Perbedaan Volume Sinus Maksilaris pada CT Scan Sinus Paranasal antara Pasien Rinosinusitis Kronis Primer dengan Sinus Maksilaris Normal di RSUP H. Adam Malik Medan

Abstract

Background: The measurement of volume plays a crucial role in providing valuable insights into the maxillary sinus, which exhibits inter-individual variation in size. Pathologies affecting the paranasal sinuses, such as infections, have the potential to induce alterations in their volumetric capacity. A comprehensive understanding of the intricate anatomical structure and volumetric characteristics of the paranasal sinuses is crucial for effectively managing pathological conditions affecting these structures. The utilization of CT scanning for the examination of the paranasal sinuses has emerged as a fundamental component in the assessment and treatment of patients, facilitating a deeper understanding of the anatomical structure and diverse characteristics of the paranasal sinuses. Objective: The objective of this study is to assess the disparity in maxillary sinus volume observed on paranasal sinus CT scans between patients diagnosed with primary chronic rhinosinusitis and those with normal maxillary sinuses at H. Adam Malik General Hospital in Medan. Method: This study employs an analytical approach with a retrospective design and a cross-sectional framework. The study population consists of patients diagnosed with primary chronic rhinosinusitis, as well as individuals with normal maxillary sinuses, as indicated in the medical records of H. Adam Malik General Hospital in Medan. The research samples were selected using a non-probability consecutive sampling method. Result: The findings indicate that the primary chronic rhinosinusitis group consisted predominantly of male participants, comprising 66.7% of the total sample size. The average age of individuals in the primary CRS group was determined to be 42.67 years. The mean volume of the typical maxillary sinus is 22.56 cm3, whereas the mean volume of the maxillary sinus in individuals with primary chronic rhinosinusitis is 17.75 cm3. Patients with primary chronic rhinosinusitis exhibited notable variations in the average height, depth, and volume of the maxillary sinus when compared to individuals with normal maxillary sinuses. However, there was no statistically significant distinction in the average width of the maxillary sinus between these two groups. Conclusion: Our findings indicate notable variations in the average height, depth, and volume of the maxillary sinus among individuals with primary chronic rhinosinusitis in comparison to those with normal maxillary sinuses. However, no significant disparity was observed in the average width of the maxillary sinus between these two groups.