DOI QR코드

DOI QR Code

컴퓨터단층촬영을 이용한 상악동 중격의 형태학적 분석

Morphological analysis of maxillary sinus septum using computed tomography

  • 채종범 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이상한 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김진수 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김종배 (계명대학교 의과대학 치과구강외과학교실) ;
  • 권대근 (경북대학교 치의학전문대학원 구강악안면외과학교실)
  • Chae, Jong-Beom (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Lee, Sang-Han (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Chin-Soo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Jong-Bae (Department of Dentistry and Oral Surgery, School of Medicine, Keimyung University) ;
  • Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
  • 투고 : 2010.10.03
  • 심사 : 2011.01.20
  • 발행 : 2011.02.28

초록

Introduction: The current study examined the morphological characteristics of maxillary sinus septum by computed tomography (CT). Materials and Methods: Two hundred and four patients (408 maxillary sinuses) who visited dental clinic were evaluated. CT were examined. The height of the septum measured from the sinus floor to the apex of the septum more than 3 mm was defined as "sinus septum". Results: The prevalence of sinus septa was 21.3% (87/408), and 31.4% (64/204) of patients had more than 1 sinus septum. Females showed higher and thinner sinus septa than males. The anatomic location of the septa were distributed in the 2nd molar region (43.7%), 1st molar region (31.0%), 2nd premolar region (21.8%) and 1st premolar region (3.5%). In 57 patients with chronic disease, there was no significant difference between sinus disease and the presence of sinus septa. The loss of remaining teeth and teeth adjacent to the sinus septum area was not related to the presence of sinus septa. Older subjects showed a reduced height and length of the septum, and a thicker septum. Conclusion: These results show that the maxillary sinus septum undergoes atrophy with age.

키워드

참고문헌

  1. 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.
  2. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29.
  3. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  4. Betts NJ, Miloro M. Modification of the sinus lift procedure for septa in the maxillary antrum. J Oral Maxillofac Surg 1994;52:332-3. https://doi.org/10.1016/0278-2391(94)90313-1
  5. 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. https://doi.org/10.1034/j.1600-0501.2000.011003256.x
  6. Andersson JE, Svartz K. CT-scanning in the preoperative planning of osseointegrated implants in the maxilla. Int J Oral Maxillofac Surg 1988;17:33-5. https://doi.org/10.1016/S0901-5027(88)80226-1
  7. 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.
  8. Reddy MS, Mayfield-Donahoo T, Vanderven FJ, Jeffcoat MK. A comparison of the diagnostic advantages of panoramic radiography and computed tomography scanning for placement of root form dental implants. Clin Oral Implants Res 1994;5:229-38. https://doi.org/10.1034/j.1600-0501.1994.050406.x
  9. Tal H, Moses O. A comparison of panoramic radiography with computed tomography in the planning of implant surgery. Dentomaxillofac Radiol 1991;20:40-2. https://doi.org/10.1259/dmfr.20.1.1884852
  10. 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; discussion 671-2. https://doi.org/10.1016/S0278-2391(99)90427-5
  11. Underwood AS. An inquiry into the anatomy and pathology of the maxillary sinus. J Anat Physiol 1910;44:354-69.
  12. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997;25:261-5. https://doi.org/10.1016/S1010-5182(97)80063-7
  13. 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.
  14. Kim MJ, Jung UW, Kim CS, Kim KD, Choi SH, Kim CK, et al. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77:903-8. https://doi.org/10.1902/jop.2006.050247
  15. Oh HK, Ryu SY. Clinico-anatomical study of septum in the maxillary sinus. J Korean Assoc Oral Maxillofac Surg 1998;24:208-12.
  16. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinuslift procedures. Int J Oral Maxillofac Implants 1995;10:462-5.
  17. So H, Jeong DK, Kwon JH, Ryu SH, Kim HS. Maxillary sinus septum: panoramic radiographic and dental computed tomographic analyses in the planning of implant surgery. J Korean Acad Periodontol 2006;36:147-54. https://doi.org/10.5051/jkape.2006.36.1.147
  18. Gonzalez-Santana H, Penarrocha-Diago M, Guarinos-Carbo J, Sorni-Bro¨ker M. A study of the septa in the maxillary sinuses and the subantral alveolar processes in 30 patients. J Oral Implantol 2007;33:340-3. https://doi.org/10.1563/1548-1336(2007)33[340:ASOTSI]2.0.CO;2
  19. Maestre-Ferrin L, Galan-Gil S, Rubio-Serrano M, Pennarrocha-Diago M, Penarrocha-Oltra D. Maxillary sinus septa: a systematic review. Med Oral Patol Oral Cir Bucal 2010;15:e383-6.