vestimИзвестия Национальной академии наук Беларуси. Серия медицинских наукProceedings of the National Academy of Sciences of Belarus, Medical series1814-60232524-2350The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"10.29235/1814-6023-2025-22-4-293-303vestim-1055Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEКлиническое значение строения передней стенки верхнечелюстного синуса для планирова- ния операции субантральной аугментации латеральным способомСlinical significance of the structure of the anterior wall of the maxillary sinus for planning the subantral augmentation operation by the lateral methodhttps://orcid.org/0000-0002-7450-3757РубниковичС. П.RubnikovichS. P.

Рубникович Сергей Петрович – член-корреспондент, д-р мед. наук, профессор, ректор

пр. Дзержинского, 83, 220116, г. Минск

Sergey P. Rubnikovich – Corresponding Member, D. Sc. (Med.), Professor, Rector

83, Dzerzhinski Ave., 220116, Minsk

rubnikovich@mail.ruhttps://orcid.org/0000-0002-4924-5792СиракС. В.SirakS. V.

Сирак Сергей Владимирович – д-р мед. наук, профес- сор, заведующий кафедрой

ул. Мира, 310, 355017, г. Ставрополь

Sergey V. Sirak – D. Sc. (Med.), Professor, Head of the Department

310, Mira Str., 355017, Stavropol

sergejsirak@yandex.ruhttps://orcid.org/0000-0003-0139-5094ГатилоИ. А.GatiloI. A.

Гатило Ирина Анатольевна – канд. мед. наук, доцент, заведующий кафедрой

ул. Мира, 310, 355017, г. Ставрополь

Irina A. Gatilo – Ph. D. (Med.), Associate Professor, Head of the Department

310, Mira Str., 355017, Stavropol

chijgay@yandex.ruhttps://orcid.org/0000-0003-0917-7972ДенисоваЮ. Л.DenisovaYu. L.

Денисова Юлия Леонидовна – д-р мед. наук, профессор

пр. Дзержинского, 83, 220116, г. Минск

Yuliya L. Denisova – D. Sc. (Med.), Professor

83, Dzerzhinski Ave., 220116, Minsk

denisova-yul@mail.ruhttps://orcid.org/0009-0000-5545-5115СиракА. С.SirakA. S.

Сирак Александр Сергеевич – студент

ул. Митрофана Седина, 4, 355063, г. Краснодар

Alexander S. Sirak – student

4, Mitrofan Sedina Str., 355063, Krasnodar

sanchoso672@mail.ruhttps://orcid.org/0009-0000-5738-5501ЛеневВ. Н.LenevV. N.

Ленев Вадим Николаевич – канд. мед. наук, доцент

ул. Мира, 310, 355017, г. Ставрополь

Vadim N. Lenev ‒ Ph. D. (Med.), Associate Professor

310, Mira Str., 355017, Stavropol

lenevstom@yandex.ruБелорусский государственный медицинский университетBelarusian State Medical UniversityСтавропольский государственный медицинский университетStavropol State Medical UniversityКубанский государственный медицинский университетKuban State Medical University202504122025224293303Copyright © Рубникович С.П., Сирак С.В., Гатило И.А., Денисова Ю.Л., Сирак А.С., Ленев В.Н., 20252025Рубникович С.П., Сирак С.В., Гатило И.А., Денисова Ю.Л., Сирак А.С., Ленев В.Н.Rubnikovich S.P., Sirak S.V., Gatilo I.A., Denisova Y.L., Sirak A.S., Lenev V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestimed.belnauka.by/jour/article/view/1055

При планировании операции субантральной аугментации латеральным способом важно учитывать анатомо-топографические особенности строения передней стенки верхнечелюстной пазухи, толщина которой зависит от пола, возраста и наличия жевательных зубов.

Цель исследования ‒ оценка анатомо-топографических особенностей строения передней стенки верхнечелюстного синуса у пациентов разного возраста при различной степени адентии по данным распила скелетированных черепов и КЛКТ.

Проведен анализ данных 496 конусно-лучевых компьютерных томографий (КЛКТ) и распилов 254 сухих скелетированных черепов. Результаты исследования показали, что наибольшая толщина передней стенки отмечается у мужчин при наличии премоляров и моляров в возрасте 45‒54 года, а наименьшая ‒ у женщин при отсутствии премоляров и моляров в возрастной группе 65 лет и старше. Данные, полученные при изучении КЛКТ и распилов скелетированных черепов, совпадают.

When planning lateral subantral augmentation surgery, it is important to consider the anatomical and topo- graphic features of the anterior wall of the maxillary sinus, the thickness of which depends on gender, age, and the presence of posterior teeth. The aim of this study was to evaluate the anatomical and topographic features of the anterior wall  of the maxillary sinus in patients of different ages with varying degrees of edentulism, using sectional analysis of skeletal skulls and CBCT scans. Data from 496 cone-beam computed tomography (CBCT) scans and sectional analysis of 254 dry skeletal skulls was analyzed. The results showed that the greatest anterior wall thickness was observed in men aged 45–54 years with premolars and molars, while the thinnest was observed in women aged 65 years and older without premolars and molars.  The data obtained from the analysis of CBCT and sections of skeletonized skulls are in agreement.

верхнечелюстная пазухапередняя стенкасинус-лифтингсубантральная аугментацияmaxillary sinusanterior wallsinus liftsubantral augmentationReferencesMularczyk, C. Мaxillary sinus anatomy and physiology / С. Mularczyk, К. Welch // Otolaryngologic Сlinics of North America. – 2024. – Vol. 57, N 6. – Р. 991‒1006. https://doi.org/10.1016/j.otc.2024.07.004Mularczyk C., Welch K. Maxillary sinus anatomy and physiology. Otolaryngologic Clinics of North America, 2024, vol. 57, no. 6, pp. 991‒1006. https://doi.org/10.1016/j.otc.2024.07.004Complications of sinus floor elevation procedure and management strategies: а systematic review / Y. T. Hsu, P. S. Rosen, K. Choksi [et al.] // Clinical Implant Dentistry and Related Research. – 2022. – Vol. 24, N 6. – P. 740‒765. https://doi.org/10.1111/cid.13086Hsu Y. T., Rosen P. S., Choksi K., Shih M.-C., Ninneman S., Lee C.-T. Complications of sinus floor elevation procedure and management strategies: a systematic review. Clinical Implant Dentistry and Related Research, 2022, vol. 24, no. 6, pp. 740‒765. https://doi.org/10.1111/cid.13086Sala, Y. M. Сlinical outcomes of maxillary sinus floor perforation by dental implants and sinus membrane perforation during sinus augmentation: a systematic review and meta-analysis / Y. M. Sala, H. Lu, B. R. Chrcanovic // Journal of Clinical Medicine. – 2024. – Vol. 13, N 5. – Art. 1253. https://doi.org/10.3390/jcm13051253Sala Y. M., Lu H., Chrcanovic B. R. Slinical outcomes of maxillary sinus floor perforation by dental implants and sinus membrane perforation during sinus augmentation: a systematic review and meta-analysis. Journal of Clinical Medicine, 2024, vol. 13, no. 5, art. 1253. https://doi.org/10.3390/jcm13051253Influence of schneiderian membrane perforation on implant survival rate: systematic review and metaanalysis / V. Schiavo-Di Flaviano, S. Egido-Moreno, B. González-Navarro [et al.] // Journal of Clinical Medicine. – 2024. – Vol. 13, N 13. – Art. 3751. https://doi.org/10.3390/jcm13133751Schiavo-Di Flaviano V., Egido-Moreno S., González-Navarro B., Velasco-Ortega E., López-López J., Monsalve-Guil L. Influence of schneiderian membrane perforation on implant survival rate: systematic review and metaanalysis. Journal of Clinical Medicine, 2024, vol. 13, no. 13, art. 3751. https://doi.org/10.3390/jcm13133751Оdontogenic sinusitis is a common cause of operative extra-sinus infectious complications / J. E. Douglas, Т. Patel, В. Rullan-Oliver [et al.] // American Journal of Rhinology and Allergy. – 2022. – Vol. 36, N 6. – P. 808‒815. https://doi.org/10.1177/19458924221114941Douglas J. E., Patel T., Rullan-Oliver V., Ungerer H., Hinh L., Peterson E. L. [et al.]. Odontogenic sinusitis is a common cause of operative extra-sinus infectious complications. American Journal of Rhinology and Allergy, 2022, vol. 36, no. 6, p. 808‒815. https://doi.org/10.1177/19458924221114941Roccuzzo, M. Surgical treatment of peri-implantitis / М. Roccuzzo, D. Mirra, А. Roccuzzo // British Dental Journal. – 2024. – Vol. 236, N 10. – Р. 803‒808. https://doi.org/10.1038/s41415-024-7405-9Roccuzzo M., Mirra D., Roccuzzo A. Surgical treatment of peri-implantitis. British Dental Journal, 2024, vol. 236, no. 10, pp. 803‒808. https://doi.org/10.1038/s41415-024-7405-9Dental evaluation: oral surgery-related complications / R. Scaini, А. Berzaghi, А. М. Saibene, S. Taschieri // Otolaryngologic Сlinics of North America. – 2024. – Vol. 57, N 6. – P. 1083‒1097. https://doi.org/10.1016/j.otc.2024.07.012Scaini R., Berzaghi A., Saibene A. M., Taschieri S. Dental evaluation: oral surgery-related complications. Otolaryngologic Clinics of North America, 2024, vol. 57, no. 6, pp. 1083‒1097. https://doi.org/10.1016/j.otc.2024.07.012Late maxillary sinus graft infections due to peri-implantitis: case reports with histologic analysis / T. Testori, H. L. Wang, S. S. Wallace [et al.] // International Journal of Periodontics & Restorative Dentistry. – 2021. – Vol. 41, N 6. – P. 903‒910. https://doi.org/10.11607/prd.4558Testori T., Wang H. L., Wallace S. S., Piattelli A., Iezzi G., Tavelli L., Tumedei M., Vinci R., Del Fabbro M. Late maxillary sinus graft infections due to peri-implantitis: case reports with histologic analysis. International Journal of Periodontics & Restorative Dentistry, 2021, vol. 41, no. 6, pp. 903‒910. https://doi.org/10.11607/prd.4558Использование препарата Цифран СТ в хирургической стоматологии для лечения и профилактики послеоперационных воспалительных осложнений / Л. А. Григорьянц, Л. Н. Герчиков, В. А. Бадалян [и др.] // Стоматология для всех. – 2006. – № 2. – С. 14–16.Grigor’yants L. A., Gerchikov L. N., Badalyan V. A., Sirak S. V., Grigor’yants A. G. Use of the drug Tsifran ST in surgical dentistry for the treatment and prevention of postoperative inflammatory complications. Stomatologiya dlya vsekh [Dentistry for all], 2006, no. 2, pp. 14–16 (in Russian).Valentini, P. How to prevent and manage postoperative complications in maxillary sinus augmentation using the lateral approach: a review / Р. Valentini // International Journal of Oral and Maxillofacial Surgery. – 2023. – Vol. 38, N 5. – Р. 1005‒1013. https://doi.org/10.11607/jomi.10145Valentini P. How to prevent and manage postoperative complications in maxillary sinus augmentation using the lateral approach: a review. International Journal of Oral and Maxillofacial Surgery, 2023, vol. 38, no. 5, pp. 1005‒1013. https://doi.org/10.11607/jomi.10145Preoperative maxillary sinus imaging and the outcome of sinus floor augmentation and dental implants in asymptomatic patients / А. Ritter, N. Rozendorn, G. Avishai [et al.] // Annals of Otology, Rhinology, and Laryngology. – 2020. – Vol. 129, N 3. – P. 209‒215. https://doi.org/10.1177/0003489419883292Ritter A., Rozendorn N., Avishai G., Rosenfeld E., Koren I., Soudry E. Preoperative maxillary sinus imaging and the outcome of sinus floor augmentation and dental implants in asymptomatic patients. Annals of Otology, Rhinology, and Laryngology, 2020, vol. 129, no. 3, pp. 209‒215. https://doi.org/10.1177/0003489419883292 Proceedings of the National cademy of ciences of Belarus. edical series, 2025, vol. 22, no. 4, pp. 293–303How to avoid intraoperative and postoperative complications in maxillary sinus elevation / T. Testori, L. Tavelli, R. Scaini [et al.] // Periodontology 2000. – 2023. – Vol. 92, N 1. – Р. 299‒328. https://doi.org/10.1111/prd.12480Testori T., Tavelli L., Scaini R., Saibene A. M., Felisati G., Barootchi S. [et al.]. How to avoid intraoperative and postoperative complications in maxillary sinus elevation. Periodontology 2000, 2023, vol. 92, no. 1, pp. 299‒328. https://doi.org/10.1111/prd.12480Alrmali, A. E. Dental pathophysiology of odontogenic sinusitis: oral surgical complications / А. Е. Alrmali, H.-L. Wang // Otolaryngologic Сlinics of North America. – 2024. – Vol. 57, N 6. – P. 977‒989. https://doi.org/10.1016/j.otc.2024.07.006Alrmali A. E., Wang H.-L. Dental pathophysiology of odontogenic sinusitis: oral surgical complications. Otolaryngologic Clinics of North America, 2024, vol. 57, no. 6, pp. 977‒989. https://doi.org/10.1016/j.otc.2024.07.006Anatomical variations and abnormalities of the maxillary region and clinical implications: A systematic review and metaanalysis / J. J. Valenzuela-Fuenzalida, B. Baez-Flores, R. Á. Sepúlveda [et al.] // Medicine (Baltimore). – 2023. – Vol. 102, N 38. – Р. e34510. https://doi.org/10.1097/MD.0000000000034510Valenzuela-Fuenzalida J. J., Baez-Flores B., Sepúlveda R. Á., Medina C. M., Pérez R., López E. [et al.]. Anatomical variations and abnormalities of the maxillary region and clinical implications: A systematic review and metaanalysis. Medicine (Baltimore), 2023, vol. 102, no. 38, p. e34510. https://doi.org/10.1097/MD.0000000000034510Аnatomical variations of the nasal cavities and paranasal sinuses: a systematic review / A. M. Papadopoulou, D. Chrysikos, А. Samolis [et al.] // Cureus. – 2021. – Vol. 13, N 1. – Р. e12727. https://doi.org/10.7759/cureus.12727Papadopoulou A. M., Chrysikos D., Samolis A., Tsakotos G., Troupis T. Anatomical variations of the nasal cavities and paranasal sinuses: a systematic review. Cureus, 2021, vol. 13, no. 1, p. e12727. https://doi.org/10.7759/cureus.12727Мaxillary dental anatomy and physiology: endodontic and periodontal / R. Ordinola-Zapata, B. Azevedo, R. W. Tataryn, M. A. Versiani // Otolaryngologic Сlinics of North America. – 2024. – Vol. 57, N 6. – Р. 927‒939. https://doi.org/10.1016/j.otc.2024.07.003Ordinola-Zapata R., Azevedo B., Tataryn R. W., Versiani M. A. Maxillary dental anatomy and physiology: endodontic and periodontal. Otolaryngologic Clinics of North America, 2024, vol. 57, no. 6, pp. 927‒939. https://doi.org/10.1016/j.otc.2024.07.003Heitz-Mayfield, L. J. A. Peri-implant mucositis and peri-implantitis: key features and differences / L. J. A. Heitz-Mayfield // British Dental Journal. – 2024. – Vol. 236, N 10. – Р. 791‒794. https://doi.org/10.1038/s41415-024-7402-zHeitz-Mayfield L. J. A. Peri-implant mucositis and peri-implantitis: key features and differences. British Dental Journal, 2024, vol. 236, no. 10, pp. 791‒794. https://doi.org/10.1038/s41415-024-7402-zAssociation between maxillary sinus floor perforation by dental implants and mucosal thickening: а conebeam computed tomography study / N. Oliveira-Santos, A. H. Beersingh, H. M. A. Felizardo [et al.] // Journal of Dentistry. – 2024. – Vol. 144. – Art. 104963. https://doi.org/10.1016/j.jdent.2024.104963Oliveira-Santos N., Beersingh A. H., Felizardo H. M. A., Groppo F. C., Gaêta-Araujo H. Association between maxillary sinus floor perforation by dental implants and mucosal thickening: a cone-beam computed tomography study. Journal of Dentistry, 2024, vol. 144, art. 104963. https://doi.org/10.1016/j.jdent.2024.104963Kaya, A. T. Relationship between maxillary sinus mucosal cyst and sinus ostium 2D area in threedimensional volumetric paranasal CT ımages / A. T. Kaya, L. Uğur // Oral Radiology. – 2024. – Vol. 40, N 2. – Р. 199‒206. https://doi.org/10.1007/s11282-023-00722-6Kaya A. T., Uğur L. Relationship between maxillary sinus mucosal cyst and sinus ostium 2D area in three-dimensional volumetric paranasal CT ımages. Oral Radiology, 2024, vol. 40, no. 2, pp. 199‒206. https://doi.org/10.1007/s11282-023-00722-6Репаративная регенерация тканей пародонта – результаты экспериментального исследования / Е. В. Щетинин, С. В. Сирак, Л. А. Григорьянц [и др.] // Медицинский вестник Северного Кавказа. – 2015. – T. 10, № 4. – C. 411–415.Shchetinin E. V., Sirak S. V., Grigor’yants L. A., Vafiadi M. Yu., Dilekova O. V., Petrosyan G. G., Parazyan L. A., Gatilo Yu. Yu., Adamchik A. A. Reparative regeneration of periodontal tissues – results of an experimental study. Meditsinskii vestnik Severnogo Kavkaza [Medical bulletin of the North Caucasus], 2015, vol. 10, no. 4, pp. 411–415 (in Russian).Рубникович, С. П. Регенеративные стоматологические технологии в комплексной хирургической и ортопедической реабилитации пациентов с дефектами зубных рядов / С. П. Рубникович, И. С. Хомич // Стоматолог. – 2020. – № 2. – C. 38–50.Rubnikovich S. P., Khomich I. S. Regenerative dental technologies in complex surgical and orthopedic rehabilitation of patients with dental defects. Stomatolog [Dentist], 2020, no. 2, pp. 38–50 (in Russian).Рredicting odontogenic sinusitis in unilateral sinus disease: a prospective, multivariate analysis / V. K. Goyal, А. Ahmad, Z. Turfe [et al.] // American Journal of Rhinology and Allergy. – 2021. – Vol. 35, N 2. – Р. 164‒171. https://doi.org/10.1177/1945892420941702Goyal V. K., Ahmad A., Turfe Z., Peterson E. I., Craig J. R. Rredicting odontogenic sinusitis in unilateral sinus disease: a prospective, multivariate analysis. American Journal of Rhinology and Allergy, 2021, vol. 35, no. 2, pp. 164‒171. https://doi.org/10.1177/1945892420941702Perforating dental implants and maxillary sinus pathology / T. Brandstaetter, О. Ziv, I. Sagy [et al.] // Oral and Maxillofacial Surgery. – 2024. – Vol. 28, N 2. – Р. 715‒721. https://doi.org/10.1007/s10006-023-01198-8Brandstaetter T., Ziv O., Sagy I., Segal N., Schneider S., Givol N., Levin L., Zadik Y., Kordeluk S. Perforating dental implants and maxillary sinus pathology. Oral and Maxillofacial Surgery, 2024, vol. 28, no. 2, pp. 715‒721. https://doi.org/10.1007/s10006-023-01198-8Histological, radiological, and clinical outcomes of sinus floor elevation using a lateral approach for pre-/ post-extraction of the severely compromised maxillary molars: a study protocol for a randomized controlled trial / Z. Yue, Q. Liu, H. Zhang [et al.] // Trials. – 2021. – Vol. 22, N 1. – Art. 101. https://doi.org/10.1186/s13063-021-05047-5Yue Z., Liu Q., Zhang H., Yang J., Hou J. Histological, radiological, and clinical outcomes of sinus floor elevation using a lateral approach for pre-/post-extraction of the severely compromised maxillary molars: a study protocol for a randomized controlled trial. Trials, 2021, vol. 22, no. 1, art. 101. https://doi.org/10.1186/s13063-02105047-5Crestal approach for maxillary sinus augmentation in individuals with limited alveolar bone height: An observational study / S. Cho, E. J. Min, S. Hwa [et al.] // Medicine (Baltimore). – 2024. – Vol. 103, N 43. – Р. e40331. https://doi.org/10.1097/MD.0000000000040331Cho S., Min E. J., Hwa S., Lee H., Ko Y., Park J.-B. Crestal approach for maxillary sinus augmentation in individuals with limited alveolar bone height: An observational study. Medicine (Baltimore), 2024, vol. 103, no. 43, p. e40331. https://doi.org/10.1097/MD.0000000000040331

The authors declare that there are no conflicts of interest present.