Unilateral Maxillary Hypoplastic Sinus: A Case Report
|
Farida Abesi1 , Mehdi Hozuri * 2, Fateme Aghaee3 |
1- Associate Professor, Dental Materials Research Center, Health Research Institue, Babol University of Medical Sciences, Babol, Iran. 2- * Corresponding Author, Postgraduate Student of Oral and Maxillofacial Surgery, Student Research Committee, Babol University of Medical Sciences, Babol, Iran. , Mahdi.hozuri@gmail.com 3- Postgraduate Student of Oral and Maxillofacial Radiology, Student Research Committee, Babol University of Medical Sciences, Babol, Iran. |
|
Abstract: (3278 Views) |
Understanding maxillary sinus hypoplasia (MSH) and associated sinonasal variants is crucial for the success of diagnostic and therapeutic procedures in maxillary sinus and maxillary dental implant surgery. The aim of this study was to investigate a rare case of unilateral maxillary sinus hypoplasia associated with lower orbital floor displacement, without involving the Uncinate process. A 31-year-old woman presented to the Department of Oral and Maxillofacial Surgery at Babol Dental School for rhinoplasty without any complaints of headache or nasal congestion. She had no history of trauma, congenital or bone diseases/abnormalities. Cone Beam Computed Tomography (CBCT) images revealed left maxillary sinus hypoplasia, lower orbital floor, and increased thickening of the sinus mucosa. The patient's photograph also showed lower displacement of the orbital floor. The diagnosis of unilateral maxillary sinus hypoplasia in this study was based on clinical manifestations and coronal views of CBCT and CT scans. Symptoms of hypoplastic sinus include chronic headache, facial pain, voice problems, or may sometimes be asymptomatic. If the surgeon is not aware of the hypoplasticity of the sinus, complications during surgery may increase, including post-surgery complications such as visibility of the low orbital floor and resulting patient confusion. This study highlights the importance of using CBCT as a valuable diagnostic tool to identify anatomical variations and details of the hypoplastic sinus. This approach helps the surgeon to inform the patient and provide an appropriate treatment plan, especially in cases involving dental implants or sinus surgery.
|
|
Keywords: Maxillary Sinus [MeSH], Cone Beam Computed Tomography [MeSH], Dental Implant [MeSH], Anatomic Variation [MeSH] Article ID: Vol25-13 |
|
Full-Text [PDF 452 kb]
(6824 Downloads)
|
Type of Study: Case Report |
Subject:
Radiology
|
|
|
|
|
References |
1. Jafari-Pozve N, Sheikhi M, Ataie-Khorasgani M, Jafari-Pozve S. Aplasia and hypoplasia of the maxillary sinus: A case series. Dent Res J (Isfahan). 2014 Sep; 11(5): 615-17. [ PubMed] 2. Abesi F, Haghanifar S, Khafri S, Montazeri A. [The Evaluation of the Anatomical Variations of Osteomeatal Complex in Cone Beam Computed Tomography Images]. J Babol Univ Med Sci. 2018; 20(4): 30-34. doi: 10.18869/acadpub.jbums.20.4.30 [Article in Persian] [ View at Publisher] [ DOI] 3. Thiagarajan B, Narashiman S. Hypoplasia of all paranasal sinuses A case series and literature review. Otolaryngology Online Journal. 2012; 2: 1-5. [ Link] 4. Wrzosek M, Wilczek K, Tusiewicz J, Piskórz MJ, Różyło-Kalinowska I. Pneumatization of the articular eminence in cone-beam computed tomography: prevalence and characteristics - literature review. Folia Morphol (Warsz). 2023; 82(2): 242-47. doi: 10.5603/FM.a2022.0023 [ DOI] [ PubMed] 5. White SC, Pharoah MJ. Oral radiology-E-Book: Principles and interpretation. 6th ed. Mosby Elsevier. 2014; p: 541. 6. Alsufyani N, El-Hakim H, Major P. Prevalence of maxillary sinus hypoplasia and association with variations in the sinonasal complex: a cone beam CT study. Clin Oral Investig. 2021 Sep; 25(9): 5463-71.doi: 10.1007/s00784-021-03854-3 [ DOI] [ PubMed] 7. Dedeoğlu N, Burak Duman S. Clinical significance of maxillary sinus hypoplasia in dentistry: A CBCT study. Dent Med Probl. 2020 Apr-Jun; 57(2): 149-56. doi: 10.17219/dmp/114982 [ DOI] [ PubMed] 8. Lana JP, Carneiro P, Machado V, de Souza P, Manzi F, Horta M. Anatomic variations and lesions of the maxillary sinus detected in cone beam computed tomography for dental implants. Clin Oral Implants Res. 2012 Dec; 23(12): 1398-403. doi: 10.1111/j.1600-0501.2011.02321.x [ DOI] [ PubMed] 9. Bindakhil M, Mupparapu M. Cone Beam CT Evaluation of Bilateral Maxillary Sinus Hypoplasia with Unilateral Mandibular Hypertrophy. J Orofac Sci. 2020; 12: 61-63. doi: 10.4103/jofs.jofs_66_19 [ Link] [ DOI] 10. Alsufyani NA, Major MP, Major PW. Relationship between Maxillary Sinus Hypoplasia and Maxillary Occlusal Cant: A Cone Beam CT Study. BioMed Research International. 2022; Article ID 4651514. doi: 10.1155/2022/4651514 [ Link] [ DOI] 11. Tasar M, Cankal F, Bozlar U, Hidir Y, Saglam M, Ors F. Bilateral maxillary sinus hypoplasia and aplasia: radiological and clinical findings. Dentomaxillofac Radiol. 2007 Oct; 36(7): 412-15. doi: 10.1259/dmfr/72395885 [ DOI] [ PubMed]
|
|
Send email to the article author |
|