Original scientific paper
https://doi.org/10.15644/asc59/1/6
Anatomical and Pathological Assessment of the Maxillary Sinus Using CBCT Imaging: A Retrospective Descriptive Study
Naida Hadžiabdić
orcid.org/0000-0003-4808-703X
; University of Sarajevo-Faculty of Dentistry with Dental Clinical Center, Department of Oral Surgery, Sarajevo, Bosnia and Herzegovina
*
Azra Imamović
; Public Health Center Kalesija, Bosnia and Herzegovina
Aida Džanković
orcid.org/0000-0002-8790-5966
; University of Sarajevo-Faculty of Dentistry with Dental Clinical Center, Department of Dental Pathology with Endodontics, Sarajevo, Bosnia and Herzegovina
Samra Korać
orcid.org/0000-0001-7842-7299
; University of Sarajevo-Faculty of Dentistry with Dental Clinical Center, Department of Dental Pathology with Endodontics, Sarajevo, Bosnia and Herzegovina
Irmina Tahmiščija
orcid.org/0000-0001-5941-2411
; University of Sarajevo-Faculty of Dentistry with Dental Clinical Center, Department of Dental Pathology with Endodontics, Sarajevo, Bosnia and Herzegovina
* Corresponding author.
Abstract
A comprehensive understanding of the anatomy and pathology of the maxillary sinus is paramount for precise diagnosis and effective planning of dental interventions. Cone Beam Computed Tomography (CBCT) offers enhanced visualization of sinus structures, thus facilitating the identification of
anatomical variations and pathological conditions which are critical for surgical and dental treatment
strategies. Materials and Methods: This retrospective descriptive study analyzed 200 CBCT scans,
comprising 400 maxillary sinuses from patients treated at the Faculty of Dentistry with Dental Clinical Center University of Sarajevo. The study assessed sinus dimensions, volumes, anatomical features, their relationships with adjacent anatomical structures, and the occurrence of pathological alterations. Furthermore, the patient’s gender and dental status were studied in relation to these features. The sinus measurements were performed with Sidexis 4 software (Dentsply Sirona, Germany), which is intended for precise linear measurements in three orthogonal planes. Results: Significant differences were found in sinus width between patients with full dentition and those with partial or complete edentulism (p<0.01). Male participants exhibited larger mean sinus dimensions compared to
females in all dimensions. The maxillary sinus floor was inferior to the nasal floor in 91.5% of cases.
Various types of sinus membrane abnormalities were observed, with normal membrane thickness in 53.75% of cases. Sinus septa were most frequently located on the roof of the sinus, and their frequency varied significantly among patients with different dentition statuses. The study also identified 274 Haller cells and documented several pathological changes, with mucosal thickening exceeding 3 mm being the most common alteration. Conclusion: This radiographic study of Bosnian and Herzegovian population revealed significant anatomical variations and pathological changes in maxillary sinuses, thus emphasizing the importance of careful preoperative evaluation using CBCT for surgical planning in the posterior maxillary area. The findings highlight gender-based differences in sinus volumes, the impact of dentition status on sinus anatomy, and the prevalence of various pathological conditions, thus contributing to valuable insights in the field of maxillofacial radiology.
Keywords
Maxİllary sİnus; Anatomİc Varİatİon; Pathologİcal Condİtİons Anatomİcal; Preoperatİve Care; Bosnİa and Hercegovİna; Maxillary sinus; Anatomy; Pathology; Cone-Beam Computed Tomography
Hrčak ID:
329449
URI
Publication date:
28.3.2025.
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