Contribuição da imagem tridimensional para o diagnóstico do cisto de retenção mucoso do seio maxilar

• Autor(a) principal: RODRIGUES, Cleomar Donizeth
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/1524
• topic: cisto mucoso, seios maxilares, radiografia panorâmica, tomografia computadorizada do feixe cônico; mucous cyst, maxillary sinus, panoramic radiograph, cone beam computed tomography.; CNPQ::CIENCIAS DA SAUDE

Objective: To detect the mucous retention cyst of maxillary sinus (MRCMS) through panoramic radiography and cone beam computed tomography (CBCT). Methods: Six thousand panoramic radiographs were selected from digital database for diagnostic analysis of MRCMS. We detected suggestive images of MRCMS in 185 radiographs of patients who were located and invited to return to control. Thirty patients returned for the realization of panoramic radiography for control between 6 and 46 months. Given the presence of MRCMS by radiographic control we performed the CBCT for a better evaluation of the maxillary sinus. Cysts were measured and compared through the images of two methods. The Wilcoxon, Spearman and Kolmorogov-Smirnov tests were used for statistical analysis. The level of significance was set at 5%. Results: There was statistically significant difference between the methods for detection of MRCMS (p <0.05); 23 MRCMS detected by panoramic radiography control were confirmed by CBCT, however, 5 MRCMS detected in CBCT images were not identified by panoramic radiographs. Eight MRCMS detected by X-ray control were not confirmed by CBCT. The discrepancy of extent of MRCMS between images of initial panoramic radiographs and control ones for the CBCT were not statistically significant (p = 0.617 and p = 0.626, respectively) as well as the correlation between time and discrepancy of extent of MRCMS (r = -0.16, p = 0.381). Conclusion: The cone beam computed tomography examination provides more accurate detection of MRCMS than panoramic radiography