Retrospektif Konik Işınlı Bilgisayarlı Tomografi Görüntülerinde Sagittal Yönde Farklı Maksiller Konuma Sahip Bireylerin Maksiller Sinüs Hacimlerinin Morfometrik Analizi

Year 2022, , 87 - 94, 31.12.2022

Gizem Çolakoğlu , Asım Dumlu

https://doi.org/10.29228/erd.31

Abstract

Amaç: Çalışmanın amacı, retrospektif konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri üzerinde, sagittal yönde farklı maksiller konuma sahip hastaların maksiller sinüs hacimlerini değerlendirmek ve aralarındaki ilişkiyi araştırmaktır.
Gereç ve Yöntem: Çalışmaya 75 hastaya ait (40 kadın, 35 erkek) konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri dahil edilmiştir. Öncelikle KIBT görüntülerinden rekonstrüksiyon ile orbitalar çakıştırılarak sefalometrik radyografiler elde edilmiştir. Bu sefalometrik radyografiler, Dolphin Imaging 11.5 (Dolphin Imaging and Management Solutions, Chatsworth, ABD) programında değerlendirilmiş ve maksillanın sagittal yöndeki konumu retrognatik, normal ve prognatik olacak şekilde gruplandırılmıştır. Daha sonra KIBT görüntüleriyle MIMICS 14.0 (Materialise HQ, Leuven, Belçika) programında, maksiller sinüslerin hacimleri ölçülmüştür. Elde edilen veriler istatistiksel olarak değerlendirilmiştir (p<0.05).
Bulgular: Erkek hastalar, kadınlara göre belirgin şekilde daha yüksek maksiller sinüs hacimlerine sahiptir (p<0.01). Maksillanın konumu ile maksiller sinüs hacimleri arasında istatistiksel olarak anlamlı bir farklılık yoktur (p>0.05). Ancak, ANS-PNS uzunluğu ile maksiller sinüs hacimleri arasında istatistiksel olarak aynı yönde anlamlı bir ilişki bulunmuştur (p<0.01).
Sonuç: Maksillanın konumu ile değil de boyutu ile maksiller sinüs hacmi üzerinde etkili olduğu; maksillanın ön-arka yöndeki uzunluğu arttıkça sinüs hacminde de artış olduğu tespit edilmiştir.

Keywords

Konik ışınlı bilgisayarlı tomografi, maksilla, maksiller sinüs, hacim

Morphometric Analysis of Maxillary Sinus Volumes of Individuals with Different Sagittal Maxillary Positions in Retrospective Cone-beam Computed Tomographic Images

Abstract

Objectives: The aim of this study was to evaluate the maxillary sinus volumes in individuals with different sagittal maxillary positions and to investigate the association between them in retrospective cone-beam computed tomographic (CBCT) images.
Materials and Methods: CBCT images of 75 patients (40 females, 35 males) were enrolled in the study group. Initially, cephalometric radiographies were reconstructed from CBCT images by superimposing the orbital bones. The sagittal poisitions of maxilla were analysed on these derived cephalometric radiographies using Dolphin Imaging 11.5 software (Dolphin Imaging and Management Solutions, Chatsworth, USA) and were divided into groups as retrognathic, normal and prognathic. Then CBCT images were imported to MIMICS 14.0 software (Materialise HQ Technologielaan, Leuven, Belgium) and maxillary sinus volumes were measured. Data were statistically analysed (p<0.05).
Results: Male patients had significantly larger maxillary sinus volumes than females (p<0.01). There was no significant association between the sagittal maxillary positions and maxillary sinus volumes (p>0.05). However, ANS-PNS was positively correleated with maxillary sinus volumes (p<0.01).
Conclusion: Dimensional differences of maxilla had effect on maxillary sinus volumes rather than the sagittal positions of maxilla. It was found that as antero-posterior length of the maxilla increased, so did the maxillary sinus volumes.

Keywords

Cone-beam computed tomography, maxilla, maxillary sinus, volume.

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