Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis

Kim, Hyo Yeol; Kim, Min‐Beom; Dhong, Hun‐Jong; Jung, Yong Gi; Min, Jin‐Young; Chung, Seung‐Kyu; Lee, Hyun Jong; Chung, Soo Chan; Ryu, Nam Gyu

doi:10.1016/j.ijporl.2007.09.018

Cited by 47 publications

(42 citation statements)

References 14 publications

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“…20,21 With the utilization of CBCT technology it is possible to measure the maxillary sinus volume and anterior and posterior airway and to quantify craniofacial structural changes in three dimensions with minimal distortion and lower radiation doses than are required for conventional CT scans. 18,[24][25][26][27][28] The purpose of this study was to assess three dimensionally, with the aid of ICAT technology (Imaging Sciences International, Hatfield, Pa), the skeletal, dental, and volumetric changes of the maxillary sinus that occur with the banded hyrax expander vs the bonded hyrax expander.…”

Section: Introductionmentioning

confidence: 99%

Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders

Pangrazio-Kulbersh

Wine

Haughey

et al. 2012

The Angle Orthodontist

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Objective: To test the hypothesis that there were no differences in the skeletal and dental effects of banded vs bonded expanders when evaluated using cone beam computed tomography (CBCT). Materials and Methods: The experimental sample consisted of 23 patients: 13 (seven male, six female; mean age 5 12.6 61.8 years) and 10 (five male, five female; mean age 5 13.5 6 2.1 years) treated with banded and bonded maxillary expanders, respectively. CBCT images were taken at T1 (pretreatment) and T2 (immediately after expansion) to evaluate the changes in the naso-maxillary complex. Relationships between and within groups were assessed using analysis of variance. If the results were significant, post hoc t-tests were used to determine where the significant differences occurred. Results: Regardless of the appliance, the maxilla was expanded equally at the level of the canines and first and second premolars. At the level of the first molars, more dental tipping and alveolar bending were evident in the banded expander group. Both appliances equally increased the skeletal and soft tissue dimensions of the nasal cavity and maxillary sinus volume. The posterior airway volume did not significantly change with either method of expansion. Conclusions: The hypothesis was rejected. Both appliances expanded the maxilla similarly. However, in the banded group, more dental tipping and alveolar bending occurred at the level of the first molars. Maxillary expansion affected the palatal suture and demonstrated anterior and posterior skeletal widening of the nasal cavity, with corresponding soft tissue changes and increased airway volume. (Angle Orthod. 2012;82:448-457.)

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Section: Introductionmentioning

confidence: 99%

Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders

Pangrazio-Kulbersh

Wine

Haughey

et al. 2012

The Angle Orthodontist

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“…Our patient had chronic infection symptoms related to maxillary sinusitis. Long-standing chronic maxillary sinusitis in pediatric patients results in a decrease in the volume of the maxillary sinuses and an increase in bony thickness of paranasal sinuses (11). In this case, bony changes due to chronic maxillary sinusitis were seen.…”

Section: Discussionmentioning

confidence: 65%

Cone Beam Computed Tomographic Findings of Double Osteomas with Maxillary Sinusitis

Yoon

Kang

et al. 2017

Iran J Radiol

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An osteoma may originate from cartilage or embryonal periosteum. It may occur externally or within the paranasal sinuses. In most cases, a paranasal osteoma is a solitary lesion and is located in a single sinus. A double osteoma with maxillary sinusitis is rare. A 54-year-old woman was referred for evaluation and treatment of a right maxillary sinus bony lesion. She complained of headache and foul smell after sneezing since 1 month ago. Panoramic radiography revealed two radiopaque masses in the right maxillary sinus. Cone beam computerized tomography images revealed radiopacities with partially corticated borders attached to the medial wall of the right maxillary sinus, near-complete radiopacification of the right maxillary sinus, and peripheral bony thickening due to chronic sinusitis. On histopathologic examination, the removed radiopaque masses were diagnosed as osteomas.

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“…Frontal cells were also found to be associated with increased frontal sinus mucosal thickening [16]. Alternatively, there have been reports of decreased maxillary sinus volume in patients with CRS [17,18]. These studies, however, did not measure the volumes of the other paranasal sinuses or did not find differences outside of the maxillary sinus.…”

Section: Discussionmentioning

confidence: 99%

“…The APPS score is also a comprehensive instrument of variations affecting each of the four paired paranasal sinuses, and is validated for rater reliability. Previous studies have been limited to individual anatomical variations [16], or volumetric and dimensional analysis of individual sinuses [6,17,18]. Finally, the APPS score simultaneously estimates total paranasal sinus volume, and lower scores are indicative of impaired development globally [10].…”

Section: Discussionmentioning

confidence: 99%

Are Chronic Rhinosinusitis and Paranasal Sinus Pneumatization Related?

Marino

Riley

et al. 2016

Sinusitis

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Abstract:The relationship between paranasal sinus pneumatization and chronic rhinosinusitis (CRS) without cystic fibrosis is not well understood. Previous investigations have confirmed sinus hypoplasia in cystic fibrosis (CF) patients. This study compares paranasal sinus pneumatization of CRS patients to unaffected controls to determine if there is an analogous effect to that seen in CF. 591 sinus computed tomography (CT) scans, comprised of 303 adolescents (age 13-18) and 288 adults (age > 18), were analyzed for Lund-MacKay and Assessment of Pneumatization of the Paranasal Sinuses (APPS) scores. The APPS score is validated for measuring the extent of sinus pneumatization. A diagnosis of CRS and CRS phenotype was determined from the medical record. The mean APPS score for patients with a diagnosis of CRS was 10.61 (n = 111) compared to 9.62 (n = 448) for unaffected controls (p = 0.001). This was significant in adult (p = 0.021) and adolescent subgroups (p = 0.035). Sinus pneumatization did not differ according to CRS phenotype (p = 0.699). This suggests that there is not analogous anatomical sinus variation between CRS and CF, and that the mechanisms underlying sinus hypoplasia in CF may not be universal in patients with other types of sinus inflammation.

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Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis

Cited by 47 publications

References 14 publications

Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders

Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders

Cone Beam Computed Tomographic Findings of Double Osteomas with Maxillary Sinusitis

Are Chronic Rhinosinusitis and Paranasal Sinus Pneumatization Related?

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