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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2017; 21(02): 126-133
DOI: 10.1055/s-0036-1593834
Original Research
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Evaluation of the Prevalence of Maxillary Sinuses Abnormalities through Spiral Computed Tomography (CT)

João Paulo Nunes Drumond
1   Department of Oral Implantology, Universidade de Santo Amaro Ringgold Standard Institution, São Paulo, SP, Brazil
,
Bruna Bianca Allegro
2   Department of Radiology and Diagnostic Imaging, Hospital Heliopolis Ringgold Standard Institution, São Paulo, São Paulo, Brazil
,
Neil Ferreira Novo
3   Department of Statistics and Health Sciences, Universidade de Santo Amaro Ringgold Standard Institution, São Paulo, São Paulo, Brazil
,
Sérgio Luís de Miranda
4   Department of Otolaryngology Head and Neck Surgery, Universidade Federal de Sao Paulo Ringgold Standard Institution, São Paulo, São Paulo, Brazil
,
Wilson Roberto Sendyk
1   Department of Oral Implantology, Universidade de Santo Amaro Ringgold Standard Institution, São Paulo, SP, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

19. Mai 2016

30. August 2016

Publikationsdatum:
16. Dezember 2016 (online)

   Lizenzen und Reprints

Abstract

Introduction Maxillary sinus disease is common and numerous disorders can affect this anatomical area. Abnormalities can be classified as: non-neoplastic, neoplastic benign, and neoplastic malignant.

Objective Evaluate through CT the prevalence of diseases in maxillary sinuses, using the Radiology Department's database of a hospital in São Paulo city.

Methods The sample consisted of 762 facial CT scans that we divided into three groups: Group A (12–19 years old); Group B (20–49 years old); Group C (above 50 years old); and male or female. We considered the following pathological processes: I - Mucoperiosteal Thickening; II - Chronic Sinusitis; III - Chronic Odontogenic Sinusitis; IV - Rhinosinusitis; V - Polypoid Lesions; VI - Bone Lesions; VII - Neoplasms; VIII - Antrolith; IX - Foreign Bodies; X - Oroantral Fistula.

Results Our study found that 305 exams (40.02%) were normal and 457 exams (59.97%) were abnormal. We found the following disease frequencies: focal mucoperiosteal thickening (21.25%); polypoid lesions (10.76%); chronic sinusitis (7.48%); chronic odontogenic sinusitis (2.29%); neoplasms (2.03%); rhinosinusitis (1.77%); bone lesions, foreign bodies and oroantral fistula in 0.65%; 0.13% and 0.06% respectively. There was no significant difference between male and female, and Groups A, B, or C when relating the frequencies of abnormalities found. There was no significant difference between male and female and the age group for the side of the altered maxillary sinus.

Conclusion We observed a high prevalence of sinus maxillary diseases. Mucoperiosteal thickening; acute, chronic, and odontogenic sinusitis; polypoid lesions and neoplasms have high prevalence in maxillary sinuses. Thus, facial CT exam was effective for the evaluation of diseases in maxillary sinuses.

Keywords

maxillary sinus - spiral computed tomography - diagnostic imaging - otolaryngology - epidemiology
 

  • References

  • 1 Ogle OE, Weinstock RJ, Friedman E. Surgical anatomy of the nasal cavity and paranasal sinuses. Oral Maxillofac Surg Clin North Am 2012; 24 (02) 155-166 , vii
    CrossrefPubMedGoogle Scholar
  • 2 Van Dis ML, Miles DA. Disorders of the maxillary sinus. Dent Clin North Am 1994; 38 (01) 155-166
    PubMedGoogle Scholar
  • 3 Stephens JC, Saleh HA. Evaluation and treatment of isolated maxillary sinus disease. Curr Opin Otolaryngol Head Neck Surg 2013; 21 (01) 50-57
    CrossrefPubMedGoogle Scholar
  • 4 Lawson W, Patel ZM, Lin FY. The development and pathologic process that influence maxillary sinus pneumatization. Anat Rec 2008; 291: 1154-1163
    Google Scholar
  • 5 Mehra P, Jeong D. Maxillary sinusitis of odontogenic origin. Curr Allergy Asthma Rep 2009; 9 (03) 238-243
    CrossrefPubMedGoogle Scholar
  • 6 White SC, Pharoah MJ. Oral Radiology. 6th ed. St. Louis: Mosby Elsevier; 2009: 506-512
    Google Scholar
  • 7 Brozek JL, Bousquet J, Baena-Cagnani C. , et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol 2010; 126: 466-476
    CrossrefPubMedGoogle Scholar
  • 8 Tezer MS, Tahamiler R, Canakçioğlu S. Computed tomography findings in chronic rhinosinusitis patients with and without allergy. Asian Pac J Allergy Immunol 2006; 24 (2–3): 123-127
    PubMedGoogle Scholar
  • 9 Okuyemi KS, Tsue TT. Radiologic imaging in the management of sinusitis. Am Fam Physician 2002; 66 (10) 1882-1886
    PubMedGoogle Scholar
  • 10 Lana JP, Carneiro PMR, Machado VdeC, de Souza PE, Manzi FR, Horta MCR. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res 2012; 23 (12) 1398-1403
    CrossrefPubMedGoogle Scholar
  • 11 Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am 2004; 37 (02) 347-364
    CrossrefPubMedGoogle Scholar
  • 12 Kanagalingam J, Bhatia K, Georgalas C, Fokkens W, Miszkiel K, Lund VJ. Maxillary mucosal cyst is not a manifestation of rhinosinusitis: results of a prospective three-dimensional CT study of ophthalmic patients. Laryngoscope 2009; 119 (01) 8-12
    CrossrefPubMedGoogle Scholar
  • 13 Almeida WLC, Martin LRL, Perazzo PSL, Anjos CAL, Lima MS. Maxillary Sinus mucopyocele with facial asymmetry. A case report. Int Arch Otorhinolaryngol 2004; 8: 1-3
    Google Scholar
  • 14 Katz TS, Mendenhall WM, Morris CG, Amdur RJ, Hinerman RW, Villaret DB. Malignant tumors of the nasal cavity and paranasal sinuses. Head Neck 2002; 24 (09) 821-829
    CrossrefPubMedGoogle Scholar
  • 15 Ritter L, Lutz J, Neugebauer J. , et al. Prevalence of pathologic findings in the maxillary sinus in cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111 (05) 634-640
    CrossrefPubMedGoogle Scholar
  • 16 Gracco A, Incerti Parenti S, Ioele C, Alessandri Bonetti G, Stellini E. Prevalence of incidental maxillary sinus findings in Italian orthodontic patients: a retrospective cone-beam computed tomography study. Korean J Orthod 2012; 42 (06) 329-334
    CrossrefPubMedGoogle Scholar
  • 17 Rege IC, Sousa TO, Leles CR, Mendonça EF. Occurrence of maxillary sinus abnormalities detected by cone beam CT in asymptomatic patients. BMC Oral Health 2012; 12: 30
    CrossrefPubMedGoogle Scholar
  • 18 Dobele I, Kise L, Apse P, Kragis G, Bigestans A. Radiographic assessment of findings in the maxillary sinus using cone-beam computed tomography. Stomatologija 2013; 15 (04) 119-122
    PubMedGoogle Scholar
  • 19 Manji A, Faucher J, Resnik RR, Suzuki JB. Prevalence of maxillary sinus pathology in patients considered for sinus augmentation procedures for dental implants. Implant Dent 2013; 22 (04) 428-435
    CrossrefPubMedGoogle Scholar
  • 20 Raghav M, Karjodkar FR, Sontakke S, Sansare K. Prevalence of incidental maxillary sinus pathologies in dental patients on cone-beam computed tomographic images. Contemp Clin Dent 2014; 5 (03) 361-365
    CrossrefPubMedGoogle Scholar
  • 21 Guerra-Pereira I, Vaz P, Faria-Almeida R, Braga AC, Felino A. CT maxillary sinus evaluation--A retrospective cohort study. Med Oral Patol Oral Cir Bucal 2015; 20 (04) e419-e426
    PubMedGoogle Scholar