Relationship between maxillary sinus mucosal cyst and sinus ostium 2D area in three-dimensional volumetric paranasal CT ımages


Kaya A. T., Uğur L.

ORAL RADIOLOGY, cilt.40, ss.199-206, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 40
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1007/s11282-023-00722-6
  • Dergi Adı: ORAL RADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, MEDLINE
  • Sayfa Sayıları: ss.199-206
  • İnönü Üniversitesi Adresli: Evet

Özet

Abstract

Objective To investigate the relationship between the maxillary sinus ostium 2D area (SOA) and the development of mucosal

cysts of the maxillary sinus (MMC).

Methods Thirty patients (≥ 18 years) with unilateral MMC who underwent paranasal sinus CT (PNsCT) were included in

this single-center retrospective study. Non-MMC sinus was used as the control group. Cyst and air volume of the maxillary

sinuses, diameter, and 2-dimensional area of the ostium of the patients were calculated in the 3-dimensional volumetric

analysis program. Both correlation and linear regression model analyses were performed for the relationship between MMC

and SOA.

Results Thirty patients were included (mean age of 42.30 ± 17.62 years). A total of 15/30 (50%) were male. The mean SOA

in patients with MMC (8.91 ± 1.10 mm2)

was lower than in patients without MMC (12.94 ± 1.35 mm2),

which was statistically

significant (p < 0.001). The mean sinus ostium diameter in patients with MMC (2.12 ± 0.71 mm) was higher than in

patients without MMC (1.91 ± 0.82 mm), which was statistically insignificant (p = 0.295). There was a statistically significant,

good level of negative linear correlation between SOA and total cyst volume (TCV) [correlation coefficient (r) = – 0.680,

p < 0.001]). As a result, the regression model consisting of "Age, Sinus air volume, and TCV" variables is a good model and

has statistically significant relations with SOA.

Conclusion In conclusion, small SOAs contribute to the development of MMC. There was a negative correlation between

SOA and TCV. In addition, 2D area measurement may be a more accurate method instead of diameter measurement.

Keywords Retention cyst · Maxillary sinus · Computed tomography · Maxillary sinus volume