AVALIAÇÃO DAS SINUSOPATIAS INFLAMATÓRIAS E VARIANTES ANATÔMICAS DOS SEIOS DA FACE POR TOMOGRAFIA COMPUTADORIZADA

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

Sinus inflammatory disease is one of the most prevalent chronic pathologies of the facial sinuses. It is associated with inflammation of the paranasal mucous membrane, secondary to infection, trauma or allergic reactions. The presence of anatomical alterations in the ostiomeatal compound, that potentially interrupt the ventilation or drainage of the paranasal cavities, has also been proposed as an important factor in the pathogenesis of the disease. The aim of this retrospective study was to investigate, the prevalence of anatomical variations in the facial sinuses in individuals with facial sinus chronic inflammatory disease. 500 facial sinus tomographies were examined to detect the presence of facial sinus disease and to investigate a possible correlation with the existence of anatomical variations. Specific variations studied were septum deviation, shell bolhosa, cell Haller, pneumotization of the uncinate process and the paradoxical cornet. The data were subjected to the Qui-square and Odds Ratio tests. There was no significant correlation (p=0,78) between the presence of anatomical variations as a whole and the presence of sinus disease. However, when possible correlations between sinus disease and individual anatomical variations were assessed there were significant correlations between sinus disease and the presence of septum deviation (p <0,01) and bubble shell (p=0,01). It may be concluded that the simple identification of anatomical variations does not indicate an increased the risk for sinus disease. However, individuals with septum deviation and bubble shell do have a higher probability of developing the disease.

ASSUNTO(S)

seios da face tomografia variantes anatômicas anatomical variants sinusite odontologia sinusitis facial sinus tomography

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