A CBCT Study for Anatomic Variations of Osteomeatal complex in Patients With Cleft Lip and Palate.
| Autor: | Göksel S; Department of Dentomaxillofacial Radiology, Faculty of Dentistry, 566936Ankara Medipol University, Ankara, Turkey., Özcan İ; Department of Dentomaxillofacial Radiology, Faculty of Dentistry, 37516Istanbul University, Istanbul, Turkey. |
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| Jazyk: | angličtina |
| Zdroj: | The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association [Cleft Palate Craniofac J] 2023 Jan; Vol. 60 (1), pp. 13-20. Date of Electronic Publication: 2021 Nov 17. |
| DOI: | 10.1177/10556656211053773 |
| Abstrakt: | Objective: To evaluate the anatomy and variations of osteomeatal complex (OMC) by comparing patients with nonsyndromic cleft lip and palate (CLP) and control group. Design: This case-control study was retrospectively analyzed using cone-beam computed tomography data. Setting: Istanbul University Faculty of Dentistry Department of Dentomaxillofacial Radiology. Patients: The study was conducted with 100 patients (44 females, 56 males) with CLP and 100 patients in the control group, which matched gender and age (with a maximum difference of 3 years). Variables: OMC variations are grouped as follows: ethmoidal, conchal, uncinate process, and septal variations. Then, we evaluated the presence of these OMC variations and compared them between the two groups. Statistical Analysis: The McNemar's test was used to determine any significant differences between the groups for all indices at the 95% confidence level. Results: The most common anatomic variation in this study was Agger nasi cell (97%) and concha bullosa (97%) in the patients with CLP, while Agger nasi cell was the most common variation (99%) in the controls. Moreover, the atelectatic uncinate process was the least observed variation in both groups (1%). The incidences of paradoxical concha (58%;42%), bifid concha (29%;11%), deviated nasal septum (92%;80%) were significantly higher in the CLP group ( p < 0.05). Conclusions: The statistically significant results found when comparing OMC anatomy between the two groups reveal the importance of three-dimensional evaluation before functional endoscopic sinus surgery in patients with CLP. |
| Databáze: | MEDLINE |
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