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Journal of Maxillofacial and Oral Surgery

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01-03-2021 | Digital Volume Tomography | Original Article

Cone Beam Computed Tomography Analysis of Sphenoid Sinus Pneumatization and Relationship with Neurovascular Structures

Authors: Najmeh Movahhedian, Maryam Paknahad, Fatemeh Abbasinia, Leila Khojatepour

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2021

Abstract

Background

The sphenoid sinus is considered as the most variable pneumatized structure of the skull.

Purpose

The aim of the present study was to determine the prevalence of the Onodi cell as well as to evaluate the relationship between the sphenoid sinus type of pneumatization and the presence of surrounding neurovascular protrusion using cone beam computed tomography (CBCT).

Methods

The CBCT images of 500 patients/996 sides [203 males (40.6%) and 297 females (59.4%)] were analyzed in this study. The type of sphenoid sinus pneumatization, prevalence of internal carotid artery (ICA) and optic nerve (ON) protrusion and dehiscence, and also the frequency of Onodi cell were assessed.

Results

The percentages of the conchal, presellar, sellar, postsellar (a), and postsellar (b) types of pneumatization were 1%, 11.5%, 35.5%, 38.9%, and 13.1%, respectively. The more the sphenoid sinuses pneumatized, the greater the frequency of ON and ICA protrusion and dehiscence of their wall to the sinus. The prevalence of Onodi cell was 38.8%. A significant correlation was found between ON dehiscence and the presence of Onodi cells.

Conclusion

The present study demonstrated a significant relationship between the sinus type and frequency of neurovascular protrusions. Therefore, the sphenoid sinus extent of pneumatization might be useful in predicting the risk of iatrogenic damage to the surrounding structures.

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Title: Cone Beam Computed Tomography Analysis of Sphenoid Sinus Pneumatization and Relationship with Neurovascular Structures
Authors: Najmeh Movahhedian
Maryam Paknahad
Fatemeh Abbasinia
Leila Khojatepour
Publication date: 01-03-2021
Publisher: Springer India
Keywords: Digital Volume Tomography
Digital Volume Tomography
Published in: Journal of Maxillofacial and Oral Surgery / Issue 1/2021
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-020-01326-x

At a glance: The STEP trials

Springer Medicine

Cone Beam Computed Tomography Analysis of Sphenoid Sinus Pneumatization and Relationship with Neurovascular Structures

Abstract

Background

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Purpose

Methods

Results

Conclusion

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