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Correlations between anatomic variations of maxillary sinus ostium and postoperative complication after sinus lifting

  • Lee, Jang Won (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Yoo, Ji Yong (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Paek, Seung Jae (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Park, Won-Jong (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Choi, Eun Joo (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Choi, Moon-Gi (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University) ;
  • Kwon, Kyung-Hwan (Department of Oral and Maxillofacial Surgery, Wonkwang University Dental Hospital, College of Dentistry, Wonkwang University)
  • 투고 : 2016.06.23
  • 심사 : 2016.10.04
  • 발행 : 2016.10.31

초록

Objectives: The maxillary sinus mucosa is reported to recover to preoperative sterility after sinus floor elevation. However, when drainage of maxillary sinus is impaired, recovery can be delayed and maxillary sinusitis can occur. Therefore, in this study, we investigated the correlations between anatomic variants that can interrupt the ostium of the maxillary sinus and incidence of complication after sinus lifting. Materials and Methods: The subjects are 81 patients who underwent sinus lifting in Wonkwang University Dental Hospital (Iksan, Korea). Computed tomography (CT) images of the subjects were reviewed for presence of nasal septum deviation, anatomic variants of the middle turbinate, and Haller cells. Correlations between anatomic variations and occurrence of maxillary sinusitis were statistically analyzed. Results: Patients with anatomic variants of ostio-meatal units, such as deviated nasal septum, concha bullosa or paradoxical curvature of the middle turbinate, or Haller cells, showed a higher rate of complication. However, only presence of Haller cell showed statistically significant. Conclusion: Before sinus lifting, CT images are recommended to detect anatomic variants of the ostio-meatal complex. If disadvantageous anatomic variants are detected, the use of nasal decongestants should be considered to reduce the risk of postoperative sinusitis.

키워드

참고문헌

  1. Raghoebar GM, Brouwer TJ, Reintsema H, Van Oort RP. Augmentation of the maxillary sinus floor with autogenous bone for the placement of endosseous implants: a preliminary report. J Oral Maxillofac Surg 1993;51:1198-203; discussion 1203-5. https://doi.org/10.1016/S0278-2391(10)80288-5
  2. Doud Galli SK, Lebowitz RA, Giacchi RJ, Glickman R, Jacobs JB. Chronic sinusitis complicating sinus lift surgery. Am J Rhinol 2001;15:181-6. https://doi.org/10.2500/105065801779954120
  3. Misch CM. The pharmacologic management of maxillary sinus elevation surgery. J Oral Implantol 1992;18:15-23.
  4. Drettner B. The permeability of the maxillary ostium. Acta Oto-Laryngologica 1965;60:304-14. https://doi.org/10.3109/00016486509127015
  5. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope 1991;101:56-64.
  6. Bayram M, Sirikci A, Bayazit YA. Important anatomic variations of the sinonasal anatomy in light of endoscopic surgery: a pictorial review. Eur Radiol 2001;11:1991-7. https://doi.org/10.1007/s003300100858
  7. Timmenga NM, Raghoebar GM, Liem RS, van Weissenbruch R, Manson WL, Vissink A. Effects of maxillary sinus floor elevation surgery on maxillary sinus physiology. Eur J Oral Sci 2003;111:189-97. https://doi.org/10.1034/j.1600-0722.2003.00012.x
  8. Yonkers AJ. Sinusitis--inspecting the causes and treatment. Ear Nose Throat J 1992;71:258-62.
  9. Bertrand B, Eloy P. Relationship of chronic ethmoidal sinusitis, maxillary sinusitis, and ostial permeability controlled by sinusomanometry: statistical study. Laryngoscope 1992;102:1281-4. https://doi.org/10.1288/00005537-199211000-00015
  10. Misch CE. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol 1987;4:49-58.
  11. Zimbler MS, Lebowitz RA, Glickman R, Brecht LE, Jacobs JB. Antral augmentation, osseointegration, and sinusitis: the otolaryngologist's perspective. Am J Rhinol 1998;12:311-6. https://doi.org/10.2500/105065898780182381
  12. Timmenga NM, Raghoebar GM, Boering G, van Weissenbruch R. Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg 1997;55:936-9; discussion 940. https://doi.org/10.1016/S0278-2391(97)90063-X
  13. Timmenga NM, Raghoebar GM, van Weissenbruch R, Vissink A. Maxillary sinusitis after augmentation of the maxillary sinus floor: a report of 2 cases. J Oral Maxillofac Surg 2001;59:200-4. https://doi.org/10.1053/joms.2001.20494
  14. Stammberger H. Endoscopic endonasal surgery--concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol Head Neck Surg 1986;94:147-56. https://doi.org/10.1177/019459988609400203
  15. Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45.
  16. Bhattacharyya N. Bilateral chronic maxillary sinusitis after the sinus-lift procedure. Am J Otolaryngol 1999;20:133-5. https://doi.org/10.1016/S0196-0709(99)90022-4
  17. Zinner ID, Small SA. Sinus-lift graft: using the maxillary sinuses to support implants. J Am Dent Assoc 1996;127:51-7. https://doi.org/10.14219/jada.archive.1996.0030
  18. Torretta S, Mantovani M, Testori T, Cappadona M, Pignataro L. Importance of ENT assessment in stratifying candidates for sinus floor elevation: a prospective clinical study. Clin Oral Implants Res 2013;24:57-62.
  19. Laine FJ, Smoker WR. The ostiomeatal unit and endoscopic surgery: anatomy, variations, and imaging findings in inflammatory diseases. AJR Am J Roentgenol 1992;159:849-57. https://doi.org/10.2214/ajr.159.4.1529853
  20. Scribano E, Ascenti G, Cascio F, Racchiusa S, Salamone I. Computerized tomography in the evaluation of anatomic variations of the ostiomeatal complex. Radiol Med 1993;86:195-9.
  21. Aust R, Drettner B. The functional size of the human maxillary ostium in vivo. Acta Otolaryngol 1974;78:432-5. https://doi.org/10.3109/00016487409126376
  22. Stierna P, Söderlund K, Hultman E. Chronic maxillary sinusitis. Energy metabolism in sinus mucosa and secretion. Acta Otolaryngol 1991;111:135-43.
  23. Arslan H, Aydinlioglu A, Bozkurt M, Egeli E. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx 1999;26:39-48. https://doi.org/10.1016/S0385-8146(98)00024-8
  24. Fadda GL, Rosso S, Aversa S, Petrelli A, Ondolo C, Succo G. Multiparametric statistical correlations between paranasal sinus anatomic variations and chronic rhinosinusitis. Acta Otorhinolaryngol Ital 2012;32:244-51.
  25. Ameri AA, Eslambolchi A, Bakhshandeh H. Anatomic variants of paranasal sinuses and chronic sinusitis. 2005;2:121-4.
  26. Nouraei SA, Elisay AR, Dimarco A, Abdi R, Majidi H, Madani SA, et al. Variations in paranasal sinus anatomy: implications for the pathophysiology of chronic rhinosinusitis and safety of endoscopic sinus surgery. J Otolaryngol Head Neck Surg 2009;38:32-7.
  27. Zinreich SJ, Kennedy DW, Rosenbaum AE, Gayler BW, Kumar AJ, Stammberger H. Paranasal sinuses: CT imaging requirements for endoscopic surgery. Radiology 1987;163:769-75. https://doi.org/10.1148/radiology.163.3.3575731
  28. Pignataro L, Mantovani M, Torretta S, Felisati G, Sambataro G. ENT assessment in the integrated management of candidate for (maxillary) sinus lift. Acta Otorhinolaryngol Ital 2008;28:110-9.

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