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Published on: June 20, 2018
Association of Inflammatory Status and Maxillary Sinus Schneiderian Membrane Thickness
Angel Insua1, Alberto Monje1, Hsun-Liang Chan1
1Department of Periodontics and Oral Medicine, School of Dentistry, University of Michigan, 1011 North University Avenue, Ann Arbor, MI, 48109-1078, USA.
Objectives:
Certain Schneiderian membrane thicknesses (SMT) have shown to be more prone to tearing/perforation, and some pathologies might influence SMT. Henceforth, we aimed at studying the correlation of inflammatory status to SMT in human fresh cadaver heads.
Material And Methods:
A total of 14 fresh cadaver heads including 27 Schneiderian membrane specimens were histologically collected. A 10-item inflammatory score was determined in the entire sample and also in the thinner and thicker areas of each sample. Data was analyzed by using the Wilcoxon rank test and the Spearman's rank correlation.
Results:
The mean measured SMT was 0.40 ± 0.12 mm and the median was 0.33 ± 0.12 mm. A weak positive correlation was found between the mean SMT and inflammation score without a statistical significance. (r = 0.385, p = 0.115). The Wilcoxon signed-rank test showed a statistical difference between the medians of the thinner and thicker areas (p < 0.001). The mean inflammation score of the thinner and thicker areas was 8.55 ± 2.57 and 11.61 ± 2.65, respectively. A moderate positive and statistically significant correlation was found between the inflammation score and the thickness of the thinner and thicker areas (r = 0.638, p = 0.000).
Conclusion:
A moderate association between the Schneiderian membrane thickness and the level of inflammation exists.
Insights
Inflammation is moderately associated with Schneiderian membrane thickness (SMT). Thicker membrane areas showed higher inflammation scores, suggesting a link between inflammatory status and SMT in human cadavers.
Area of Science:
- Anatomy
- Histology
- Pathology
Background:
- Schneiderian membrane thickness (SMT) is a factor in its susceptibility to tearing.
- Pathological conditions may influence SMT.
Purpose of the Study:
- To investigate the correlation between inflammatory status and SMT.
- To analyze SMT in human fresh cadaver heads.
Main Methods:
- Histological analysis of 27 Schneiderian membrane specimens from 14 fresh cadaver heads.
- Determination of a 10-item inflammatory score in thinner and thicker membrane areas.
- Statistical analysis using Wilcoxon rank test and Spearman's rank correlation.
Main Results:
- A weak, non-significant positive correlation between mean SMT and overall inflammation (r=0.385, p=0.115).
- Statistically significant differences in SMT between thinner and thicker areas (p < 0.001).
- Moderate, significant positive correlation between inflammation scores and SMT in both thinner and thicker areas (r=0.638, p=0.000).
Conclusions:
- A moderate association exists between Schneiderian membrane thickness and the level of inflammation.
- Inflammation appears to influence Schneiderian membrane thickness.
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