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Related Experiment Videos

Maxillary sinus pathology in 119 patients--a histopathologic study.

Hedley Coleman1, Shabnum Meer, Mario Altini

  • 1Division of Oral Pathology, Department of Anatomical Pathology, University of the Witwatersrand, Johannesburg.

SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging
|June 25, 2005
PubMed
Summary

Maxillary sinus pathology is common in patients with specific facial morphology and chronic respiratory issues, showing widespread changes like congestion and goblet cell hyperplasia. This high prevalence makes it difficult to link sinus issues to facial form or breathing patterns.

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Area of Science:

  • Otorhinolaryngology
  • Pathology
  • Oral and Maxillofacial Surgery

Background:

  • Histopathological data on sinus mucosa changes is limited, especially in individuals with distinct facial structures and chronic airway obstruction.
  • Understanding these changes is crucial for diagnosing and managing sinonasal conditions.

Purpose of the Study:

  • To establish baseline data on the occurrence and characteristics of pathological alterations in the maxillary sinus lining.
  • To investigate potential correlations between sinus pathology and specific patient demographics or conditions.

Main Methods:

  • 119 patients undergoing elective maxillary osteotomies were analyzed.
  • Patients were categorized based on vertical maxillary excess (VME) and breathing patterns (mouth vs. nasal breathers).

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  • Histopathological examination of the maxillary antral lining was performed to record observed changes.

    • Main Results:

    • High frequencies of congestion (95%) and submucosal edema (90%) were observed.
    • Other findings included retention cysts (26%), polyps (4.6%), inflammation, eosinophilia (68%), basement membrane thickening (28%), goblet cell hyperplasia (95%), and dystrophic calcification (59%).
    • Significant sinus pathology was prevalent in the studied group.

    Conclusions:

    • The study identified a substantial degree of maxillary sinus pathology in patients with specific facial morphology and chronic respiratory obstruction.
    • Environmental factors, such as urban pollution, may contribute to the observed pathology.
    • The widespread nature of these changes complicates efforts to correlate maxillary sinus pathology with facial form or breathing patterns.