Nedim GÜNEŞ, Hatice DEMİRCAN AĞIN, Mehmet Sinan DOĞAN, Veysel ERATİLLA

Güneydoğu Anadolu Bölgesi Popülasyonunda Maksiller Sinüs Septa Prevalansının Konik Işınlı Bilgisayarlı Tomografi ile Retrospektif Olarak Değerlendirilmesi

AMAÇ: Bu çalışmanın amacı; sinüs septanın, Güneydoğu Anadolu bölgesi popülasyonundaki prevelansını konik ışınlı bilgisayarlı tomografi (KIBT) ile retrospektif olarak değerlendirmektir. YÖNTEM: Bu retrospektif çalışmada, 2015-2020 yılları arasında Dicle Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Anabilim dalına çeşitli nedenlerle başvuran 948 hastaya ait toplam 1896 sinüs, KIBT görüntüleri incelenmiştir. 948 hastaya ait (510 kadın, 438 erkek) sinüs septa KIBT görüntüleri değerlendirildi. Sinüs septa tespit edilen vakalar; cinsiyet, lokalizasyon (anterior, orta ve posterior), lateralizasyon (unilateral, bilateral) açısından elde edilen tüm veriler kaydedildi ve istatistiksel olarak analiz edilerek görülme sıklıkları belirlenmiştir. BULGULAR: 18-65 yaş aralığındaki 948 hastanın KIBT görüntüleri değerlendirilmiştir. Bu hastaların maksiller sağ ve sol çeneleri incelenmiş ve 303 hastada toplam 322 sinüs septa tespit edilmiştir. 284 hastada tek sinüs septa görülürken, 19 hastada ikişer sinüs septa görülmüştür. 510 kadın hastada (1020 septa incelendi) 178 septa tespit edildi (%9). 438 erkek hastada ise (876 septa incelendi) 144 septa tespit edildi (%7). 322 sinüs septanın, 284 tanesinde tek septa görülürken (%88); 19 tanesinde çift sinüs septa (%5) görülmüştür. Sinüs septa; anteriorda 81 adet (%25), ortada 153 adet (%47), posteriorda 88 adet (%27) olarak tespit edilmiştir. Sinüs septa kadın hastaların 6’sında (510 hastada) çift taraflı görüldü (%1). 166 hastada tek taraflı olarak görüldü. Sinüs septa erkek hastaların 3’ünde ( 438 hastada) çift taraflı görüldü (%0,6). 138 hastada tek taraflı olarak görüldü. SONUÇLAR: Çalışmamızda sinüs septa prevalansı toplamda Güneydoğu Anadolu Bölgesi popülasyonunun % 16’sında görülmüştür. Sinüs septa, kadın hastalarda daha yüksek oranda izlenmiştir. Çift sinüs septa %5 olarak görülmüştür. Bu yüzdelik değerler; p<0,05 için istatistiksel olarak anlamlı kabul edilmiştir.

Anahtar Kelimeler:

Konik ışınlı bilgisayarlı tomografi, sinüs septa, prevalans.

Retrospective Evaluation of the Prevalence of Maxillary Sinus Septa in the Popu-lation of the Southeastern Anatolia Region By Cone Beam Computed Tomography

AbstractBackground: The aim of this study to evaluate the prevalence of sinus septa in the population of the Southeast-ern Anatolia region retrospectively with cone beam computed tomography (CBCT).Materials and Methods: In this retrospective study, a total of 1896 sinus and CBCT images of 948 patients who applied to Dicle University Faculty of Dentistry, Oral and Maxillofacial Surgery Department for various reasons between 2015-2020 were examined. Sinus septa CBCT images of 948 patients (510 women, 438 men) were evaluated. Cases in which sinus septa is detected; All data obtained in terms of gender, localization (anterior, middle and posterior), lateralization (unilateral, bilateral) were recorded and their incidence was determined by statistical analysis.Results: CBCT images of 948 patients aged 18-65 years were evaluated. The maxillary right and left jaws of these patients were examined and a total of 322 sinus septa were detected in 303 patients. While a single sinus septa was seen in 284 patients, two sinus septa were observed in 19 patients. In 510 female patients (1020 septa were examined), 178 septa were detected (9%). In 438 male patients (876 septa were examined), 144 septa were detected (7%). A single septa was observed in 284 of 322 sinus septa (88%); Double sinus septa was observed in 19 of them (5%). Sinus septa; 81 (25%) in the anterior, 153 (47%) in the middle, and 88 (27%) in the posterior. Sinus septa was bilateral in 6 (510 patients) female patients (1%). It was seen unilaterally in 166 patients. Sinus septa was seen bilaterally in 3 (438 patients) of male patients (0.6%). It was seen unilater-ally in 138 patients.Conclusions: In our study, the prevalence of sinus septa was seen in 16% of the Southeastern Anatolia Region population. Sinus septa was observed at a higher rate in female patients. Double sinus septa was seen as 5%. These percentage values are; It was considered statistically significant for p<0.05.

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1. Arman C, Ergür I, Atabey A, et al. The thickness and the lengths of the anterior wall of adult maxilla of the WestAnatolian Turkish people. Surg Radiol Anat 2006;28:553-8.
2. Koymen R, Gocmen-Mas N, Karacayli U, et al. Anatomic evaluation of maxillary sinus septa: Surgery and radiology. Clin Anat 2009;22:563-70.
3. Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000; 11: 256-65.
4. Garg AK. Augmentation grafting of the maxillary sinus for placement of DentalImplants. Anatomy, physiology, and procedures. Implant Dent 1999; 8: 36–46.
5. Misch CH. Contemporary implant dentistry. 2nd edition. St Louis: Mosby Inc; 1999. p. 469-95.
6. White Pharoah Oral Radiology Principles and interpretation fifth edition p 179
7. Chanavaz M. Maxillary sinus. Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantol 1990; 16:199-209.
8. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus lift procedures. Int Oral Maxillofac Implants 1995; 10: 462-5.
9. Kasabah S, Slezak R, Simunek A, Krug J, Lecaro MC. Evaluation of the accuracy of panoramic radiograph in the definition of maxillary sinus septa. Acta Medica (Hradec Kralove). 2002; 45: 173-5.
10. Kim M-J, Jung U-W, Kim C-S, et al. Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77:903-8.
11. González-Santana H, Peñarrocha-Diago M, Guarinos-Carbó J, et al. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33:340-3
12. Rancitelli D, Borgonovo AE, Cicciù M, et al. Maxillary sinus septa and anatomic correlation with the schneiderian membrane. J Craniofac Surg 2015;26:1394-8.
13. Al-Dajani M. Incidence, risk factors, and complications of Schneider-ian membrane perforation in sinus lift surgery: a meta analysis. Implant Dent 2016;25:409–15.
14. Becker ST, Terheyden H, Steinriede A, Beh- rens E, Springer I, Wilt-fang J. Prospective observation of 41 perforations of the Schneiderian membrane during sinus flor elevation. Clin Oral Implants Res 2008;19:1285–9.
15. Krennmair G, Ulm CW, Lugmayr H, Solar P. The incidence, location, and height of maxillary sinus septa in the edentulous and dentate maxilla. J Oral Maxillofac Surg 1999; 57: 667-71.
16. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997; 25: 261-5.
17. Oh HK, Ryu SY. Clinico-anatomical study of septum in the maxillary sinus. J Korean Assoc Oral Maxillofac Surg 1998; 24: 208-212.
18. Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002; 17: 854-60.
19. Özeç İ, Kılınç E, Müderris S. Maxıllary sınus septa: evaluatıon wıth computed tomography and panoramıc radıography. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi Cilt: 11 Sayı: 2 2008
20. Talo Yildirim T, Güncü G-N, Colak M, et al. Evaluation of maxillary sinus septa: A retrospective clinical study with cone beam computerized tomography (CBCT). Eur Rev Med Pharmacol Sci 2017;21:5306-14.
21. Durmus İH. Retrospective Evaluation of The Maxillary Sinus Septa Morphology and It’s Incidence in the Şanlıurfa Population. Harran Üniversitesi Tıp Fakültesi Dergisi (Journal of Harran University Medical Faculty) 2020;17(2):238-241. DOI: 10.35440/hutfd.716450
22. Underwood AS (1910) An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physio l44:354–369
23. Pommer B, Ulm C, Lorenzoni M, Palmer R, Watzek G, Zechner W.Prevalence, location and morphology of maxillary sinus septa: sys-tematic review and meta-analysis. J Clin Periodontol. 2012;39:769-773.