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"10.29235/1814-6023-2021-18-1-7-15vestim-728Research ArticleКЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАCLINICAL AND EXPERIMENTAL MEDICINEМорфометрическая характеристика верхнечелюстной пазухи взрослых людей по данным конусно-лучевой компьютерной томографииMorphometric study of the adult maxillary sinus using cone beam computed tomographyКабакС. Л.KabakS. L.

Кабак Сергей Львович ‒ д-р мед. наук, заведующий кафедрой

пр. Дзержинского, 83, 220116, г. Минск, Республика Беларусь

Sergey L. Kabak ‒ D. Sc. (Med.), Professor, Head of the Department

83, Dzerzhynski Ave., 220116, Minsk, Republic of Belarus

kabakmorph@gmail.comСаврасоваН. А.SavrasovaN. A.

Саврасова Нина Александровна ‒ канд. мед. наук, доцент, врач-рентгенолог

пр. Независимости, 58А, 220005, г. Минск, Республика Беларусь

Nina A. Savrasova ‒ Ph. D. (Med.), Associate Professor, Radiologist

58А, Nezavisimosti Ave., 220005, Minsk, Republic of Belarus

ninasavrassova@tut.byМельниченкоЮ. М.MelnichenkoYu. M.

Мельниченко Юлия Михайловна ‒ канд. мед. наук, доцент

пр. Дзержинского, 83, 220116, г. Минск, Республика Беларусь

Yuliya M. Melnichenko ‒ Ph. D. (Med.), Associate Professor

83, Dzerzhynski Ave., 220116, Minsk, Republic of Belarus

mjm1980@yandex.ruЖуравлеваН. В.ZhuravlevaN. V.

Журавлева Наталья Викторовна ‒ канд. мед. наук, доцент

пр. Дзержинского, 83, 220116, г. Минск, Республика Беларусь

Natallia V. Zhuravleva ‒ Ph. D. (Med.), Associate Professor

83, Dzerzhynski Ave., 220116, Minsk, Republic of Belarus

natallia.zhuravleva@gmail.comМехтиевР. С.MekhtievR. S.

Мехтиев Руслан Салманович ‒ ассистент

пр. Дзержинского, 83, 220116, г. Минск, Республика Беларусь

Ruslan S. Mekhtiev ‒ Assistant

83, Dzerzhynski Ave., 220116, Minsk, Republic of Belarus

mekhtiev.r.s@gmail.comБелорусский государственный медицинский университетBelarusian State Medical UniversityМедицинский центр «ЛОДЭ»Medical center “LODE”202123022021181715Copyright © Кабак С.Л., Саврасова Н.А., Мельниченко Ю.М., Журавлева Н.В., Мехтиев Р.С., 20212021Кабак С.Л., Саврасова Н.А., Мельниченко Ю.М., Журавлева Н.В., Мехтиев Р.С.Kabak S.L., Savrasova N.A., Melnichenko Y.M., Zhuravleva N.V., Mekhtiev R.S.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/728

Цель исследования – установить диапазон колебаний линейных размеров и объема верхнечелюстной пазухи взрослых людей с учетом пола и стороны ее расположения по данным конусно-лучевой компьютерной томографии (КЛКТ).

Изучены данные КЛКТ 136 пациентов (263 верхнечелюстные пазухи) учреждений здравоохранения г. Минска со стоматологической и ЛОР-патологией в возрасте старше 20 лет, у которых в анамнезе отсутствовали сведения о хирургических вмешательствах на верхней челюсти и были сохранены верхние боковые зубы (от первого премоляра до второго моляра включительно).

На КЛКТ сканах измеряли высоту, глубину и ширину пазухи. Так, объем верхнечелюстной пазухи (V), рассчитанный по формуле V = высота × глубину × 1/3 ширины, варьировался в пределах от 5,53 до 24,03 см3. Средние значения ширины, высоты и глубины пазухи составили соответственно 27,13 ± 3,83; 35,83 ± 4,36 и 38,98 ± 3,38 мм.

Несмотря на большую дисперсию объема верхнечелюстной пазухи, нами не выявлено статистически достоверных различий между значениями этого параметра на контралатеральных сторонах как у мужчин, так и у женщин.

Установлено, что линейные размеры и объем верхнечелюстной пазухи у женщин статистически достоверно меньше, чем у мужчин.

The aim of the study was to determine the range of maxillary sinus volume and linear dimensions in adults, taking into account the gender and the side of the location using cone-beam computed tomography (CBCT) images.

This study used the CBCT images of 136 patients (263 maxillary sinuses), who were presented to Minsk health facilities, with dental and maxillary sinus pathologies, aged over 20 years with no history of upper jaw surgery and with the presence of upper posterior teeth (from the first premolar to the second molar inclusive). The height, depth and width of the sinus were

measured manually on CBCT scans. The maxillary sinus volume (V) was calculated by the formula: V = height × depth × 1/3 width.

The volume of the maxillary sinus was varied from 5.53 to 24.03 cm3. The mean values of the sinus width, height and depth were 27.13 ± 3.83 mm, 35.83 ± 4.36 mm, and 38.98 ± 3.38 mm respectively.

Despite a high variability of the maxillary sinus volume values, we did not find a statistically significant difference between the right and left sides in both males and females. The maxillary sinus linear dimensions and volume in females were statistically significantly less than in males.

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