Accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography: A cross-sectional study analysis

Ajay Chandran, Manisha B Patil, S Nachiappan, Pratyaksha Singh Panwar, Anil Kumar Nagarajappa, Deepak R Kolte, J Suresh Babu, C Swarnalatha, Abhishek Singh Nayyar

DOI: 10.4103/jmss.jmss_96_21

Abstract


Background: The aim of the present study was to detect the prevalence of accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography (CBCT) examination for varied reasons. Methods: The present cross-sectional study included a detailed analysis of CBCT scans of 150 patients aged between 18 and 70 years reporting for varied dental complaints for detecting accidental pathological findings in maxillary sinuses while the patients did not have any complaint pertaining to sinuses. Results: The findings of the present study revealed 58% patients to have pathological findings in maxillary sinuses while they were asymptomatic for sinuses. Furthermore, the prevalence of mucosal thickening was found in 29.3% of the patients while 36.7% patients presented with polypoidal mucosal thickening. Conclusion: Higher prevalence of pathologies in asymptomatic maxillary sinuses found in the present study emphasized significance of a thorough examination of routine dental patients by dento-maxillofacial radiologists with necessary investigations to be advised in the form of higher imaging modalities like CBCT, if necessary.

Keywords


Asymptomatic sinuses, cone-beam computed tomography, pathologic findings, prevalence

Full Text:

PDF

References


Van Cauwenberge P, Sys L, De Belder T, Watelet JB. Anatomy and physiology of the nose and the paranasal sinuses. Immunol Allergy Clin North Am 2004;24:1-17.

Kretzschmar DP, Kretzschmar JL. Rhinosinusitis: Review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:128-35.

Zijderveld SA, van den Bergh JP, Schulten EA, ten Bruggenkate CM. Anatomical and surgical findings and complications in 100 consecutive maxillary sinus floor elevation procedures. J Oral Maxillofac Surg 2008;66:1426-38.

White SC, Pharoah MJ. Oral Radiology. Principles and Interpretation. 5th ed. St Louis: Mosby; 2004. p. 586-94.

Mehra P, Murad H. Maxillary sinus disease of odontogenic origin. Otolaryngol Clin North Am 2004;37:347-64.

Leo G, Triulzi F, Incorvaia C. Diagnosis of chronic rhinosinusitis. Pediatr Allergy Immunol 2012;23 Suppl 22:20-6.

White SC. Cone-beam imaging in dentistry. Health Phys 2008;95:628-37.

Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006;72:75-80.

Dawood A, Patel S, Brown J. Cone beam CT in dental practice. Br Dent J 2009;207:23-8.

Tetradis S, Anstey P, Graff-Radford S. Cone beam computed tomography in the diagnosis of dental disease. J Calif Dent Assoc 2010;38:27-32.

Farman AG, Scarfe WC, van Genuchten M. Multidimensional imaging: Immediate and imminent issues. Compend Contin Educ Dent 2010;31:648-51.

De Vos W, Casselman J, Swennen GR. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: A systematic review of the literature. Int J Oral Maxillofac Surg 2009;38:609-25.

Yousem DM. Imaging of sinonasal inflammatory disease. Radiol 1993;188:303-14.

Okuyemi KS, Tsue TT. Radiologic imaging in the management of sinusitis. Am Fam Physician 2002;66:1882-6.

Mafee MF, Tran BH, Chapa AR. Imaging of rhino-sinusitis and its complications: Plain film, CT, and MRI. Clin Rev Allergy Immunol 2006;30:165-86.

Mafee MF. Imaging of paranasal sinuses and rhino-sinusitis. Clin Allergy Immunol 2007;20:185-226.

Huang BY, Senior BA, Castillo M. Current trends in sinonasal imaging. Neuroimaging Clin N Am 2015;25:507-25.

Kau CH, Bozic M, English J, Lee R, Bussa H, Ellis RK. Cone-beam computed tomography of the maxillofacial region – An update. Int J Med Robot 2009;5:366-80.

Geist JR. Cone-beam computed tomography: Strengths, weaknesses, and controversies. J Mich Dent Assoc 2011;93:48-62.

Miles DA. The future of dental and maxillofacial imaging. Dent Clin North Am 2008;52:917-28.

Gaêta-Araujo H, Alzoubi T, Vasconcelos KF, Orhan K, Pauwels R, Casselman JW, et al. Cone beam computed tomography in dentomaxillofacial radiology: A two-decade overview. Dentomaxillofac Radiol. 2020;49:20200145. doi: 10.1259/dmfr.20200145.

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;5:361-5.

Kihara E, Chindia M, Ocholla T, Parker M. Clinical significance of pathological and anatomical findings in cone beam CT scans of the maxillary sinus. J Stomatol 2014;4:285-90.

Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, 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;111:634-40.

Alamri HM, Sadrameli M, Alshalhoob MA, Sadrameli M, Alshehri MA. Applications of CBCT in dental practice: A review of the literature. Gen Dent 2012;60:390-400.

Vallo J, Suominen-Taipale L, Huumonen S, Soikkonen K, Norblad A. Prevalence of mucosal abnormalities of the maxillary sinus and their relationship to dental disease in panoramic radiography: Results from the Health 2000 Health Examination Survey. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e80-7.

Cha JY, Mah J, Sinclair P. Incidental findings in the maxillofacial area with 3-dimensional cone-beam imaging. Am J Orthod Dentofacial Orthop 2007;132:7-14.

Lim CG, Spanger M. Incidental maxillary sinus findings in patients referred for head and neck CT angiography. Singapore Dent J 2012;33:1-4.

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.

Shiki K, Tanaka T, Kito S, Wakasugi-Sato N, Matsumoto-Takeda S, Oda M, et al. The significance of cone beam computed tomography for the visualization of anatomical variations and lesions in the maxillary sinus for patients hoping to have dental implant-supported maxillary restorations in a private dental office in Japan. Head Face Med 2014;10:20.

Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre-operative evaluation: Relationship between mucosal thickening and maxillary sinus function. Clin Oral Implants Res 2011;22:78-82.

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;15:119-22.

Maloney PL, Doku HC. Maxillary sinusitis of odontogenic origin. J Can Dent Assoc (Tor) 1968;34:591-603.


Refbacks

  • There are currently no refbacks.


 

  https://e-rasaneh.ir/Certificate/22728

https://e-rasaneh.ir/

ISSN : 2228-7477