Clinical approach to anatomical variations of the maxillary sinus - a surgical perspective.

IF 1.2 4区医学 Q3 ANATOMY & MORPHOLOGY

Folia morphologica Pub Date : 2025-06-12 DOI:10.5603/fm.105540

Jakub Jobda, Robert Franczyk, Zygmunt Stopa

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Abstract

Background: The maxillary sinus, the largest of paranasal sinuses, according to the unique anatomy, is a structure of great clinical importance for numerous specialists. While the typical sinus anatomy is widely known, the awareness of anatomical variations remains underestimated. The aim of this study is to highlight the clinical significance of co-existing anatomical variations of the maxillary sinus.

Case report: The study presents radiological findings noticed in a computed tomography (CT) scans of three patients referred to the Department of Cranio-Maxillo-Facial Surgery with symptoms of the maxillary sinus diseases. In addition to the cause of symptoms, the presence of the ethmomaxillary sinus (case report 1), maxillary sinus (Underwood's) septa, pneumatization and accessory maxillary ostia (case report 2) were noticed. Moreover, the silent sinus syndrome is presented (case report 3).

Conclusions: surgeons operating on the maxillary sinus should be aware of anatomical variations, which may affect the procedure outcomes and safety. The presence of coexisting anatomical variations can be challenging to the operator.

查看原文本刊更多论文

上颌窦解剖变异的临床方法-外科视角。

背景：上颌窦是鼻窦中最大的，由于其独特的解剖结构，对许多专家来说是一个具有重要临床意义的结构。虽然典型的鼻窦解剖是众所周知的，但对解剖变异的认识仍然被低估。本研究的目的是强调上颌窦共存解剖变异的临床意义。病例报告：本研究报告了在颅颌面外科转介的三名上颌窦疾病症状患者的计算机断层扫描（CT）中发现的放射学表现。除了症状的原因外，还注意到上颌窦（Underwood's）间隔、气积和上颌副口（病例报告2）的存在。此外，还出现了无声窦综合征（病例报告3）。结论：术者在上颌窦手术时应注意解剖变异，这可能会影响手术效果和安全性。同时存在的解剖变异对手术人员来说是一个挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Folia morphologica ANATOMY & MORPHOLOGY-

CiteScore

2.40

自引率

0.00%

发文量

218

审稿时长

6-12 weeks

期刊介绍： "Folia Morphologica" is an official journal of the Polish Anatomical Society (a Constituent Member of European Federation for Experimental Morphology - EFEM). It contains original articles and reviews on morphology in the broadest sense (descriptive, experimental, and methodological). Papers dealing with practical application of morphological research to clinical problems may also be considered. Full-length papers as well as short research notes can be submitted. Descriptive papers dealing with non-mammals, cannot be accepted for publication with some exception.