Presurgical CBCT assessment of maxillary neurovascularization in relation to maxillary sinus augmentation procedures and posterior implant placement

详细信息    查看全文

• 作者：Laura Ferreira Pinheiro Nicolielo (1) (3)
  Jeroen Van Dessel (1)
  Reinhilde Jacobs (1)
  Wendy Martens (2)
  Ivo Lambrichts (2)
  Izabel Regina Fischer Rubira-Bullen (3)
  
• 关键词：Cone ; beam computed tomography ; Anatomy ; Maxillary sinus ; Dental implants ; Sinus floor augmentation
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：36
• 期：9
• 页码：915-924
• 全文大小：618 KB
• 参考文献：1. Apostolakis D, Bissoon AK (2014) Radiographic evaluation of the superior alveolar canal: measurements of its diameter and of its position in relation to the maxillary sinus floor: a cone beam computerized tomography study. Clin Oral Implants Res 25:553-59. doi:10.1111/clr.12119
  2. Drake RL, Vogl AW, Mitchell AWM (2010) Gray’s anatomy for students, 2nd edn. Churchill Livingstone, Philadelphia
  3. de Oliveira-Santos C, Rubira-Bullen IR, Monteiro SA, Léon JE, Jacobs R (2013) Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral Implants Res 24:1044-048. doi:10.1111/j.1600-0501.2012.02497.x
  4. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S (2005) Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 20:784-87
  5. Ella B, Sédarat C, Noble Rda C, Normand E, Lauverjat Y, Siberchicot F, Caix P, Zwetyenga N (2008) Vascular connections of the lateral wall of the sinus: surgical effect in sinus augmentation. Int J Oral Maxillofac Implants 23:1047-052
  6. Güncü GN, Yildirim YD, Wang HL, T?züm TF (2011) Location of posterior superior alveolar artery and evaluation of maxillary sinus anatomy with computerized tomography: a clinical study. Clin Oral Implants Res 22:1164-167. doi:10.1111/j.1600-0501.2010.02071.x CrossRef
  7. Hur MS, Kim JK, Hu KS, Bae HE, Park HS, Kim HJ (2009) Clinical implications of the topography and distribution of the posterior superior alveolar artery. J Craniofac Surg 20:551-54. doi:10.1097/SCS.0b013e31819ba1c1 CrossRef
  8. Hwang K, Kim DH, Kim DJ (2011) Anterior superior alveolar artery and horizontal maxillary osteotomy. J Craniofac Surg 22:1819-821. doi:10.1097/SCS.0b013e31822e7feb CrossRef
  9. Ilgüy D, Ilgüy M, Dolekoglu S, Fisekcioglu E (2013) Evaluation of the posterior superior alveolar artery and the maxillary sinus with CBCT. Braz Oral Res 27:431-37. doi:10.1590/S1806-83242013000500007
  10. Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, Gelan J (2007) Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:683-93 CrossRef
  11. Kang SJ, Shin SI, Herr Y, Kwon YH, Kim GT, Chung JH (2013) Anatomical structures in the maxillary sinus related to lateral sinus elevation: a cone beam computed tomographic analysis. Clin Oral Implants Res 24:75-1. doi:10.1111/j.1600-0501.2011.02378.x CrossRef
  12. Kim JH, Ryu JS, Kim KD, Hwang SH, Moon HS (2011) A radiographic study of the posterior superior alveolar artery. Implant Dent 20:306-10. doi:10.1097/ID.0b013e31822634bd CrossRef
  13. Libersa P, Savignat M, Tonnel A (2007) Neurosensory disturbances of the inferior alveolar nerve: a retrospective study of complaints in a 10-year period. J Oral Maxillofac Surg 65:1486-489
  14. Ludlow JB, Ivanovic M (2008) Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:106-14. doi:10.1016/j.tripleo.2008.03.018 CrossRef
  15. Mardinger O, Abba M, Hirshberg A, Schwartz-Arad D (2007) Prevalence, diameter and course of the maxillary intraosseous vascular canal with relation to sinus augmentation procedure: a radiographic study. Int J Oral Maxillofac Surg 36:735-38 CrossRef
  16. Misch CE (1999) Contemporary implant dentistry, 2nd edn. Mosby, Chicago
  17. Robinson S, Wormald PJ (2005) Patterns of innervation of the anterior maxilla: a cadaver study with relevance to canine fossa puncture of the maxillary si
• 作者单位：Laura Ferreira Pinheiro Nicolielo (1) (3)
  Jeroen Van Dessel (1)
  Reinhilde Jacobs (1)
  Wendy Martens (2)
  Ivo Lambrichts (2)
  Izabel Regina Fischer Rubira-Bullen (3)
  
  1. OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Oral and Maxillofacial Surgery, University Hospitals Leuven, Campus Sint-Rafa?l, Kapucijnenvoer 33, 3000, Leuven, Belgium
  3. Department of Stomatology, Bauru School of Dentistry, University of Sao Paulo, Al. Octávio Pinheiro Brisola 9-75, 17012-901, Bauru, Sao Paulo, Brazil
  2. Department of Morphology, Faculty of Medicine, University of Hasselt, Campus Diepenbeek, Agoralaan gebouw D, 3590, Diepenbeek, Belgium
  
• ISSN：1279-8517

文摘

Purpose To provide more information to clinicians planning sinus grafting and maxillofacial surgical interventions, the present study evaluated the prevalence, diameter and location of the superior alveolar canals (SAC) using CBCT images. Methods The maxillary sinus CBCT scans (i-CAT Classic?, ISI, USA) of 100 adult patients (67 women and 33 men) aged 20-9?years [mean (SD) 40 (15)] were examined. A dentomaxillofacial radiologist observed the SAC based on CBCT image data and more specifically the parasagittal views to assess SAC’s diameter and location. Results The anterior and posterior SAC, double ASAC, intraosseous anastomoses and the extension of the anterior SAC to the piriform aperture were observed in 100, 73, 24.5, 38.5 and 84?% of the cases, respectively. The anastomosis was located between canine and first premolar in 43?% of the cases. The SAC diameters were in 80?% of the cases ??mm, remaining canals had a diameter between 1 and 2?mm. The distance of the SAC to the alveolar crest ranged between 2.42 and 44.6?mm. The anterior SAC was more prevalent in the upper (53?%) and middle (44?%) thirds of the maxillary sinus, while the posterior SAC was more prevalent in the middle (36?%) and lower thirds (64?%). The distance was significantly bigger in men in some tooth positions. Conclusions Based on the present findings, one-fifth of the patients may have a diameter of the SAC >1?mm, large enough to cause bleeding and/or paraesthesia. CBCT imaging may assist surgeons to plan grafting and osteotomy procedures, while avoiding these neurovascular structures.