Analysis of the maxillary sinus volumes via CBCT in patients with unilateral and bilateral cleft palate and lip

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-07-11 DOI:10.1016/j.bjps.2025.07.006

Mücahid Yıldırım , Ali Altındağ , E. Aybüke Erdur , Ömer Erdur , I. Şevki Bayrakdar , Kaan Orhan

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引用次数: 0

Abstract

Background

Cleft lip and palate (CLP) is a congenital condition that affects the development of midfacial structures. This study aimed to compare the maxillary sinus volumes (MSV) in patients with unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP) to those of healthy controls using cone-beam computed tomography (CBCT).

Materials and methods

A total of 90 patients were included, consisting of 30 individuals with UCLP, 30 with BCLP, and 30 healthy controls. The age range of participants was 6 to 18 years. MSV was measured for both the cleft and non-cleft sides using Dolphin 11.95 Imaging Software. Statistical analysis was performed using one-way ANOVA to assess differences in MSV between groups, with a significance level set at p<0.05.

Results

No significant differences were observed in age or gender distribution among the groups. In the UCLP group, the MSV on the cleft side was lower than on the non-cleft side (p<0.027). Both UCLP and BCLP groups had significantly smaller MSV compared to the control group (p<0.05). A significant difference was also observed between the BCLP and control groups (p<0.05), indicating that CLP conditions notably affect MSV.

Conclusions

This study shows that maxillary sinus volumes are significantly reduced in patients with CLP compared to healthy controls, with the cleft side exhibiting smaller volumes. These findings highlight the importance of considering maxillary sinus volume variations in CLP patients, particularly in preoperative assessments and surgical planning, to avoid potential complications.

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单侧和双侧腭裂患者上颌窦体积的CBCT分析

背景唇腭裂（CLP）是一种影响面部中部结构发育的先天性疾病。本研究旨在利用锥束计算机断层扫描（CBCT）比较单侧唇腭裂（UCLP）和双侧唇腭裂（BCLP）患者与健康对照组的上颌窦体积（MSV）。材料与方法共纳入90例患者，其中UCLP患者30例，BCLP患者30例，健康对照30例。参与者的年龄范围为6至18岁。使用Dolphin 11.95成像软件测量唇裂侧和非唇裂侧的MSV。采用单因素方差分析评估各组间MSV的差异，显著性水平设为p<；0.05。结果各组患者年龄、性别分布无明显差异。在UCLP组中，裂侧的MSV低于非裂侧（p<0.027）。与对照组相比，UCLP组和BCLP组的MSV均显著减小（p < 0.05）。在BCLP组和对照组之间也观察到显著差异（p<0.05），表明CLP条件显著影响MSV。结论：与健康对照相比，CLP患者上颌窦体积明显减小，其中裂侧体积更小。这些发现强调了考虑CLP患者上颌窦体积变化的重要性，特别是在术前评估和手术计划中，以避免潜在的并发症。

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

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.