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Abstract

Objective:

The purposes of this study were to evaluate and compare the maxillary sinus volume (MSV) of patients with a unilateral cleft lip and palate (UCLP) between the cleft side and noncleft side and between adolescent patients with UCLP and a control (noncleft) group using cone beam computed tomography (CBCT).

Methods:

CBCT images of 44 UCLP patients (29 males and 15 females, with a mean [SD] age of 13.5 [5.0] years) and 44 (22 males and 22 females, with a mean [SD] age 14.9 [4.2] years) age- and sex-matched controls were evaluated in this study. Each maxillary sinus was assessed 3-dimensionally, segmented, and its volume was calculated.

Results:

There were no statistically significant differences between the age and gender distributions of the groups. There was a statistically significant difference in the MSVs of the cleft (10996.78±3522.89 mm³) versus the noncleft side (10382.3±3416.2 mm3; P < .05)] but no significant difference between the MSVs of the right and left sides (P > .05). In the intergroup comparison, the mean MSVs of the UCLP patients (10701.52±3369.33 mm³) were significantly smaller than those of the control group (16054.08 ± 5293.96 mm³; P < .001).

Conclusions:

The MSVs of the UCLP patients showed a statistically significant decrease compared to those of the controls (P < .001). There was also a significant difference in the MSVs of the cleft and noncleft sides of the UCLP patients (P < .05).

Keywords

cleft lip and palate maxillary sinus volume cone beam computed tomography CBCT

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References

Agarwal

Parihar

Mandhani

Chandra

. Three-dimensional computed tomographic analysis of the maxilla in unilateral cleft lip and palate: implications for rhinoplasty. J Craniofac Surg. 2012;23:1338–1342.

Aras

Olmez

Dogan

. Comparative evaluation of nasopharyngeal airways of unilateral cleft lip and palate patients using three-dimensional and two-dimensional methods. Cleft Palate Craniofac J. 2012;49:e75–e81.

Celikoglu

Buyuk

Sekerci

Ucar

Cantekin

. Three-dimensional evaluation of the pharyngeal airway volumes in patients affected by unilateral cleft lip and palate. Am J Orthod Dentofac Orthop. 2014;145:780–786.

Endo

Abe

Kuroki

Kojima

Oka

Shimooka

. Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology. 2010;98:65–72.

Erdur

Ucar

Sekerci

Celikoglu

Buyuk

. Maxillary sinus volumes of patients with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2015;79:1741–1744.

Francis

Raman

Korula

Korah

. Pneumatization of the paranasal sinuses (maxillary and frontal) in cleft lip and palate. Arch Otolaryngol Head Neck Surg. 1990;116:920–922.

Guijarro-Martinez

Swennen

. Cone-beam computerized tomography imaging and analysis of the upper airway: a systematic review of the literature. Int J Oral Maxillofac Surg. 2011;40:1227–1237.

Hikosaka

Nagasao

Ogata

Kaneko

Kishi

. Evaluation of maxillary sinus volume in cleft alveolus patients using 3-dimensional computed tomography. J Craniofac Surg. 2013;24:e23–e26.

Houston

. The analysis of errors in orthodontic measurements. Am J Orthod. 1983;83:382–390.

10.

Ishikawa

Kawano

Honjo

Amitani

. The cause of nasal sinusitis in patients with cleft palate. Arch Otolaryngol Head Neck Surg. 1989;115:442–446.

11.

Ishikawa

Amitani

. Nasal and paranasal sinus disease in patients with congenital velopharyngeal insufficiency. Arch Otolaryngol Head Neck Surg. 1994;120:861–865.

12.

Jakobsone

Neimane

Krumina

. Two- and three-dimensional evaluation of the upper airway after bimaxillary correction of Class III malocclusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110:234–242.

13.

Lawson

Patel

Lin

. The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec (Hoboken). 2008;291:1554–1563.

14.

Lopes de Rezende Barbosa

Pimenta

Pretti

Golden

Roberts

Drake

. Difference in maxillary sinus volumes of patients with cleft lip and palate. Int J Pediatr Otorhinolaryngol. 2014;78:2234–2236.

15.

Lowe

Fleetham

Adachi

Ryan

. Cephalometric and computed tomographic predictors of obstructive sleep apnea severity. Am J Orthod Dentofacial Orthop. 1995;107:589–595.

16.

Pandis

. Sample calculations for comparison of 2 means. Am J Orthod Dentofacial Orthop. 2012;141:519–521.

17.

Robinson

Zerlin

Passy

. Maxillary sinus development in patients with cleft palates as compared to those with normal palates. Laryngoscope. 1982;92:183–187.

18.

Schneiderman

Salyer

. Characterization of the maxillary complex in unilateral cleft lip and palate using cone-beam computed tomography: a preliminary study. J Craniofac Surg. 2009;20(suppl 2):1699–1710.

19.

Smith

Siegel

Mooney

Burrows

Todhunter

. Formation and enlargement of the paranasal sinuses in normal and cleft lip and palate human fetuses. Cleft Palate Craniofac J. 1997;34:483–489.

20.

Suzuki

Yamaguchi

Furukawa

. Rhinologic computed tomographic evaluation in patients with cleft lip and palate. Arch Otolaryngol Head Neck Surg. 1999;125:1000–1004.

21.