Accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography: A cross-sectional study analysis

Ajay Chandran; Manisha B Patil; S Nachiappan; Pratyaksha Singh Panwar; Anil Kumar Nagarajappa; Deepak R Kolte; J Suresh Babu; C Swarnalatha; Abhishek Singh Nayyar

doi:10.4103/jmss.jmss_96_21

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CLINICAL PAPER

Year : 2022 \| Volume : 12 \| Issue : 2 \| Page : 138-144

Accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography: A cross-sectional study analysis Ajay Chandran¹, Manisha B Patil², S Nachiappan¹, Pratyaksha Singh Panwar³, Anil Kumar Nagarajappa⁴, Deepak R Kolte⁵, J Suresh Babu⁶, C Swarnalatha⁶, Abhishek Singh Nayyar⁷ ¹ Department of Oral and Maxillofacial Surgery, Sathyabama Dental College and Hospital, Chennai, Tamil Nadu, India ² Department of Oral Pathology and Microbiology, Nanded Rural Dental College and Research Center, Nanded, Maharashtra, India ³ Department of Dentistry, Government Doon Medical College, Dehradun, Uttarakhand, India ⁴ Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Skaka, Kingdom of Saudi Arabia ⁵ Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, India ⁶ Division of Periodontology, Department of Preventive Dental Sciences, College of Dentistry, University of Ha'il, Ha'il, Kingdom of Saudi Arabia ⁷ Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-graduate Research Institute, Parbhani, Maharashtra, India Correspondence Address: Pratyaksha Singh Panwar Department of Dentistry, Government Doon Medical College, Dehradun, Uttarakhand India Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmss.jmss_96_21

Background: The aim of the present study was to detect the prevalence of accidental pathological findings in asymptomatic maxillary sinuses in patients referred for head and neck cone-beam computed tomography (CBCT) examination for varied reasons. Methods: The present cross-sectional study included a detailed analysis of CBCT scans of 150 patients aged between 18 and 70 years reporting for varied dental complaints for detecting accidental pathological findings in maxillary sinuses while the patients did not have any complaint pertaining to sinuses. Results: The findings of the present study revealed 58% patients to have pathological findings in maxillary sinuses while they were asymptomatic for sinuses. Furthermore, the prevalence of mucosal thickening was found in 29.3% of the patients while 36.7% patients presented with polypoidal mucosal thickening. Conclusion: Higher prevalence of pathologies in asymptomatic maxillary sinuses found in the present study emphasized significance of a thorough examination of routine dental patients by dento-maxillofacial radiologists with necessary investigations to be advised in the form of higher imaging modalities like CBCT, if necessary.



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