Konik Işınlı Bilgisayarlı Tomografide Artiküler Eminens Pnömatizasyonunun Özelliklerinin ve Prevalansının İncelenemesi
ÖZ:Giriş: Bu retrospektif çalışmanın amacı bir grup Türkpopülasyonunda pnömatize artiküler eminens (PAT) prevalansınıve özelliklerini konik ışınlı bilgisayarlı tomografide (KI BT)incelemektir.Materyal ve Metod: Bu retrospektif çalışma, 2016’dan2017’ye kadar KI BT incelemesi yapılan, Marmara ÜniversitesiDişhekimliği Fakültesi Oral Diagnoz ve Radyoloji AnabilimDalı’na başvuran 300 yetişkin hastadan oluşmaktadır. Çalışamayadahil edilen tüm hastaların yaş ve cinsiyetleri kaydedilmiş vepnömatizasyon gözlemlenen durumlarda,pnömatizasyon taraflarıve tipler kaydedilmiştir.Bulgular: 300 hastanın içinde; 43’ü kadın, 55’i erkek olan 98vakada (% 32,0) PAT gözlenmiştir. PAT, bilateral % 14, sağda%10, solda% 8.7 olarak saptanmıştır. Pnömatizasyon izlenenlerin %51’i uniloküler,% 49’u multilokülerdir.Sonuç: KI BT görüntüleri, boyutların tam olarakbelirlenmesinde, pnömatizasyon paterninin incelenmesinde vekomşu dokular ile ilişkisinin araştırılması için doğru ve güvenilirbir araçtır. Cerrahi tedavi planlanmasında veya şüphelenilenvakaların ayırıcı tanısında panoramik radyografiler KI BT iledesteklenmelidir.
A Preliminary Study of Prevalence and Characteristics of Pneumatization of Articular Eminence on Cone Beam Computed Tomography
Introduction: The aim of this retrospective study was to identifythe prevalence and properties of pneumatized articular eminence(PAT) in a group of Turkish population using CBCT.Material and Methods: The subjects for this retrospectivestudy consisted of all 300 adult patients who referred to theDepartment of Oral Diagnosis and Radiology, Marmara UniversityFaculty of Dentistry, and underwent a single CBCT examinationfrom 2016 to 2017. Age and gender were noted for all patients,and for the cases of pnuematization, sides and type were recorded.Results: Of the 300 patients, 98 (32,0%) had PAT, of whom43 were female and 55 were male. PAT was seen 14% on bilateralsides, 10% on the right side and 8.7% on the left side. 51% ofthose which had pneumatization were unilocular and 49% weremultilocularConclusion: CBCT images are a true and confident tool for theexploration of the definite size and pattern of pneumatization andthe relationship of pnuematization to the adjacent tissue. In caseof surgical treatment is planned or for the differential diagnosis ofsuspected cases, panoramic radiographs should be supported withCBCT.
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- Nascimento HA, Visconti MA, MacedoPde T, Haiter-Neto F,
Freitas DQ. Evaluation of the zygomatic bone by cone beam
computed tomography. Surg Radiol Anat. 2015;37:55-60.
- Friedrich RE , Viezens L, Grzyska U. Pneumatization of
the zygomatic process of temporal bone on computed
tomograms. GMS Interdiscip Plast Reconstr Surg DGPW.
2016;14;5:Doc16.
- Bronoosh P, Shakibafard A, Mokhtare MR, Munesi T,
Temporal bone pneumatization: A computed tomography
study of pneumatized articular tubercle, Clin Radiol.
2014;69:151-156.
- Miloğlu O, Yılmaz AB, Yıldırım E, Akgül HM,
Pneumatization of the articular eminence on cone beam
computed tomography: prevalence, charecteristics and review
of the literatüre. Dentomaxillofac Radiol 2011;40:110-114.
- Tyndall DA, Matteson SR. Radiographic appearance and
population distribution of the pneumatized articular eminence
of the temporal bone. J Oral Maxillofac Surg 1985;43:493–
497.
- Altan G. Türk toplumunda artiküler eminens ve glenoid
fossa pnömatizasyonun konik ışınlı bilgisayarlı tomografi
ile incelenmesi ve prevalansı. Tez (uzmanlık) – – İstanbul
Üniversitesi, 2016 (Danışman: Prof Dr. İlknur Özcan).
- Barbosa GLR , Nascimento MCC, Laidera DBS, Bomtorim
VV, Cruz AD, Almeida SM. Accuracy of digital panoramic
radiography in the diagnosis of temporal bone pneumatization:
a study in vivo using cone beam computed tomography. J
Craniomaxillofac Surg. 2014;42:477-481.
- Orhan K, Delilbasi C, Cebeci I, Paksoy C. Prevalence and
variations of pneumatized articular eminence: a study from Turkey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.
2005;99:349-354.
- Kaugars GE, Mercuri LG, Laskin DM. Pneumatization of
the articular eminence of the temporal bone: prevalence,
development, and surgical treatment. J Am Dent Assoc
1986;113:55–57.
- Ladeira DB, Barbosa GL, Nascimento MC, Cruz AD,
Freitas DQ, Almeida SM. Prevalence and characteristics
of pneumatization of the temporal bone evaluated by cone
beam computed tomography. Int J Oral Maxillofac Surg.
2013;42:771-775.
- Haas LF, Dutra K, Porporatti AL, Mezzomo LA, De Luca
Canto G, Flores-Mir C, Corrêa M. Anatomical variations of
mandibular canal detected by panoramic radiography and
CT: a systematic review and meta-analysis. Dentomaxillofac
Radiol. 2016;45:20150310. doi: 10.1259/dmfr.20150310.
- Rodriguez Y Baena R, Beltrami R, Tagliabo A, Rizzo S, Lupi
SM. Differences between panoramic and ConeBeam-CT
in the surgical evaluation of lower third molars. J Clin Exp
Dent. 2017;9:e259-e265.
- Kandukuri R, Phatak S. Evaluation of Sinonasal
Diseases by Computed Tomography. J Clin Diagn Res.
2016;10:TC09-TC12.
- Kew J, Rees G, Close D, Sdralis T, Sebben, R, Wormald PJ.
Multiplanar reconstructed CT images improves depiction
and understanding of the anatomy of the frontal sinüs and
recess. Am J Rhinol. 2002; 16: 119-123.
- Al Abduwani J, ZilinSkiene L, Colley S, Ahmed S. Conebeam
CT paranasal sinuses versus standard multidetector and
low döşe multidetector CT studies. Am J Otolaryngol.
2016;37:59-64.
- Avsever H, Gunduz K, Karakoc O, Akyol M, Orhan K
Incidental findings on cone-beam computed tomographic
images: paranasal sinüs findings and nasal septum variations.
Oral Radiol. 2018;34:40-48
- Kaugars G, Mercuri L, Laskin D. Pneumatization of the
articular eminence of the temporal bone: prevalence,
development and surgical treatment. J Am Dent Assoc. 1986
Jul; 113(1):55-57.
- Yavuz MS, Aras MH, Güngör H, Büyükkurt MC. Prevalence
of the pneumatized articular eminence in the temporal bone.
J Craniomaxillofac Surg 2009;37:137-9.
- Khojastepour L, Mirbeigi S, Ezoddini F, Zeighami N.
Pneumatized Articular Eminence and Assessment of Its
Prevalence and Features on PanoramicRadiographs. J Dent
(Tehran). 2015 Apr;12(4):235-242.
- Shokri A, Gangachin MN, Baharvand M, Mortazavi H,
Prevalence and characteristics of pneumatized articular
tubercle: First large series in Iranian people. Imaging Science
in Dentistry 2013; 43: 283-287.
- İlgüy M, Dölekoğlu S, Fisekçioğlu E, Ersan N, İlgüy D.
Evaluation of Pneumatization in the Articular Eminence
and Roof of the Glenoid Fossa with Cone-Beam Computed
Tomography. Balkan Med J 2015;32:64-68.