Distribution of Vascular Canal at Lateral Wall of Maxillary Sinus in Korean Population Using Computed Tomography

컴퓨터단층촬영을 이용한 한국인의 상악동 측벽의 혈행 분포

  • Song, Chi Bum (Moon Dental Hospital) ;
  • Kim, Chul Hwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Dankook University)
  • 송치범 (문치과병원) ;
  • 김철환 (단국대학교 치과대학 구강악안면외과학교실)
  • Received : 2012.07.18
  • Accepted : 2012.11.22
  • Published : 2012.11.30

Abstract

Purpose: The aim of this study was to investigate the blood supply to the maxillary sinus in Koreans using computed tomography of the lateral wall of the sinus, and to analyze the data according to demographic data, and to compare our results with previously published research. Methods: One hundred and three patients (males 51, females 52) who visited the dental clinic were evaluated. We investigated the canals with cone-beam computed tomography, and measured the diameter and length from the bony notch of the vascular canal at the lateral wall of the sinus to each of the reference planes. Results: Most types of vascular canal were type I & II (total 72.2%) which were driving through inside the sinus wall. Type IV, V were frequently investigated in 1st premolar and 2nd molar. Mean height; from anterior nasal spine-posterior nasal spine plane to vascular canal was 5.56 mm in 1st premolar, 2.11 mm in 2nd premolar, 0.98 mm in 1st molar, 4.32 mm in 2nd molar; from the basal layer of the sinus was 4.93 mm in 1st premolar, 5.00 mm in 2nd premolar, 6.05 mm in 1st molar, 7.91 mm in 2nd molar; and from alveolar crest, 20.80 mm in 1st premolar, 16.57 mm in 2nd premolar, 14.01 mm in 1st molar, 16.17 mm in 2nd molar. The mean height of the vascular canal of each reference plane showed no significant difference between sex, site (left or right) and age. The mean diameters of the canals were 1.76 mm in male, and 1.50 mm in female. Diameter decreased with age, and tooth site (from 1st premolar to 2nd molar). Conclusion: These results show that the mean diameter of the vascular canal of the maxillary sinus varies according to age, sex, and tooth site, but that the mean height of canal had no significant difference based on these three factors.

Keywords

References

  1. Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: a radiographic study. Int J Oral Maxillofac Implants 2008;23:48-56.
  2. Wallace SS, Froum SJ. Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 2003;8:328-43. https://doi.org/10.1902/annals.2003.8.1.328
  3. Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 2008;35(8 Suppl):216-40.
  4. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? Int J Oral Maxillofac Implants 2007;22 Suppl:49-70.
  5. Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45.
  6. Tong DC, Rioux K, Drangsholt M, Beirne OR. A review of survival rates for implants placed in grafted maxillary sinuses using meta-analysis. Int J Oral Maxillofac Implants 1998;13:175-82.
  7. Del Fabbro M, Testori T, Francetti L, Weinstein R. Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 2004;24:565-77.
  8. von Langenbeck B. Contributions to osteoplasty. The osteoplastic resection of the upper mandible. In: Goschen A, editor. German Clinic. Berlin: Reimer; 1859.
  9. Obwegeser HL. Surgical correction of small or retrodisplaced maxillae. The "dish-face" deformity. Plast Reconstr Surg 1969;43:351-65. https://doi.org/10.1097/00006534-196904000-00003
  10. Radney LJ, Jacobs JD. Soft-tissue changes associated with surgical total maxillary intrusion. Am J Orthod 1981;80:191-212. https://doi.org/10.1016/0002-9416(81)90218-9
  11. Mansour S, Burstone C, Legan H. An evaluation of soft-tissue changes resulting from Le Fort I maxillary surgery. Am J Orthod 1983;84:37-47. https://doi.org/10.1016/0002-9416(83)90146-X
  12. Baek SH, Kim K, Choi JY. Evaluation of treatment modality for skeletal Class III malocclusion with labioversed upper incisors and/or protrusive maxilla: surgical movement and stability of rotational maxillary setback procedure. J Craniofac Surg 2009;20:2049-54. https://doi.org/10.1097/SCS.0b013e3181be87ba
  13. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med 2007;3:21. https://doi.org/10.1186/1746-160X-3-21
  14. O'Ryan F, Schendel S. Nasal anatomy and maxillary surgery. I. Esthetic and anatomic principles. Int J Adult Orthodon Orthognath Surg 1989;4:27-37.
  15. Reyneke JP. Prevention and management of vascular necrosis in Le Fort I osteotomias. J Oral Maxillof Surg 2004; 62(Suppl 1):14-5.
  16. Lanigan DT, Hey JH, West RA. Aseptic necrosis following maxillary osteotomies: report of 36 cases. J Oral Maxillofac Surg 1990;48:142-56. https://doi.org/10.1016/S0278-2391(10)80202-2
  17. Patel PK, Morris DE, Gassman A. Complications of orthognathic surgery. J Craniofac Surg 2007;18:975-85. https://doi.org/10.1097/scs.0b013e318068442c
  18. Choi J, Park HS. The clinical anatomy of the maxillary artery in the pterygopalatine fossa. J Oral Maxillofac Surg 2003;61:72-8.
  19. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  20. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994;15:152, 154-6, 158.
  21. Chanavaz M. Sinus grafting related to implantology. Statistical analysis of 15 years of surgical experience (1979-1994). J Oral Implantol 1996;22:119-30.
  22. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005;20:784-7.
  23. Solar P, Geyerhofer U, Traxler H, Windisch A, Ulm C, Watzek G. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clin Oral Implants Res 1999;10:34-44. https://doi.org/10.1034/j.1600-0501.1999.100105.x
  24. Ella B, Sedarat C, Noble Rda C, et al. Vascular connections of the lateral wall of the sinus: surgical effect in sinus augmentation. Int J Oral Maxillofac Implants 2008;23:1047-52.
  25. Mardinger O, Abba M, Hirshberg A, Schwartz-Arad D. Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. Int J Oral Maxillofac Surg 2007;36:735-8. https://doi.org/10.1016/j.ijom.2007.05.005
  26. Rosano G, Taschieri S, Gaudy JF, Del Fabbro M. Maxillary sinus vascularization: a cadaveric study. J Craniofac Surg 2009;20:940-3. https://doi.org/10.1097/SCS.0b013e3181a2d77f
  27. Ritter FN, editor. The paranasal sinuses, anatomy and surgical technique. St. Louis: CV Mosby Co.; 1978.
  28. Blanton PL, Biggs NL. Eighteen hundred years of controversy: the paranasal sinuses. Am J Anat 1969;124:135-47. https://doi.org/10.1002/aja.1001240202
  29. McGowan DA, Baxter PW, James J, editors. The maxillary sinus and its dental implications. Oxford: Wright, Butterworth- Heinemann Ltd.; 1993.
  30. Traxler H, Windisch A, Geyerhofer U, Surd R, Solar P, Firbas W. Arterial blood supply of the maxillary sinus. Clin Anat 1999;12:417-21. https://doi.org/10.1002/(SICI)1098-2353(1999)12:6<417::AID-CA3>3.0.CO;2-W
  31. Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29.
  32. Chanavaz M. Maxillary sinus: anatomy, physiology, surgery, and bone grafting related to implantology--eleven years of surgical experience (1979-1990). J Oral Implantol 1990;16:199-209.
  33. Krennmair G, Ulm C, Lugmayr H. Maxillary sinus septa: incidence, morphology and clinical implications. J Craniomaxillofac Surg 1997;25:261-5. https://doi.org/10.1016/S1010-5182(97)80063-7
  34. Oh HK, Ryu SY. Clinico-anatomical study of septum in the maxillary sinus. J Korean Assoc Oral Maxillofac Surg 1998;24:208-12.
  35. Ulm CW, Solar P, Krennmair G, Matejka M, Watzek G. Incidence and suggested surgical management of septa in sinus- lift procedures. Int J Oral Maxillofac Implants 1995;10:462-5.
  36. So HJ, Jeong DK, Kwon JH, Ryu SH, Kim HS. Maxillary sinus septum: panoramic radiographic and dental computed tomographic analyses in the planning of implant surgery. J Korean Acad Periodontol 2006;36:147-54.
  37. Velasquez-Plata D, Hovey LR, Peach CC, Alder ME. Maxillary sinus septa: a 3-dimensional computerized tomographic scan analysis. Int J Oral Maxillofac Implants 2002;17:854-60.
  38. Kim MJ, Jung UW, Kim CS, et al. Maxillary sinus septa: prevalence, height, location, and morphology. A reformatted computed tomography scan analysis. J Periodontol 2006;77:903-8. https://doi.org/10.1902/jop.2006.050247
  39. Staudt J, Breustedt A, Kunz G, Wilcke G. Special features of the arterial supply in the head region of the elderly. Verh Anat Ges 1977;1:725-9.
  40. Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery. Clin Oral Implants Res 2011;22:711-5. https://doi.org/10.1111/j.1600-0501.2010.02045.x