Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Maxillary Sinus Volume, Nasal Septum Deviation, and the Presence of Concha Bullosa in Patients with Unilateral Cleft Lip and Palate: A Retrospective Study
Unilateral Dudak Damak Yarıklı Hastalarda Maksiller Sinüs Hacmi, Nazal Septum Deviasyonu ve Konka Bülloza Varlığının Değerlendirilmesi: Retrospektif Bir Çalışma
Kevser DİNÇa , Hatice KÖKb , Derya İÇÖZa
aSelçuk Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi ABD, Konya, Türkiye
bSelçuk Üniversitesi Diş Hekimliği Fakültesi, Ortodonti ABD, Konya, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(3):425-33
doi: 10.5336/dentalsci.2023-95816
Article Language: TR
Full Text
ÖZET
 Amaç: Dudak damak yarığı (DDY), konjenital gelişimsel anomalilerden biridir. Çalışmamızın amacı, nonsendromik unilateral DDY olan hastalar ile DDY olmayan hastaların (kontrol grubu) konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri ile maksiller sinüs hacmi (MSH), nazal septum deviasyonu (NSD) ve konka bülloza varlığının değerlendirilerek olası ilişkilerin tespitidir. Gereç ve Yöntemler: Nonsendromik unilateral DDY olan 30 (11 kadın-19 erkek; ortalama yaş: 14,50±4,28 yıl) hasta ve 30 (15 kadın-15 erkek; ortalama yaş: 16,30±4,79 yıl) DDY olmayan hastanın KIBT görüntüleri arşivden retrospektif olarak seçilmiştir. MSH (sağ-sol), NSD varlığı, deviasyon yönü ve konka bülloza varlığı her birey için değerlendirilmiştir. Elde edilen veriler SPSS v.22 kullanılarak tanımlayıcı istatistikler, bağımsız örneklem t-testi, eşleştirilmiş örneklem t-testi ve ki-kare testi ile analiz edilmiştir. Bulgular: DDY gözlenen grubun tamamında NSD tespit edilmiştir. DDY; 15 hastada sağda 15 hastada solda gözlenmiştir. Sağ taraf DDY'nin 12'sinde (%80) sağa NSD, sol taraf DDY'nin ise tamamında sola NSD görülmüştür. DDY varlığı ile NSD varlığı arasında istatistiksel olarak anlamlı ilişki tespit edilmiştir (p=0,000). Kontrol grubunda MSH; sağda 9,84±4,37 mm3 , solda 9,86±4,31 mm3 olup aralarında anlamlı bir fark gözlenmemiştir (p=0,780). DDY gözlenen grupta; yarık taraf MSH (6,52±3,79 mm3 ) ile yarık olmayan taraf MSH (9,36±4,14 mm3 ) arasında istatistiksel olarak anlamlı bir fark gözlenmiştir (p=0,000). DDY ile konka bülloza varlığı arasında istatistiksel olarak anlamlı ilişki tespit edilmemiştir (p>0,05). Sonuç: DDY hastalarında kontrol grubuna göre daha fazla NSD, yarık taraf MSH'de yarık olmayan tarafa göre anlamlı bir azalma gözlenmiş olup, çalışma sonuçları DDY hastalarının teşhis, tedavi ve cerrahi sürecine katkı sağlayabilir.

Anahtar Kelimeler: Dudak damak yarığı; nazal septum deviasyonu; maksiller sinüs hacmi; konik ışınlı bilgisayarlı tomografi
ABSTRACT
 Objective: Cleft lip and palate (CLP) is one of the congenital developmental anomalies. The aim of the present study was to determine possible relationships by evaluating the maxillary sinus volume (MSV), the presence of nasal septum deviation (NSD), and concha bullosa on cone-beam computed tomography (CBCT) images of patients with non-syndromic unilateral CLP and patients without CLP (control group). Material and Methods: CBCT images of 30 (11 females-19 males; mean age: 14.50±4.28 years) patients with non-syndromic unilateral CLP and 30 patients without CLP (15 female-15 male; mean age: 16.30±4.79 years) were selected retrospectively from the archive. Data set was created by evaluating MSV (right-left), presence of NSD, deviation direction and presence of concha bullosa for each individual. The obtained data were analyzed with descriptive statistics, independent sample t-test, paired sample t-test and chi-square test using SPSS v.22. Results: NSD was detected in the entire group with CLP. CLP was observed on the right in 15 patients and on the left in 15 patients. Right NSD was seen in 12 (80%) of right sided CLP, and left NSD was seen in all leftsided CLP. A statistically significant relationship was found between the presence of CLP and NSD (p=0.000). In the control group; no significant difference (p=0.780) was observed between right (9.84±4.37 mm3 ) and left (9.86±4.31 mm3 ) MSV. In the CLP group, the statistically significant difference was observed between cleft side (6.52±3.79 mm3 ) and non-cleft side (9.36±4.14 mm3 ) MSV (p=0.000). No statistically significant correlation was found between the presence of CLP and the presence of concha bullosa (p>0.05). Conclusion: In CLP patients, more NSD was observed than in the control group and a significant decrease in MSV on the cleft side compared to the non-cleft side was observed, and the results of the study may contribute to the diagnosis, treatment, and surgical process of CLP patients.

Keywords: Cleft lip and palate; nasal septum deviation; maxillary sinus volume; cone-beam computed tomography
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