Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Sinüs Septa Lokalizasyon ve Yüksekliğinin Konik Işınlı Bilgisayarlı Tomografi ile İncelenmesi
Evaluation of Sinus Septa Localization and Height by Using Cone-Beam Computed Tomography
Onurcem DURUELa,b, Emel Tuğba ATAMAN DURUELa,b, Tolga Fikret TÖZÜMa
aŞikago Illinois Üniversitesi Diş Hekimliği Fakültesi, Periodontoloji ABD, Şikago, ABD
bHacettepe Üniversitesi Diş Hekimliği Fakültesi, Periodontoloji ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(2):212-6
doi: 10.5336/dentalsci.2020-75870
Article Language: TR
Full Text
ÖZET
 Amaç: Lateral sinüs ögmentasyonu sırasında, sinüs membranının perfore edilme riskinin azaltılması için septanın lokalizasyonunun ve yüksekliğinin belirlenmesi büyük önem taşımaktadır. Bu çalışmanın amacı, sinüs septa prevalans, lokalizasyon ve yüksekliklerini konik ışınlı bilgisayarlı tomografi (KIBT) yardımıyla incelemektir. Gereç ve Yöntemler: Bu çalışmada dental implant talebiyle, Şikago Illinois Üniversitesi Diş Hekimliği Fakültesi, Periodontoloji Bölümüne başvuran 177 hastanın sinüs septa prevalansı, lokalizasyonu (zigomatik kemiğin anteriorounda, zigomatik kemiğin posteriorunda, zigomatik kemiğin hem anteriorounda hem de posteriorunda) ve yüksekliği KIBT yardımıyla incelenmiştir. Bulgular: Septa prevalansı, sağ taraf için %20,3 (36 hasta); sol taraf için %19,2 (34 hasta) olarak belirlenmiştir. Her 2 tarafta da en sık zigomatik kemiğin anteriorunda septa bulunmaktadır. Zigomatik kemiğin anteriorundaki septaların ortalama yüksekliği 6,44±3,11 mm ölçülürken, posteriorundaki septaların ortalama yüksekliği 5,87±2,93 mm olarak belirlenmiştir. Sonuç: Septa, sinüs ögmentasyonu prosedürleri sırasında oluşabilecek komplikasyon risklerini azaltmak için cerrahi planlanırken dikkate alınmalıdır. Çalışmamızın verilerine göre septanın en sık zigomatik kemiğin anteriorunda konumlandığı gözlenmiştir.

Anahtar Kelimeler: Konik ışınlı bilgisayarlı tomografi; sinüs taban yükseltilmesi; maksiller sinüs
ABSTRACT
 Objective: While sinus augmentation procedures via lateral approach, having knowledge about the sinus septa localization and height is critical to prevent complications. Hence, the aim of this study is to evaluate septa prevalence, localization, and height by using cone beam computed tomography (CBCT). Material and Methods: In this study, CBCT scans of 177 patients, who demanding dental implants at University of Illinois at Chicago Department of Periodontics, were evaluated. The parameters about septa prevalence, the localization of septa (anterior and/or posterior of the zygomatic process), and septa height were noted. Results: The septa prevalences were calculated 20.3% (36 patients) for the right side, and 19.2% (34 patient) for the left side. The septas were frequently localized anterior of the zygomatic process for both sides. The mean height of the septas 6.44±3.11 and 5.87±2.93 mm for anterior and posterior of the zygomatic process, respectively. Conclusion: To reduce the risk of complications during sinus augmentation procedures, sinus septa should be taken into consideration while planning the surgery. According to the results of this study, sinus septa is frequently localized anterior of the zygomatic process.

Keywords: Cone-beam computed tomography; sinus floor augmentation; maxillary sinus
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