Increased risks of maxillary sinus mucosal thickening in Chinese patients with periapical lesions

Limin Zhang; Yanan Zhang; Qimei Xu; Jingjing Shu; Bin Xu; Liuhui Liu; Huijuan Chen; Yue Hu; Yinghua Li; Liang Song

Heliyon (Jul 2023)

Increased risks of maxillary sinus mucosal thickening in Chinese patients with periapical lesions

Limin Zhang,
Yanan Zhang,
Qimei Xu,
Jingjing Shu,
Bin Xu,
Liuhui Liu,
Huijuan Chen,
Yue Hu,
Yinghua Li,
Liang Song

Affiliations

Limin Zhang: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China
Yanan Zhang: Department of Stomatology, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan 250001, China
Qimei Xu: School of Stomatology, Bengbu Medical College, Bengbu, Anhui 233000, China
Jingjing Shu: Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
Bin Xu: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China
Liuhui Liu: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China
Huijuan Chen: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China
Yue Hu: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China
Yinghua Li: Clinical Laboratory, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China; Corresponding author.
Liang Song: Department of Stomatology, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China; Corresponding author.

Journal volume & issue: Vol. 9, no. 7
p. e18050

Abstract

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Objectives: This study aimed to evaluate the effects of factors related to periapical lesions (PALs) on sinus membrane thickening (SMT) in the Chinese population using cone-beam computed tomography (CBCT). Methods: In this retrospective study, CBCT images (n = 512) of maxillary sinuses of 446 patients were evaluated by two examiners for SMT and PALs, PAL size, and the distance between the maxillary sinus floor (MSF), and the PAL’s edge/root apex. The data were analyzed using analysis of variance, the Kruskal-Wallis test, χ2-test, and logistic regression. Results: A binary logistic regression model showed that the prevalence and severity of SMT > 2 mm were significantly associated with older age (>60 years) (odds ratio [OR]: 4.03, 95% confidence interval [CI]): 2.24–7.72, P 2 mm than did distance after adjusting for confounding factors, including age and sex (PALs: OR = 10.17 and 14.57, P < 0.001; root apex: OR = 3.49 and 5.86, P < 0.001). Conclusions: The prevalence and severity of SMT were significantly associated with older age, male sex, PALs, PAL size, and the distance between the MSF and PALs/root apex. Therefore, communication between dental surgeons and an otolaryngology specialist is important for the timely diagnosis and treatment of SMT of dental origin.

Published in Heliyon

ISSN: 2405-8440 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Science: Science (General); Social Sciences: Social sciences (General)
Website: https://www.cell.com/heliyon/home

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