Volumetric analysis of maxillary sinus, sphenod sinus and pterygopalatin fossa in different skeletal malocclusions.

IF 2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-08-20 DOI:10.1016/j.jormas.2025.102535

Merve Kucuk Kurtgoz, Zarif Ece Hammudioglu, Ceren Aktuna Belgin

{"title":"Volumetric analysis of maxillary sinus, sphenod sinus and pterygopalatin fossa in different skeletal malocclusions.","authors":"Merve Kucuk Kurtgoz, Zarif Ece Hammudioglu, Ceren Aktuna Belgin","doi":"10.1016/j.jormas.2025.102535","DOIUrl":null,"url":null,"abstract":"Purpose: This study aimed to examine the changes in maxillary sinus volume (MSV), sphenoid sinus volume (SSV), and pterygopalatine fossa volume (PPFV) in different skeletal malocclusions using cone beam computed tomography (CBCT) images.Methods: CBCT images of 600 patients (318 females and 282 males) aged between 18 and 73 years (mean: 31.3 ± 12.9 years) were evaluated. Firstly, all patients were divided into classes according to their skeletal malocclusion. A threshold range between -1024 HU and -526 HU was applied for making paranasal sinuses. In all sections in all three planes, it was checked that MS, SS, and PPF were separated from other anatomical landmarks and the airway.Results: All MSV, SSV, and PPFV values were found to be significantly higher in males than in females (p > 0.05). MSV was statistically significantly higher in Class III malocclusion than in Class I and II malocclusion (p < 0.05), whereas there was no significant difference between Class I and II malocclusion (p > 0.05). No statistically significant correlation was found between SSV and skeletal malocclusion classes (p > 0.05). PPFV had the highest value in Class I malocclusion, followed by Class III and Class II, and there was a statistically significant difference between them (p < 0.05).Conclusion: MSV, SSV, and PPFV have been observed to show significant changes depending on sexual dimorphism; MSV in Class III skeletal malocclusion, and PPFV in Class I skeletal malocclusion. Knowing the dimensions of the anatomy and anatomical structures specific to the individual before surgical interventions in these regions will also reduce the risk of complications.","PeriodicalId":56038,"journal":{"name":"Journal of Stomatology Oral and Maxillofacial Surgery","volume":" ","pages":"102535"},"PeriodicalIF":2.0000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Stomatology Oral and Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jormas.2025.102535","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Dentistry","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: This study aimed to examine the changes in maxillary sinus volume (MSV), sphenoid sinus volume (SSV), and pterygopalatine fossa volume (PPFV) in different skeletal malocclusions using cone beam computed tomography (CBCT) images.

Methods: CBCT images of 600 patients (318 females and 282 males) aged between 18 and 73 years (mean: 31.3 ± 12.9 years) were evaluated. Firstly, all patients were divided into classes according to their skeletal malocclusion. A threshold range between -1024 HU and -526 HU was applied for making paranasal sinuses. In all sections in all three planes, it was checked that MS, SS, and PPF were separated from other anatomical landmarks and the airway.

Results: All MSV, SSV, and PPFV values were found to be significantly higher in males than in females (p > 0.05). MSV was statistically significantly higher in Class III malocclusion than in Class I and II malocclusion (p < 0.05), whereas there was no significant difference between Class I and II malocclusion (p > 0.05). No statistically significant correlation was found between SSV and skeletal malocclusion classes (p > 0.05). PPFV had the highest value in Class I malocclusion, followed by Class III and Class II, and there was a statistically significant difference between them (p < 0.05).

Conclusion: MSV, SSV, and PPFV have been observed to show significant changes depending on sexual dimorphism; MSV in Class III skeletal malocclusion, and PPFV in Class I skeletal malocclusion. Knowing the dimensions of the anatomy and anatomical structures specific to the individual before surgical interventions in these regions will also reduce the risk of complications.

查看原文本刊更多论文

上颌窦、蝶窦和翼状腭窝在不同骨骼错颌中的体积分析：不同错颌窦和翼状腭窝的体积分析。

目的：利用锥形束计算机断层扫描（CBCT）研究不同骨骼错颌的上颌窦体积（MSV）、蝶窦体积（SSV）和翼腭窝体积（PPFV）的变化。方法：对600例18 ~ 73岁（平均31.3±12.9岁）患者的CBCT图像进行评价，其中女性318例，男性282例。首先，将所有患者根据其骨骼错颌进行分类。在-1024 HU和-526 HU之间的阈值范围用于制作鼻窦。在所有三个平面的所有切片中，检查MS， SS和PPF与其他解剖标志和气道分离。结果：男性的MSV、SSV和PPFV值均显著高于女性（p < 0.05）。III类错牙合的MSV明显高于I、II类错牙合（p0.05）。SSV与骨骼错牙合类型无统计学意义（p < 0.05）。PPFV在ⅰ类错颌中值最高，其次为ⅲ类和ⅱ类错颌，两者间差异有统计学意义(p结论：MSV、SSV和PPFV根据两性异形的不同有显著变化；ⅲ类骨骼错颌中MSV，ⅰ类骨骼错颌中PPFV。在这些区域进行手术干预之前，了解个体的解剖尺寸和解剖结构也将减少并发症的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.