Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function
Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function
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DOI：
10.1111/j.1600-0501.2010.01986.x
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发表时间：
2011-01-01
影响因子：
4.3
通讯作者：
Landsberg, Roee
中科院分区：
文献类型：
--
作者：
Carmeli, Guy;Artzi, Zvi;Landsberg, Roee
目的探讨上颌窦下壁粘膜增厚与上颌窦流出道梗阻的关系。CT旨在评估鼻窦炎;排除面部创伤和插管患者。粘液增厚分为< 5 mm（1），< 10 mm（2），< 15 mm（3），< 20 mm（4）和> 20 mm（5），并根据外观分为正常，圆形，环形，不规则或完全。结果上颌窦粘膜增厚率为36.1%，依次为31.2%（1）、34.2%（2）、12.9%（3）、5.4%（4）和16.3%（5不规则型10.4%，环周型8.8%，完全型5.2%。15%的扫描显示窦流出道阻塞。粘液增厚< 5 mm（11.1%）、< 10 mm（36.2%）和> 10 mm（74.3%）与窦阻塞有关（P < 0.0001）。窦腔黏膜圆形（6.1%）、环形（55.2%）、不规则形（38.8%）和完整性（100%）与窦腔阻塞有关（P < 0.001）。当统计学合并时，观察到窦阻塞的实质性风险为> 5 mm的不规则粘膜外观（2级为56.5%，3-5级为82.6%）和环形外观（1级为21.4%，3-5级为100%）。圆形外观（平均6.1%）的梗阻风险较低。ConclusionsIrregular（> 5 mm），圆周和完整的粘膜外观与窦流出道梗阻的风险增加，建议进行耳鼻喉科咨询。任何级别的圆形粘膜外观与鼻窦阻塞的低风险相关。推荐进行常规CT扫描，包括上颌窦口。引用本文：Carmeli G，Artzi Z，Kozlovsky A，Segev Y，兰茨贝格R.上颌窦CT术前评估：粘膜增厚与上颌窦功能的关系。Res. 22，2011; 78-82.doi：10.1111/j.1600-0501.2010.01986.x.
ObjectivesTo assess the correlation between maxillary sinus inferior mucosal thickening and sinus outflow obstruction.Material and methodsThe study included 280 computerized tomography (CT) scans (560 maxillary sinuses). CT aimed to assess sinusitis; trauma to the face and intubated patients were excluded. Mucosal thickening was graded as < 5 mm (1), < 10 mm (2), < 15 mm (3), < 20 mm (4) and > 20 mm (5), and classified by appearance as normal, rounded, circumferential, irregular, or complete. Maxillary sinus outflow was classified as patent or obstructed.ResultsMucosal thickening was found in 36.1% of the maxillary sinuses, graded as 31.2% (1), 34.2% (2), 12.9% (3), 5.4% (4) and 16.3% (5), and classified as rounded (11.8%), irregular (10.4%), circumferential (8.8%) and complete (5.2%). Sinus outflow was obstructed in 15% of the scans. Mucosal thickening of < 5 mm (11.1%), < 10 mm (36.2%) and > 10 mm (74.3%) was associated with sinus obstruction (P < 0.0001). Rounded (6.1%), circumferential (55.2%), irregular (38.8%) and complete (100%) mucosal appearances were associated with sinus obstruction (P < 0.001). When statistically combined, a substantial risk for sinus obstruction was observed with irregular mucosal appearance of > 5 mm (56.5% for grade 2 up to 82.6% for grades 3-5) and circumferential appearance (21.4% for grade 1 up to 100% for grades 3-5). A low risk for obstruction was found with the rounded appearance (mean 6.1%).ConclusionsIrregular (> 5 mm), circumferential and complete mucosal appearance are associated with an increased risk for sinus outflow obstruction and an ENT consultation is recommended. A rounded mucosal appearance of any grade is associated with a low risk for sinus obstruction. Routine CT scans, including the maxillary sinus ostium, are recommended.To cite this article:Carmeli G, Artzi Z, Kozlovsky A, Segev Y, Landsberg R. Antral computerized tomography pre-operative evaluation: relationship between mucosal thickening and maxillary sinus function.Clin. Oral Impl. Res. 22, 2011; 78-82.doi: 10.1111/j.1600-0501.2010.01986.x.