亚兹德市过去两年转诊至私立放射中心的患者通过 CBCT 放射摄影发现上颌骨前部窦道的频率

S. H. Razavi, Dorsa Pourzarabi, Mahjube Entezar-e-ghaem, Nasim Namiranian, Yaser Safi, Mohammad Pourmohammadi
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摘要

简介窦管(Canalis Sinuosus,CS)是上颌的一个骨性管道。 该管的分支通向前牙嵴和牙齿,在进行牙科手术(如种植)时可能会受到损伤,从而导致麻痹。本研究的目的是通过亚兹德市一家私立放射中心过去两年的 CBCT 放射摄影来确定上颌骨前区 CS 的发生频率,使牙医熟悉这一解剖学变化并预防并发症的发生。 研究方法在这项横断面研究中,选取了 218 张 CBCT 图像。图像涉及 24 至 80 岁的患者。由一名口腔颌面部放射科医生重建轴向、冠状和矢状切面。图像由两名放射科医生审查。然后检查年龄、性别、频率、牙槽末端位置、双侧或单侧、分支以及牙槽在垂直和前后方向的位置。结果通过 SPSS 16 版软件进行了卡方检验和 T 检验。 结果:受检者中有 112 名女性(51.4%)和 106 名男性(48.6%)。CS 发生率为 96.3%。年龄在 24-44 岁之间的女性发病率最高(62.8%)。95.4%的患者为双侧。在对附属管的检查中,有 141 人(64.7%)未发现附属管。据报告,附属管(AC)在中切牙和侧切牙之间更为常见。在这项研究中,使用 Chi-Square 检验,CS 的存在与年龄(P=0.188)和性别(P=0.162)之间没有统计学意义上的显著关系。 结论由于CS及其分支在上颌前区的高频率出现,为了避免手术中出现不必要的后果,应检查所需的区域。
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Frequency of Canalis Sinuosus Canal in the Anterior Region of the Maxilla by CBCT Radiography in Patients Referred to a Private Radiology Center in the Last 2 Years in Yazd City
Introduction: Canalis Sinuosus (CS) is a bony canal in the upper jaw.  This canal has branches towards the anterior ridge and the teeth, which can be exposed to damage during dental procedures such as implants, resulting in paranesthesia. The purpose of this study was to determine the frequency of CS in the anterior region of the maxilla by CBCT radiography in a private radiology center in Yazd City in the last 2 years, to familiarize dentists with this anatomical variety and prevent complications. Methods: In this cross-sectional study, 218 CBCT images were selected. Images are related to the patients in the age range of 24 to 80 years. Axial, coronal and sagittal sections are reconstructed by an oral and maxillofacial radiologist. The images reviewed by two radiologists. Then, age, sex, frequency, location of the canal ending, bilateral or unilateral, sub-branches and the location of the canal in the vertical and anteroposterior dimension were checked. The results were investigated by SPSS version 16 software with Chi squared and T-test statistical tests. Results: The reviewed images belonged to 112 (51.4%) women and 106 (48.6%) men. The frequency of CS was 96.3%. The most frequency was found in women in the age of 24-44 years (62.8%). The 95.4% was reported bilaterally. In the examination of the Accessory canals, they were not seen in 141 people (64.7%). The accessory canal (AC) was reported more frequent between central and lateral incisor. In this study, using the Chi-Square test, there was no statistically significant relationship between the presence of CS and age (P=0.188) and gender (P=0.162). Conclusion: Due to the high frequency of CS and its branches in the anterior region of the maxilla, in order to avoid unwanted consequences during surgery, the desired area should be examined.
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