Evaluation of length and location of the maxillary sinus intraosseous artery using computerized tomography

Abstract

Background The intraosseous artery is a branch of the posterior superior alveolar artery that supplies the lateral wall of the maxillary sinus. The present study seeks to analyze the location of the intraosseous artery and its site of termination. Methods Cone beam computed tomography was used to evaluate 200 patients making up 400 maxillary sinuses. The following criteria were measured: (1) the distance of the lower border of the intraosseous artery to the floor of the sinus, (2) the average length of the artery, (3) the diameter of the artery, (4) the site at which the artery terminates at, and (5) the distance of the artery from the first premolar, second premolar, first molar, second molar, and third molar. Results The intraosseous artery was identified in 336 (84.0%) quadrants. The most common site of termination was at the mesial of the second molar (22%), regardless of dental status and right or left quadrant. Its overall mean diameter was 0.91 ± 0.56 mm, with no difference within the dental status. Its overall mean length was 7.40 ± 3.39 mm, with a statistically significant difference between dentate and edentulous quadrants (P < 0.001). Its overall mean distance from the floor was 6.95 ± 6.49 mm, with no difference within the dental status. All parameters showed no difference between right or left quadrants. Conclusions The chances of encountering the intraosseous artery at the premolar area is <21% during a lateral window sinus floor elevation. The most common (22%) site of termination of the intraosseous artery is at the mesial of the second molar. Understanding of the course, location, and termination of the artery enhances the precision of a clinician when it comes to pre‐operative treatment planning.

The prevalence and location of the posterior superior alveolar artery in the maxillary sinus wall: A preliminary computed-cone beam study

“… Pandharbale et al, 2016 , Yang and Kye, 2014 , and Tran et al (2021) reported no statistical differences in the measurements between male and female populations, a finding that we concur with. In contrast, Laovoravit et al, 2021 , Karslioglu et al, 2020 reported that the distance from the artery to the floor of the maxillary sinus was greater in males compared to females.…”

Anatomic evaluation of the posterior superior alveolar artery using cone-beam computed tomography: A systematic review and meta-analysis

“…Some studies initially seemed to meet the inclusion criteria but were ultimately excluded. These included studies utilizing radiographs other than CBCT, 22 42 43 44 45 46 47 48 49 50 51 studies with internal inconsistencies related to their reported results 52 53 , those that did not investigate the PSAA as a whole unit (for instance, only analyzing a branch of the PSAA), 36 54 55 56 57 58 and those that did not analyze at least 1 PSAA characteristic pertinent to the present inclusion criteria. 59 60 …”

Anatomy of Maxillary Sinus: Focus on Vascularization and Underwood Septa via 3D Imaging

“…As regards the mean diameters, Yusof et al [ 38 ] reported that in the dentate patients, the mean caliber was 1.4 mm, and in edentulous patients, 1.0 mm. Albuquerque et al [ 39 ], Alves et al [ 40 ], Dias et al [ 41 ], Padovani et al [ 42 ], and Tran et al [ 43 ] in 2020 found a frequency of 88.5%, 89.3%, 56.2%, 76.7%, and 84%, respectively. As regards the parameter of the mean diameter, Albuquerque et al found a measure of 1.32 mm, while Alves et al found a measure of 1.16 mm, and Tran et al [ 43 ] found an average diameter of 0.91 mm.…”

“…Albuquerque et al [ 39 ], Alves et al [ 40 ], Dias et al [ 41 ], Padovani et al [ 42 ], and Tran et al [ 43 ] in 2020 found a frequency of 88.5%, 89.3%, 56.2%, 76.7%, and 84%, respectively. As regards the parameter of the mean diameter, Albuquerque et al found a measure of 1.32 mm, while Alves et al found a measure of 1.16 mm, and Tran et al [ 43 ] found an average diameter of 0.91 mm. Finally, in 2021, Fayek et al [ 44 ] and Godil et al [ 45 ] found a frequency of 92% with a mean diameter of 1.0 mm and a frequency of 99.4%, respectively.…”