The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1401
12
1
gregorian
2023
3
1
30
12
online
1
fulltext
fa
بررسی فراوانی استیوم فرعی در سینوس ماگزیلاری در بیماران مراجعهکننده به بخش رادیولوژی دانشکده دندانپزشکی دانشگاه آزاد اصفهان در سال 1401-1400
Investigation of the Frequency of Accessory Ostium in the Maxillary Sinus in Patients Referred to the Radiology Department of the Faculty of Dentistry, Azad University of Isfahan in 2021-2022
دندانپزشکی
Dental
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سینوس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ماگزیلاری</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">از</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">طریق</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اوستیوم اولیه (</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">PMO=Primary Maxillary Ostium</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">فک</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بالا</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داخل</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اینفاندیبولوم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تخلیه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میشود،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سپس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">از</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">طریق</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">هیاتوس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سمیلوناریس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به داخل</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مئاتوس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">می</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ریزد و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">حفره</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بینی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ارتباط</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">برقرار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میکند.</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اوستیوم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سینوس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ماگزیلاری حدوداً</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">بالاترین</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">قسمت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دیواره</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داخلی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سینوس قرار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">گرفته</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">است. اکسسوری</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اوستیوم (</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">AMO=Accessory Maxillary Ostium</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ممکن</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">است</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ایجاد</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سینوزیت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نقش</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">داشته</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">باشد</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ولی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">تاثیر</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">وراثت</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یا محیط</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">وجود</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">یاعدم وجود</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اکسسوری</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">اوستیوم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مشخص نیست</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> هدف این مطالعه یررسی استیوم اولیه و فرعی ماگزیلاری میباشد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در این مطالعه توصیفی- مقطعی</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">130 تصویر </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">CBCT</span> <span dir="LTR" new="" roman="" style="font-family:" times="">(Cone-Beam Computed Tomography)</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(مجموعاً 260 سینوس) از ماگزیلای بیماران مراجعهکننده به بخش رادیولوژی دهان و فک و صورت دانشکده دندانپزشکی دانشگاه آزاد اصفهان در شهر اصفهان، ایران بررسی شدند. اندازهگیریها در مقطع کرونال و توسط نرمافزار </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">On Demand 3D</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> انجام گرفت. آنالیز آماری توسط تستهای </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">T-Test</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Exact fisher</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Shapiro-Wilk</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و </span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> Spearman</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در نرمافزار </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">SPSS version 16</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> انجام گرفت.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین سنی بیماران 3/7</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">44/13 و تعداد نمونههای زن و مرد هر کدام 65 بود.</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین قطر</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">PMO</span><span dir="LTR" new="" roman="" style="font-family:" times=""> (Primary Maxillary Ostium)</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> به ترتیب در سمت راست 0/45</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">1/33 و در سمت چپ 0/5</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">1/33 بود. </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">AMO</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در 64% سینوسهای سمت چپ و 38/5% سینوسهای سمت راست مشاهده شد. افزایش ضخامت مخاط سینوس در 26% از سینوسهای سمت راست و 28% سینوسهای سمت چپ دیده شد و نهایتاً موکوس ریتنشن سیست به ترتیب در 9% سینوسهای سمت راست و 8% از سینوسهای سمت چپ وجود داشت.</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سایز </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Primary Maxillary Ostium</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> با متغیرهای سن، جنس و وجود </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">AMO</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> از لحاظ آماری ارتباط معناداری نداشت، اما در سمت راست میانگین سایز </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">Primary Maxillary Ostium</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> در صورت وجود افزایش ضخامت مخاط سینوس کمتر از وقتی است که افزایش ضخامت وجود نداشته باشد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span></span></span></span></span></span><br>
</div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Maxillary sinus drains through the primary maxillary ostium into the infundibulum, then flows through the hiatus semilunaris into the middle meatus and communicates with the nasal cavity. The maxillary sinus ostium is located approximately at the most superior part of the medial wall of the sinus. Accessory maxillary ostium (AMO) may play a role in sinusitis, but the effect of heredity or environment on the presence or absence of AMO is unknown</span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span><span new="" roman="" style="font-family:" times="">The aim of this study was to assess the primary and accessory maxillary ostium.</span><span dir="RTL" style="font-family:"B Nazanin"" lang="FA"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">In this descriptive-cross-sectional study, 130 Cone Beam Computed Tomography</span><b> </b><span new="" roman="" style="font-family:" times="">scans (260 sinuses in total) from the maxilla of patients referred to the Department of Oral and Maxillofacial Radiology, School of Dentistry of Isfahan Azad University were examined in Isfahan City, Iran (in the year 2021-2022). Measurements were performed in the coronal section by On Demand 3D software. Statistical analysis was performed by T-Test, Exact fisher, Shapiro-Wilk and Spearman tests through SPSS statistics version 16.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The mean diameter of </span><span new="" roman="" style="font-family:" times="">primary maxillary ostium</span><span new="" roman="" style="font-family:" times=""> was 1.33 ± 0.45 on the right and 1.33 ± 0.5 on the left, respectively. AMO was observed in 64% of the left sinuses and 38.5% of the right sinuses. Increased sinus mucosal thickness was seen in 26% of the right sinuses and 28% of the left sinuses, and finally Mucous Retention Cyst in 9% of the right sinuses and 8% of left sinuses, respectively.</span><span style="font-family:"Times New Roman",serif"></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:20.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">Primary maxillary ostium</span><span new="" roman="" style="font-family:" times=""> size was not statistically significant related to the variables of age, sex and the presence of AMO, but on the right side, the average </span><span new="" roman="" style="font-family:" times="">primary maxillary ostium</span><span new="" roman="" style="font-family:" times=""> size is less if there is increase in the thickness of the sinus mucosa than when there is no increase in the thickness.</span></span></span></span><br>
</div>
توموگرافی کامپیوتری با اشعه مخروطی, سینوس ماگزیلاری, استیوم سینوس ماگزیلاری
Cone-beam computed tomography, Maxillary sinus, Maxillary sinus ostium.
6175
6184
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4960-1&slc_lang=fa&sid=1
Navid
Motamedi
نوید
معتمدی
navidmotamedi5423@yahoo.com