KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ KULLANILARAK SFENOİD SINÜS OSTEOMLARININ HACİMSEL ANALİZİ

Yıl 2024, , 50 - 54, 15.02.2024

Sevde Göksel , Hülya Çakır Karabaş , Faruk Ertürk , İlknur Özcan , Kaan Orhan

https://doi.org/10.26650/JARHS2023-1326592

Öz

Amaç: Osteomlar, yavaş büyüme, iyi tanımlanmış sınırlar ve sıklıkla asemptomatik görünüm ile karakterize, sıklıkla tesadüfen radyografi ile tanımlanan iyi huylu kemik tümörleridir. Sfenoid sinüs osteomu paranazal sinüste görülen en nadir osteomlardır. Bu çalışmanın amacı sfenoid sinüs osteomlarının sıklığını ve volümetrik analizini araştırmaktır.

Gereç ve Yöntemler: Bu retrospektif analiz, Ağız Diş ve Çene Radyolojisi Bölümü’ne çeşitli şikayetler nedeniyle başvuran hastalardan elde edilen konik ışınlı bilgisayarlı tomografi (KIBT) görüntülerinin incelenmesini içeriyordu. İki radyolog görüntüleri bağımsız olarak inceledi, sfenoid sinüs osteomlarının örneklerini, hacimlerini ve hasta demografik özelliklerini kaydetti ve bunlar daha sonra istatistiksel analize tabi tutuldu.

Bulgular: 1466 (821 kadın, 645 erkek) hastanın tomografi görüntüleri değerlendirildi. 17 hastanın (Sekiz kadın, dokuz erkek) sfenoid sinüslerinde toplam 23 osteom saptandı. Ortalama osteoma hacmi 183,59 mm3±168,56 (min. 9,98, maks. 552,80) idi. Erkek ve kadın sfenoid osteoma hacimleri arasında anlamlı fark bulunamadı (Mann-Whitney U testi, U=30,000, p=0,564, z=-0,577).

Sonuç: Literatüre uygun olarak bu çalışmada sfenoid sinüste osteom görülme sıklığı %1,15 olarak bulundu. Radyografide asemptomatik saptanan osteomlarda cerrahi tedavi önerilmemekle birlikte olası komplikasyon riskine karşı periyodik radyografik muayene ile takip edilmelidir.

Anahtar Kelimeler

Konik ışınlı bilgisayarlı tomografi, osteoma, sfenoid sinüs

VOLUMETRIC ANALYSIS OF OSTEOMAS OF THE SPHENOID SINUS USING CONE BEAM COMPUTED TOMOGRAPHY

Öz

Objectives: Osteomas are benign bone tumors characterized by slow growth, well-defined borders, and often asymptomatic presentation, frequently incidentally identified through radiography. Sphenoid sinus osteomas are particularly rare occurrences within the paranasal sinuses. This study aims to investigate the incidence and volumetric characteristics of sphenoid sinus osteomas.

Material and Methods: This retrospective analysis involved the examination of cone-beam computed tomography (CBCT) images obtained from patients referred to the Department of Oral and Maxillofacial Radiology for various complaints. Two radiologists independently reviewed the images, recording instances of sphenoid sinus osteomas, their volumes, and patient demographics, which were subsequently subjected to statistical analysis.

Results: A total of 1466 tomography images (821 females, 645 males) were assessed. Among these, 23 osteomas were identified within the sphenoid sinuses of 17 patients (8 females, 9 males). The mean volume of these osteomas was 183.59 mm³±168.56 (with a range of 9.98 to 552.80). No statistically significant difference in sphenoid osteoma volumes between males and females was observed (Mann-Whitney U test, U=30.000, p=0.564, z=-0.577).

Conclusion: Consistent with existing literature, the incidence of sphenoid sinus osteomas in this study was found to be 1.15%. While asymptomatic osteomas detected via radiography typically do not warrant surgical intervention, regular radiographic follow-up is recommended to monitor for potential complications.

Anahtar Kelimeler

Cone-beam computed tomography, osteoma, sphenoid sinus

Kaynakça

• Mali S. Paranasal sinus osteoma: review of literature. Oral Surgery 2014;7(1):3-11. google scholar
• Keskin IG, Ila K, İşeri M, Öztürk M. Paranazal sinüs osteomları. Türkiye Klinikleri Tıp Bilimleri Dergisi 2013;33(5):1250-8. google scholar
• Buyuklu F, Akdogan MV, Ozer C, Cakmak O. Growth characteristics and clinical manifestations of the paranasal sinus osteomas. Otolaryngol Head Neck Surg 2011;145(2):319-23. google scholar
• Chen CY, Ying SH, Yao MS, Chiu WT, Chan WP. Sphenoid sinus osteoma at the sella turcica associated with empty sella: CT and MR imaging findings. AJNR Am J Neuroradiol 2008;29(3):550-1. google scholar
• Dzhamaludinov YA, Shakhnazarov G, Dzhamaludinova PY, Gadzhimirzaeva RG, Gadzhimirzaeva RG. [The analysis of 42 observations of paranasal sinus osteoma]. Vestn Otorinolaringol 2016;81(5):23-6. google scholar
• Earwaker J. Paranasal sinus osteomas: a review of 46 cases. Skeletal Radiol 1993;22(6):417-23. google scholar
• Lee DH, Jung SH, Yoon TM, Lee JK, Joo YE, Lim SC. Characteristics of paranasal sinus osteoma and treatment outcomes. Acta Otolaryngol 2015;135(6):602-7. google scholar
• Sinha R, Aggarwal N, Dutta M. Isolated osteoma of the sphenoid sinus. Acta Otorrinolaringol Esp 2017;68(3):186-7. google scholar
• Chahed H, Hachicha H, Bachraoui R, Marrakchi J, Mediouni A, Zainine R, et al. Paranasal sinus osteomas: diagnosis and treatment. Rev Stomatol Chir Maxillofac Chir Orale 2016;117(5):306-10. google scholar
• Arslan HH, Tasli H, Cebeci S, Gerek M. The Management of the Paranasal Sinus Osteomas. J Craniofac Surg 2017;28(3):741-5. google scholar
• Cokkeser Y, Bayarogullari H, Kahraman SS. Our experience with the surgical management of paranasal sinus osteomas. Eur Arch Otorhinolaryngol 2013;270(1):123-8. google scholar
• Bessho K, Murakami K, Iizuka T, Ono T. Osteoma in mandibular condyle. Int J Oral Maxillofac Surg 1987;16(3):372-5. google scholar
• Mubeen K, Vijayalakshmi KR, Abhishek PRJJoI, Dentistry C. Peripheral ivory osteoma of the mandible in a young female patient. J Investig Clin Dent 2012;3(2):148-51. google scholar
• Tarsitano A, Ricotta F, Spinnato P, Chiesa AM, Di Carlo M, Parmeggiani A, et al. Craniofacial osteomas: from diagnosis to therapy. J Clin Med 2021;10(23):5584. google scholar
• Pauwels R. Cone beam CT for dental and maxillofacial imaging: dose matters. Radiat Prot Dosimetry 2015;165(1-4):156-61. google scholar
• Ludlow JB, Ivanovic M. Endodontology. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106(1):106-14. google scholar
• Nardi C, Salerno S, Molteni R, Occhipinti M, Grazzini G, Norberti N, et al. Radiation dose in non-dental cone beam CT applications: a systematic review. Radiol Med 2018;123:765-77. google scholar
• Yuan XP, Xie BK, Lin XF, Liang BL, Zhang F, Li JT. Value of multi-slice spiral CT with three-dimensional reconstruction in the diagnosis of neoplastic lesions in the jawbones. Nan Fang Yi Ke Da Xue Xue Bao 2008;28(9):1700-2. google scholar
• Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, et al. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT) Part I. On subjective image quality. Eur J Radiol 2010;75(2):265-9. google scholar
• Nazli Z, Abdul Fattah AW. A rare case of large sphenoethmoidal osteoma. Med J Malaysia 2017;72(1):60-1. google scholar
• Alexander AA, Patel AA, Odland R. Paranasal sinus osteomas and Gardner’s syndrome. Ann Otol Rhinol Laryngol 2007;116(9):658-62. google scholar
• Larrea-Oyarbide N, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. Osteomas of the craniofacial region. Review of 106 cases. J Oral Pathol Med 2008;37(1):38-42. google scholar
• Akay KM, Onguru O, Sirin S, Celasun B, Gonul E, Timurkaynak E. Association of paranasal sinus osteoma and intracranial mucocele--two case reports. Neurol Med Chir (Tokyo) 2004;44(4):201-4. google scholar
• Sofokleous V, Maragoudakis P, Kyrodimos E, Giotakis E. Management of paranasal sinus osteomas: A comprehensive narrative review of the literature and an up-to-date grading system. Am J Otolaryngol 2021;42(5):102644. google scholar
• Lentzen M-P, Riekert M, Grozinger P, Zirk M, Nickenig H-J, Zöller JE, et al. Anatomical and volumetric analysis of fibro-osseous lesions of the craniofacial skeleton. J Craniomaxillofac Surg 2021;49(12):1113-8. google scholar
• Çelenk F, Baysal E, Karata ZA, Durucu C, Mumbuç S, Kanlıkama M. Paranasal sinus osteomas. J Craniofac Surg 2012;23(5):e433-7. google scholar
• Wolf A, Safran B, Pock J, Tomazic PV, Stammberger H. Surgical treatment of paranasal sinus osteomas: a single center experience of 58 cases. Laryngoscope. 2020;130(9):2105-13. google scholar