Analysis of risk variables for association with maxillary sinus mucosal thickenings: a cone-beam computed tomography-based retrospective study.

Purpose: This study aimed to determine which patient-related, anatomical, pathologic, or iatrogenic variables may be directly associated with and which may have a modifying effect on the generation of maxillary sinus (MS) mucosal thickenings. Methods: A total of 278 cone-beam computed tomography (CB...

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Publicado en:Surgical & Radiologic Anatomy Vol. 45; no. 4; pp. 417 - 430
Autores principales: Betin-Noriega, Carolina, Urbano-del Valle, Samuel Enrique, Saldarriaga-Naranjo, Clara Inés, Obando-Castillo, Jorge Luis, Tobón-Arroyave, Sergio Iván
Formato: Journal Article
Publicado: Springer Nature Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00276-023-03090-2
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        atl: Analysis of risk variables for association with maxillary sinus mucosal thickenings: a cone-beam computed tomography-based retrospective study.
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          Betin-Noriega, Carolina
          Urbano-del Valle, Samuel Enrique
          Saldarriaga-Naranjo, Clara Inés
          Obando-Castillo, Jorge Luis
          Tobón-Arroyave, Sergio Iván
        affil: Graduate Oral and Maxillofacial Surgery Program, Faculty of Dentistry, University of Antioquia, Medellín, Colombia
      sug:
      ab: Purpose: This study aimed to determine which patient-related, anatomical, pathologic, or iatrogenic variables may be directly associated with and which may have a modifying effect on the generation of maxillary sinus (MS) mucosal thickenings. Methods: A total of 278 cone-beam computed tomography (CBCT) scans obtained from 114 males and 164 females were evaluated. The protocol included the assessment of 21 candidate variables, of which 18 were bilateral and 3 were unique. The relationship among the study variables and the mucosal thickenings were examined individually and adjusted for confounding using univariate and multivariate binary logistic regression models. Results: The prevalence of mucosal thickenings was 71.20% at patient level and 53.40% at sinus level. The ostium height > 28.15 mm, the infundibulum length ≤ 9.55 mm, the infundibulum width ≤ 0.50 mm, along the occurrence of periapical lesions and slight-to-severe periodontal bone loss acted as strong/independent risk variables for MS mucosal thickenings. Confounding and interaction relationships between MS height and depth, and between the alveolar process type and the presence of foreign materials with respect to age stratum > 47.50 years might be also associated with the mucosal thickenings. Conclusions: While increased ostium height, decreased infundibulum length/width, the presence of periapical lesions and periodontal involvement might be the foremost indicator variables for MS mucosal thickenings, there are synergistic relationships among the increased sinus height and depth as well as aging regarding atrophic/partially atrophic alveolar process status and the presence of foreign materials that may be also associated with a greater proportion of these mucosal abnormalities.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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