4.</label>
<caption><p>Relationship of Haller’s cell and pneumatization.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th colspan="2" rowspan="1">Haller’s Cell</th>
</tr>
<tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1">Present</th>
<th align="center" rowspan="1" colspan="1">Absent</th>
</tr>
</thead>
<tbody><tr><td rowspan="2" colspan="1">Pneumatization</td>
<td align="center" rowspan="1" colspan="1">Present</td>
<td align="center" rowspan="1" colspan="1">14(4.7%)</td>
<td align="center" rowspan="1" colspan="1">69(23%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Absent</td>
<td align="center" rowspan="1" colspan="1">44(14.7%)</td>
<td align="center" rowspan="1" colspan="1">173(57.7%)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="T5" position="float"><label>Table 5.</label>
<caption><p>Relationship of Haller’s cell, septal deviation and concha bullosa with ipsilateral and contralateral pneumatization.</p>
</caption>
<table frame="border" rules="all" width="100%"><thead><tr><th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1">Ipsilateral Pneumatization Present</th>
<th align="center" rowspan="1" colspan="1">Contralateral Pneumatization Present</th>
</tr>
</thead>
<tbody><tr><td rowspan="3" colspan="1">Concha Bullosa</td>
<td align="center" rowspan="1" colspan="1">Right</td>
<td align="center" rowspan="1" colspan="1">4/16 (25%)</td>
<td align="center" rowspan="1" colspan="1">0/15(0%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Left</td>
<td align="center" rowspan="1" colspan="1">1/15(6.6%)</td>
<td align="center" rowspan="1" colspan="1">2/16(12.5%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Bilateral</td>
<td align="center" rowspan="1" colspan="1">14/52(26.9%)</td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td rowspan="2" colspan="1">Septal Deviation</td>
<td align="center" rowspan="1" colspan="1">Right</td>
<td align="center" rowspan="1" colspan="1">4/16(25%)</td>
<td align="center" rowspan="1" colspan="1">6/15(40%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Left</td>
<td align="center" rowspan="1" colspan="1">2/15(13.3%)</td>
<td align="center" rowspan="1" colspan="1">3/16(18.7%)</td>
</tr>
<tr><td rowspan="3" colspan="1">Haller’s Cell</td>
<td align="center" rowspan="1" colspan="1">Right</td>
<td align="center" rowspan="1" colspan="1">0/16(0%)</td>
<td align="center" rowspan="1" colspan="1">0/15(0%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Left</td>
<td align="center" rowspan="1" colspan="1">1/15(6.6%)</td>
<td align="center" rowspan="1" colspan="1">2/16(12.5%)</td>
</tr>
<tr><td align="center" rowspan="1" colspan="1">Bilateral</td>
<td align="center" rowspan="1" colspan="1">3/52(5.7%)</td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
</record>
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