Maxillary sinus volume: new physiopathological data in fungal ball genesis? A retrospective study

Michel, J.; Radulesco, Thomas; Mancini, Julien; Paganelli, Arnaud; Varoquaux, A.; Adalian, Pascal; Ranque, Stéphane; Dessi, P.

doi:10.1111/coa.12813

Cited by 9 publications

(5 citation statements)

References 22 publications

(44 reference statements)

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“…This result was in line with that of a research conducted by Kim et al, who reported a relationship between a decreased MSV and persistent chronic rhinosinusitis in young patients. The side effect of reduced MSV could be the development of a maxillary sinus fungal ball 22 , 23 .…”

Section: Discussionmentioning

confidence: 99%

Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review

Eshghpour,

Vaezi,

Samieirad

et al. 2023

WJPS

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Background: The purpose of this article was to systematically review maxillary sinus changes after LeFort. We examined and analyzed the anatomical abnormalities that occurred following LeFort I osteotomy, as well as the abnormalities of maxillary sinus volume (MSV) before and after the operation. Methods: A systematic search was conducted on various databases, such as Google Scholar, PubMed, and Scopus. The articles used were in English and original. This study was conducted until September 2023, and after reviewing the articles, several keywords, such as “Maxillary sinus” and “LeFort I osteotomy”, were employed. The obtained data were evaluated based on the PICO framework. Results: Findings from 15 studies showed that the amount of MSV decreased before and after the operation (considering the three dimensions of the sinus, the measurement was performed linearly). These reduction values differed between men and women, with men having a greater reduction. As is the case with other operations, there were some side effects associated with this type of operation that some patients experienced postoperatively. Conclusion: In both male and female patients, the MSV was reduced after one-piece and multi-segment osteotomies. Nonetheless, one-piece LeFort I osteotomy showed a higher reduction in MSV than the multi-segment osteotomy method, according to this systematic review and meta-analysis.

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Section: Discussionmentioning

confidence: 99%

Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review

Eshghpour,

Vaezi,

Samieirad

et al. 2023

WJPS

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“…To date, there are only a few reports evaluating the relationship between the volume of MS and the presence of unilateral MSFB (17) . Michel et al reported that there was a significant statistical difference in volume between diseased MS and disease-free MS in the FB group (17) . In addition, a FB was found in the smallest MS of the FB group (93%).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, a FB was found in the smallest MS of the FB group (93%). They suggested that MSFB was associated with a smaller size of MS (17) . In our study, the volumes of both MSs were not statistically different (p>0.05).…”

Section: Discussionmentioning

confidence: 99%

Analysis of predisposing factors in unilateral maxillary sinus fungal ball: the predictive role of odontogenic and anatomical factors

Doo¹,

Min²,

Choi³

et al. 2022

Rhin

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Background: The pathogenesis of maxillary sinus fungal ball (MSFB) is explained by aerogenic and odontogenic factors. We evaluated the predisposing factors, including intranasal anatomical and dental factors for increased diagnostic accuracy. Methodology: In this study, 117 patients who underwent endoscopic sinus surgery for unilateral MSFB were included. Preoperative computed tomography (CT) scans were used to analyze the presence of anatomical variations (anterior and posterior nasal septal deviation (NSD), concha bullosa (CB), infraorbital cell (haller cell), paradoxical middle turbinate, everted uncinate process and MS size). Dental factors including history of dental procedures and findings on CT scans were reviewed. Results: Anterior and posterior NSD toward non-affected side were significantly associated with the presence of FB. The presence of CB and infraorbital cell was higher in the non-affected side rather than in the lesion side. Compared to non-affected MS, FB-presence MS was shallower and had a larger height to depth ratio. The presence of dental history was significantly higher on FB-presence MS than non-affected MS. In multivariable analysis, posterior NSD toward non-affected side, dental history increased the aOR of MSFB, while the presence of CB and infraorbital cell decreased the aOR of MSFB. Conclusions: The occurrence of MSFB seems to be associated with ipsilateral odontogenic factors, followed by anatomic variations including posterior NSD toward non-affected side and absence of CB and infraorbital cell.

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“…Their size may be correlated with the occurrence of obstructive sleep apnea, the genesis of antrochoanal polyps, and fungal infections. Despite their location and function, the thorough radiological assessment of the morphology of the MS pre- and postoperatively is not a standard routine in patients undergoing surgical procedures involving the LeFort I osteotomy [ 8 , 9 , 10 , 11 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in Maxillary Sinus Volume and Mucosal Thickness Post Bimaxillary Advancement Procedures: A Retrospective Study

Grab,

Szałwiński,

Rot

et al. 2024

JCM

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Background: Bimaxillary surgery is an elemental procedure in the field of cranio-maxillofacial surgery. It allows for the correction of even the most challenging cases of maxillomandibular disorders, malocclusion, facial asymmetry, and disproportion. The osteotomies and maneuvers carried out during the procedure result in changes to the surrounding tissues, including the maxillary sinuses (MS). The aim of this study was to assess the change in the maxillary sinus volume and the thickness of the mucosa after maxillomandibular advancement (MMA) surgeries. Methods: A group of 25 patients who underwent MMA surgery were included in the study. Computed tomography (CT) of the head and neck region was performed 2 weeks preoperatively and 6 months postoperatively. Acquired Digital Imaging and Communications in Medicine (DICOM) files were analyzed using different software programs to calculate the medium MS mucosa thickness and MS volume. Results: A statistically significant reduction in MS volume was observed (p = 0.015). The change in the median thickness of the MS mucosa was not statistically significant. The median sella-nasion-A point angle (SNA angle) value of the group increased from 80.2 to 83.4 degrees. A weak negative correlation between the SNA delta and the MS volume delta was observed. Spearman’s rank coefficient: (ρ s = −0.381, p = 0.060). Conclusions: The MMA surgery results in a reduction in the MS volume. The amount of forward movement of the maxilla may be correlated with the extent of the MS volume reduction.

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Maxillary sinus volume: new physiopathological data in fungal ball genesis? A retrospective study

Abstract: This study suggests that maxillary fungal ball is associated with a smaller size of the affected MS.

Cited by 9 publications

References 22 publications

Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review

Assessment of Maxillary Sinus Variations Post-LeFort: A Systematic Review

Analysis of predisposing factors in unilateral maxillary sinus fungal ball: the predictive role of odontogenic and anatomical factors

Changes in Maxillary Sinus Volume and Mucosal Thickness Post Bimaxillary Advancement Procedures: A Retrospective Study

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