Anat Cell Biol.  2019 Mar;52(1):17-24. 10.5115/acb.2019.52.1.17.

Clinical anatomy of the maxillary sinus: application to sinus floor augmentation

Affiliations
  • 1Seattle Science Foundation, Seattle, WA, USA. joei@seattlesciencefoundation.org
  • 2Dental and Oral Medical Center, Kurume University School of Medicine, Kurume, Japan.
  • 3Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Kurume, Japan.
  • 4Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland.
  • 5Department of Medical Education, Jagiellonian University Medical College, Krakow, Poland.
  • 6Department of Anatomical Sciences, St. George's University, St. George's, Grenada, West Indies.

Abstract

The anatomy of the maxillary sinus, especially its vascular anatomy, and its relationships with the teeth and alveolar processes have been well documented. The development of cone-beam computed tomography has resulted in dentists being more familiar with maxillary sinus floor augmentation procedures. This paper aims to revisit the classic anatomy of the maxillary sinus and review the newly published literature in order to help dentists diagnose in more detail and perform safer surgery of the maxillary sinus.

Keyword

Anatomy; Cadaver; Maxillary sinus; Sinus floor augmentation; Maxillary artery; Dental implants

MeSH Terms

Alveolar Process
Cadaver
Cone-Beam Computed Tomography
Dental Implants
Dentists
Humans
Maxillary Artery
Maxillary Sinus*
Sinus Floor Augmentation*
Tooth
Dental Implants

Figure

  • Fig. 1 Ostium on the left maxillary sinus (arrows). (A) Cadaveric dissection (anterolateral view). (B) Computed tomography (coronal image). N, nasal cavity; O, orbit.

  • Fig. 2 The maxillary sinus extending into the zygomatic process (arrows). (A) Dry skull (inferolateral view). (B) Computed tomography (axial image).

  • Fig. 3 Relationship between teeth and maxillary sinus (right side). Note the root of the first premolar (arrow) is located most medially.

  • Fig. 4 Course of the right posterior superior alveolar artery. Note the two branches of posterior superior alveolar artery enter the posterior wall of the maxillary sinus (arrows). LN, lingual nerve; LPM, lateral pterygoid muscle; MA, maxillary artery; MS, maxillary sinus; PSAA, posterior superior alveolar artery; ZP, zygomatic process.

  • Fig. 5 Course of the left posterior superior a lveolar branch of the maxil lar y ner ve. Note the three branches enter the posterior wall of the maxillary sinus (arrows). (A) Lateral view of the posterior superior alveolar branch of the maxillary nerve (PSAb) in the cadaveric dissection (left side). (B) Computed tomography (sagittal image). A, anterior; P, posterior; PSAA, posterior superior alveolar artery; ZP, zygomatic process.

  • Fig. 6 Septum inside the right maxillary sinus (arrows). (A) Panoramic radiography. (B) Computed tomography (axial image).


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