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Öğe Comparison of Anthropometric and Conic Beam Computed Tomography Measurements of Patients with and without Difficult Intubation Risk According to Modified Mallampati Score: New Markers for Difficult Intubation(Wolters Kluwer Medknow Publications, 2021) Senol, D.; Ozbag, D.; Dedeoglu, N.; Cevirgen, F.; Toy, S.; Ogeturk, M.; Kose, E.Background: The aim of this study was to compare the anthropometric and cone beam computed tomography (CBCT) measurements taken from risk-free and risky groups by using the modified Mallampati score (MMS). Patients and Methods: A total of 176 volunteers between the ages of 18 and 65 in four different MMS classes were included in the study. The patients in classes MMS I and MMS II were accepted as risk-free and the patients in classes MMS III and MMS IV were accepted as risky for intubation. The Mann-Whitney U test was performed on the data to compare the anthropometric and radiological measurements taken from the risk-free and risky groups. A receiver operating characteristic (ROC) analysis was applied to the parameters that had a statistically significant difference. Results: According to the analysis results, statistically significant differences were found in the neck circumference (NC), maximum interincisal distance (MID), thyromental distance (TMD) and sternomental distance (SMD) of the anthropometric measurements of men and women between the risk-free and risky groups (P < 0.05). In terms of CBCT measurements, the thickness of the tongue (TT), distance between the uvula and posterior wall of pharynx (U-Ph), distance between posterior nasal spine and nasopharvnx (Snp-Nph) and length of the epiglottis (LE) were found to have statistically significant differences between the risk-free and risky groups of men and women (P < 0.05). Conclusion: The NC, MID, TMD and SMD anthropometric measurements and TT, U-Ph, Snp-Nph and LE radiologic measurements were found to support MMS, which is one of the most widely used bedside intubation prediction tests. In addition to the inclusion of CBCT for intubation prediction, U-Ph and Snp-Nph radiologic measurements were added as difficult intubation markers.Öğe Evaluation of localisation of mandibular foramen in patients with mandibular third molar teeth using cone-beam computed tomography(Via Medica, 2018) Altun, O.; Miloglu, O.; Dedeoglu, N.; Duman, S. B.; Torenek, K.Background: It is important to know the correct anatomical location of the mandibular foramen to obtain successful anaesthesia of inferior alveolar nerve and to prevent injury to the mandibular vessels and nerve, during a variety of oral and maxillofacial surgical procedures. The aim of this study is to evaluate localisation of the mandibular foramen in patients with the third molars using cone-beam computed tomography (CBCT). Materials and methods: Cone-beam computed tomography was used to determine the location of the mandibular foramen in 67 patients (totally 99 sides) with unilateral or bilateral impacted mandibular third molars. Results: The distance from the posterior border of the mandibular ramus to mandibular foramen did not differ significantly among the other angulations. But the difference between vertical and horizontal angulation of the impacted mandibular third molars according to 'fd' values (the shortest distance between mandibular foramen and the posterior border of mandibular ramus) was found to be statistically significant (p < 0.05). Conclusions: The present study provides new information to the literature concerning relationship between the location of the mandibular foramen and the mandibular third molars.Öğe Evaluation of maxillary sinus anatomical variations and pathologies in elderly, young, posterior dentate and edentulous patient groups with cone-beam computed tomography(Via Medica, 2019) Dedeoglu, N.; Altun, O.Background: The aim of this study was to evaluate the frequency of maxillary sinus pathologies and anatomic variations in elderly and edentulous patients by using cone-beam computed tomography (CBCT). Materials and methods: The study included elderly and young patient groups. The elderly group involved posterior edentulous and dentate patients. CBCT images were assessed, and the presence of any pathological findings, septa, accessory maxillary ostium, and Haller cell in each maxillary sinus were recorded according to the groups. Chi-square test was used to analyse the intergroup differences (p < 0.05). Results: There was no statistically difference between the young and elderly groups regarding the presence of a pathology (p = 0.077) and septa (p = 0.37), whereas accessory ostium (p = 0.009) was more common and Haller cell (p = 0.000) was less common in the elderly group when compared to the young group. There was no significant difference between the edentulous and dentate group regarding the presence of a pathology (p = 0.39), septation (p = 0.69) and Haller cell (p = 0.75); accessory ostium rate was found to be increased (p = 0,015) in edentulous patients. Conclusions: It was observed that the frequency of accessory maxillary ostium was increased in elderly, especially in edentulism. And the frequency of Haller cell was found to be decreased in elderly patients.Öğe Evaluation of the anatomical variation in the nasal cavity and paranasal sinuses of patients with cleft lip and palate using cone beam computed tomography(Comenius Univ, 2016) Dedeoglu, N.; Altun, O.; Kucuk, E. B.; Altindis, S.; Hatunoglu, E.OBJECTIVE: The aim of this study was to evaluate the frequency of anatomical variation in nasal cavity and paranasal sinuses by comparing a unilateral cleft lip and palate (UCLP) group with a non-syndromic control group using cone beam computed tomography (CBCT). SUBJECTS AND METHODS: This study included 24 UCLP patients in the UCLP group and 24 non-syndromic patients in the control group. Coronal CBCT images were taken in all patients and were evaluated for anatomical variation. The measurements obtained in this study were analysed using chi-square and Fisher's exact tests to compare the two groups statistically. RESULTS: In the UCLP group, there were statistically lower frequencies of pterygoid process pneumatisation (p<0.05), higher wing pneumatisation (p<0.05), and sphenoid sinus over pneumatisation (p<0.05), and statistically higher frequencies of anterior nasal septa] deviation (p<0.05) compared to the control group. CONCLUSION: A higher incidence of anterior nasal septal deviation was found in UCLP patients compared to the patients in the control group. It is likely that for this reason, UCLP patients might be predisposed to sinusitis. In UCLP patients, the incidence of neurovascular structures in the sphenoid sinus was lower than that in non-syndromic control patients (Tab. 1, Fig. 6, Ref. 33). Text in PDF www.elis.sk.
