위턱굴의부피추정산출에대한연구
Regressive Equation of the Maxillary Sinus
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초록
위턱굴 부피의 변화는 주변 해부학적 표지 구조물의 위치변화와 밀접한 관련이 있기 때문에 위턱굴 내 시경 수술시 위턱굴의 부피를 예측하여 주변 구조물의 위치를 미리 숙지하는 것이 필요하다. 고정된 한국인 시신 44구(남자 23구, 여자 21구, 평균나이 67.7세)의 머리뼈 88쪽을 대상으로 하여 위턱굴 주변 구조물들을 계측하여 위턱굴의 부피와의 상관관계를 구한 다음 의미있는 항목(r¤0.03, p⁄0.05)을 가려 부피추정 위턱굴의 부피는 위턱굴의 너비, 높이, 길이와 위턱굴 세 벽의 길이, 눈확아래지점과 위턱굴 가장 깊은점 사이의 거리, 위턱굴 가장 깊은점과 귀구멍점 사이의 거리, 눈확의 너비, 앞코가시점을 중심으로 계측한 변인들을 포함한 19항목들과 높은 상관관계를 보였다. 이러한 설명력이 높은 변인들을 독립변수로 하고 위턱굴의 부피를 종속변수 로 하여 다중회귀분석으로 추정식을 산출한 결과, 그 식은 부피=-22.178+0.692×(위턱굴실측 앞뒤길이)+0.355 ×(위턱굴 높이)이며 설명력(R2)은 0.759이었다. 본 연구에서는 위턱굴의 부피와 상관관계가 높은 주변 구조물들을 확인하여 내시경 수술시 위턱굴의 부피 예 측에 필요한 추정식을 제시한 것으로 생각된다.
Abstract
It is important that the surgeons expect difference in the volume of the maxillary sinus during endoscopic surgery because a variation in volume of the maxillary sinus is related to a variation in anatomical landmarks. Forty four Korean skulls (88 sinuses, 23 M/21F) were used in this study. Anatomical landmarks around the maxillary sinus were measured. The significant variables (r¤0.03, P⁄0.05) out of measured variables were pick out by use of SPSS-13.0 program. The regression equation models were developed by multiple regression analysis. The volume of maxillary sinus showed a high correlation with 19 variables included the width, height, depth of the maxillary sinus, depth on C-arm radiography, length of three borders of maxillary sinus, distance between the lowest point of orbit and the deepest point of maxillary sinus, distance between the deepest point of maxillary sinus and the porion, width of orbit, measured values from akanthion. The regression equation model for prediction of the volume of the maxillary sinus was volume=0.692×(the anteroposterior length of the maxillary sinus)+0.355×(the height of the maxillary sinus)-22.178. This study ascertained variables of a high correlation with volume of the maxillary sinus and would be useful to develop the regression model for prediction of volume of the maxillary sinus.
참고문헌 (26)
- Ariji Y, "Age changes in the volume of the human maxillary sinus: a study using computed tomography", Dentomaxillofac Radiol, 23, pp.163~168 (1994)
- Aydinlio˘glu A, "Maxillary and sphenoid sinus aplasia in turkish individuals", Clin Ana, 17, pp.618~622 (2004)
- Bassiouny A, "Maxillary sinus hypoplasia and superior orbital fissure asymmetry", Laryngoscope, 92, pp.41~448 (1982)
- Bolger WE, "Maxillary sinus hypoplasia: Classification and description of associated uncinate process hypoplasia", Otolaryngol Head Neck Surg, 103, pp.759~765 (1990)
- Caughey RJ, "Anatomic risk factors for sinus disease: fact or fiction?", Am J Rhinol, 19, pp.334~339 (2005)
- Chandra RK, "Epidermoids of paranasal sinuses and beyond: endoscopic management", Am J Rhinol, 20, pp.441~444 (2006)
- Coskun BU, "Isolated maxillary sinus Ewing’s sarcoma", Rhinol, 43, pp.225~228 (2005)
- Dubey SP, "Malignant tumors of the nasal cavity and the paranasal sinuses in a Melanesian population", Auris Nasus Larynx, 26, pp.57~64 (1999)
- Fernandes CL, "Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography", J Laryngol Otol, 118, pp.877~881 (2004)
- Gray CF, "Assessment of maxillary sinus volume for the sinus lift operation by three-dimensional magnetic resonance imaging", Dentomaxillofac Radiol, 29, pp.154~158 (2000)
- Harorli A, "The comparison of vertical height and width of maxillary sinus by means of waters’ view radiograms taken from dentate and edentulous cases", Ann Dent, 54, pp.47~49 (1995)
- Hudgins PA, "Complications of endoscopic sinus surgery. The role of radiologist in prevention", Radiol Clin North Am, 31, pp.21~32 (1993)
- Ikeda A, "A CT study of the course of growth of the maxillary sinus: Normal subjects and subjects with chronic sinusitis", ORL, 60, pp.147~152 (1998)
- Johansson B, "A clinical study of changes in the volume of bone grafts in the atrophic maxilla", Dentomaxillofac Radiol, 30, pp.157~161 (2001)
- Jovanovi´c S, "Kargovsks-Klisarova A : Le développment post-natal et les rapports du sinus maxillaire", Acta anat, 118, pp.122~128 (1984)
- Kalavagunta S, "Extensive maxillary sinus pne-umatization", Rhinol, 41, pp.113~117 (2003)
- Kimura Y, "Volumetric MR imaging of oral, maxillary sinus, oropharyngeal and hypopharyngeal cancers: correlation between tumor volume and lymphnode metastasis", Am J Neuroradiol, 26, pp.2384~2389 (2005)
- Lee DK, "Anthropometric charateristis of the maxillary sinus in Korean", Kor J Phys Anthropol, 21, pp.1~11 (2008)
- Lee TJ, "Endoscopic sinus surgery for antochoanal polyps in children", Otolaryngol Head Neck Surg, 135, pp.688~692 (2006)
- Paju S, "Molecular analysis of bacterial flora associated with chronically inflammed maxillary sinuses", J Med Microbiol, 52, pp.591~597 (2003)
- Shea B, "Eskimo craniofacial morphology. Cold stress and the maxillary sinus", Am J Phys Anthrop, 47, pp.289~300 (1977)
- Sirikci A, "A new approach to the classification of maxillary sinus hypoplasia with relevant clinical implications", Surg Radiol Anat, 22, pp.243~247 (2000)
- Uchida Y, "A cadaveric study of maxillary sinus size as an aid in bone grafting of the maxillary sinus floor", J Oral Maxillofac Surg, 56, pp.1158~1163 (1998)
- Vered M, "Solid variant of odontogenic keratocyst", J Oral Pathol Med, 33, pp.125~128 (2004)
- von Penev P, "Anthropometrische untersuchungen über die volumina der sinus maxillares", Stomatol DDR, 31, pp.20~23 (1981)
- Wanschitz F, "Measurement of volume changes after sinus floow augmentation with a phycogenic hydroxyapatite", Int J Oral Maxillofac Implants, 21, pp.433~438 (2006)