Accessory Maxillary Sinus Ostium Frequency and Correlation with Anatomical Variables and Sinus Mucosal Status: A CBCT Study

Rudbarizade, Seyyed Hosein; Goudarzi, Fereshteh; Malek Zadeh, Kianoosh; Afsa, Masoomeh

doi:10.30476/dentjods.2025.104073.2502

Accessory Maxillary Sinus Ostium Frequency and Correlation with Anatomical Variables and Sinus Mucosal Status: A CBCT Study

Document Type : Original Article

Authors

Seyyed Hosein Rudbarizade ¹

Fereshteh Goudarzi ²

Kianoosh Malek Zadeh ³

Masoomeh Afsa ²

¹ Dentist, Bandar Abbas, Iran.

² Dept. of Oral and Maxillofacial Radiology, Faculty of Dentistry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

³ Dept. of Medical Genetics, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

https://doi.org/10.30476/dentjods.2025.104073.2502

Abstract

Background: The accessory maxillary sinus ostium (AMO) is one of the anatomical variations in the maxillary sinus. The acquired or congenital nature of AMO has not been proven. In theory, mucus drained from the principal ostium may reenter the sinus through the accessory ostium and cause maxillary rhinosinusitis.
Purpose: The aim of the present study is to investigate the AMO frequency and its correlation with some anatomical and pathological variables in the area using cone-beam computed tomography (CBCT) images.
Materials and Method: This was a descriptive-analytical cross-sectional study. CBCT images were obtained from 273 individuals and a total of 461 maxillary sinuses. The presence of AMOs and their relationship with age, sex, sinus mucosa condition, patency of the principal ostium, septal deviation, and sinus dimensions were measured.
Results: The AMO frequency was 35.6% and 14.63% of sinuses had more than one AMO. AMO was more common in men. There was a statistically significant relationship between AMO presence and abnormal mucosal status of maxillary sinus. The present study showed a statistically significant relationship between the presence of AMO and the anterior-posterior dimension of the sinus.
Conclusion: AMO occurred more frequently in the sinuses with abnormal mucosal status. However, when the abnormal sinus mucosa has reached the nasal fontanelle, it is not possible to check the presence of AMO by CBCT images.

Highlights

Masoomeh Afsa (Google Scholar)

Keywords

Cone-Beam Computed Tomography

Maxillary sinus

Maxillary Ostium

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