Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
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1735-9260
1735-9279
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jalali
1405
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gregorian
2026
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بررسی شیوع و موقعیت کیست احتباس مخاطی (MRC) در سینوس ماگزیلاری با استفاده از توموگرافی کامپیوتری با پرتو مخروطی (CBCT) در شهر ساری در سال 1404- 1403
Frequency and Anatomical Distribution of Maxillary Sinus Mucous Retention Cysts on Cone-Beam Computed Tomography: A Study in Sari, Iran, 2024-2025
دندانپزشکی
Dentistry
پژوهشي-کامل
Research(Original)
<span style="line-height:2;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">سابقه و هدف:</span></span></span></b> <span lang="AR-SA"><span style="font-family:"B Zar"">کیست‌های احتباس مخاطی (</span></span><span dir="LTR" style="font-size:10.0pt">MRCs</span><span lang="AR-SA"><span style="font-family:"B Zar"">) معمولا به صورت توده‌ای گنبدی شکل از بافت نرم رادیواپک متصل به دیواره های استخوانی سینوس ظاهر می شوند</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> وجود </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> می تواند </span></span><span lang="FA"><span style="font-family:"B Zar"">انجام</span></span><span lang="AR-SA"><span style="font-family:"B Zar""> جراحی‌های مرتبط به سینوس را پیچیده کند</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> با توجه به اهمیت وجود </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> در سینوس ماگزیلاری و کمبود مطالعات کافی، این مطالعه با هدف بررسی شیوع و موقعیت کیست احتباس مخاطی در سینوس ماگزیلاری با استفاده از توموگرافی کامپیوتری با پرتو مخروطی در شهر ساری در سال 1404- 1403، انجام پذیرفت.</span></span><span lang="FA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">مواد و روش </span></span></span></b><b><span lang="FA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt"></span></span></span></b><b><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">ها:</span></span></span></b> <span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">طی این پژوهش توصیفی، پرونده و تصاویر </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">CBCT</span></span><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> 293 بیمار مراجعه</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">کننده به بخش رادیوگرافی دانشکده دندانپزشکی دانشگاه علوم پزشکی مازندران در بین سال های 1403 تا 1404 طبق معیارهای ورود وارد مطالعه شد</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">.</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> اطلاعات دموگرافیک بیماران نظیر سن و جنس و همچنین وجود و موقعیت ضایعات </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">MRC</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> در تصاویر </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">CBCT</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> آنان مورد بررسی قرار گرفت</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">.</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> ضایعات از نظر ارتباط با وضعیت دندان</span></span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">ها، پاتولوژی اندودونتیک و پاتولوژی پریودنتال مورد بررسی قرار گرفتند</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">.</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> تجزیه و تحلیل داده ها با استفاده از نرم افزار </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">SPSS</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"> نسخه 22 و در نظر گرفتن سطح معنی</span></span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt">داری 05/0 انجام شد</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt">.</span></span><span lang="FA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">یافته</span></span></span></b><b><span lang="FA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt"></span></span></span></b><b><span lang="AR-SA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.2pt">ها:</span></span></span></b><span lang="AR-SA"><span style="font-family:"B Zar""> در مطالعه حاضر 163 زن ( 55/6 درصد) و 130 مرد (44/4) وجود داشت</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> میانگین سنی افراد 23/42 سال بود</span></span><span dir="LTR" style="font-size:10.0pt">.</span> <span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> در 7/8 درصد از شرکت‌کنندگان یافت شد</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> بیش‌ترین شیوع </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> در کف سینوس ماگزیلاری بود (52/17 درصد)</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> بین وجود </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> و فاکتورهای دموگرافیک از جمله سن، جنس، وضعیت دندانی، و همچنین پاتولوژی پریودنتال و مشکلات اندودونتیک ارتباط معنی داری یافت نشد(0/05</span></span><span dir="LTR" style="font-size:10.0pt">></span> <span dir="LTR" style="font-size:10.0pt">P</span><span lang="FA"><span style="font-family:"B Zar"">).</span></span><span lang="AR-SA"><span style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA"><span style="font-family:"B Koodak""><span style="letter-spacing:-.1pt">استنتاج:</span></span></span></b> <span lang="AR-SA"><span style="font-family:"B Zar"">مطالعه فعلی شیوع </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar""> را در یک جمعیت در شمال ایران گزارش کرد و نشان داد که شایع‌ترین موقعیت آناتومیک </span></span><span dir="LTR" style="font-size:10.0pt">MRC</span><span lang="AR-SA"><span style="font-family:"B Zar"">، کف سینوس ماگزیلاری است</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""> مطالعات آینده باید تأثیر وجود این کیست را بر مداخلات جراحی در سینوس ارزیابی کنند</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="AR-SA"><span style="font-family:"B Zar""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span lang="FA" style="font-size:6.0pt"><span style="font-family:"B Zar""></span></span></span></span></span></span></span><br>
<h3 style="margin-top:4px; margin-left:19px; text-align:left"><span style="line-height:2;"><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="font-family:"Arial",sans-serif"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></b> <span style="font-size:10.0pt"><span style="letter-spacing:-.2pt">Mucous retention cysts (MRCs) are radiographically visible as dome-shaped soft-tissue opacities attached to the bony walls of the paranasal sinuses. Their presence may complicate sinus-related surgical procedures. Given the clinical relevance of MRCs in the maxillary sinus and the limited available evidence, this study aimed to determine the prevalence and anatomical distribution of maxillary sinus MRCs using cone-beam computed tomography (CBCT) in Sari, Iran, between 2024 and 2025.</span></span><span style="font-size:8.0pt"><span style="letter-spacing:-.2pt"></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="font-family:"Arial",sans-serif"><span style="letter-spacing:-.2pt">Materials and methods:</span></span></span></b> <span style="font-size:10.0pt">This descriptive study included patient records and CBCT scans obtained from individuals referred to the Department of Radiology at the Faculty of Dentistry, Mazandaran University of Medical Sciences, between 2024 and 2025 who met the inclusion criteria. Demographic data, including age and sex, and the presence and location of MRCs on CBCT images were recorded. Associations between MRC presence and dental status, endodontic pathology, and periodontal pathology were also examined. Data were analysed using SPSS, with statistical significance set at P < 0.05.</span><span style="font-size:8.0pt"><span style="letter-spacing:-.2pt"></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="font-family:"Arial",sans-serif"><span style="letter-spacing:-.2pt">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt">The study included 163 women (55.6%) and 130 men (44.4%), with a mean age of 42.23 years. MRCs were identified in 7.8% of participants. The floor was the most common location, accounting for 52.17% of MRCs. No statistically significant associations were found between MRC presence and age, sex, dental status, endodontic pathology, or periodontal pathology (P > 0.05).</span><span style="font-size:8.0pt"><span style="letter-spacing:-.2pt"></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="font-family:"Arial",sans-serif"><span style="letter-spacing:-.2pt">Conclusion:</span></span></span></b> <span style="font-size:10.0pt">The prevalence of maxillary sinus MRCs in this population in northern Iran was 7.8%, with the sinus floor being the most common anatomical location. Further studies are needed to investigate the clinical implications of these cysts for sinus surgery.</span><span style="font-size:8.0pt"><span style="letter-spacing:-.2pt"></span></span></span></span><br>
<span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><b><i><span style="font-size:10.0pt"><span style="letter-spacing:-.2pt"></span></span></i></b></span></span></span><br>
</h3>
کیست احتباس مخاطی, سینوس ماگزیلاری, توموگرافی کامپیوتری با پرتو مخروطی
mucous retention cyst, maxillary sinus, cone-beam computed tomography
119
128
http://jmums.mazums.ac.ir/browse.php?a_code=A-11-19085-1&slc_lang=fa&sid=1
Azadeh
Zakariaee Jouybari
آزاده
ذکریایی جویباری