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    9-Maxillary Sinus

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    badr abdelkader
    The maxillary sinus is the largest air sinus located within the body of the maxilla. It develops beginning at 3-4 months in utero and reaches its full size when the permanent dentition is fully erupted. In adults, it typically measures 34x33x23 mm. Pneumatization is the process where bone resorption and deposition remodels the maxillary sinus. It has four walls - the roof forms the orbit floor, the posterior wall the infraorbital surface, and the anterior wall extends to the facial maxilla. Drainage occurs through the ostium maxillare opening into the middle nasal meatus. Related teeth include numbers 6, 7, 5, 4, 8, and 3.

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    9-Maxillary Sinus

    Uploaded by

    badr abdelkader
    21 views25 pages
    The maxillary sinus is the largest air sinus located within the body of the maxilla. It develops beginning at 3-4 months in utero and reaches its full size when the permanent dentition is fully erupted. In adults, it typically measures 34x33x23 mm. Pneumatization is the process where bone resorption and deposition remodels the maxillary sinus. It has four walls - the roof forms the orbit floor, the posterior wall the infraorbital surface, and the anterior wall extends to the facial maxilla. Drainage occurs through the ostium maxillare opening into the middle nasal meatus. Related teeth include numbers 6, 7, 5, 4, 8, and 3.

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    9-MAXILLARY SINUS

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    The maxillary sinus is the largest air sinus located within the body of the maxilla. It develops beginning at 3-4 months in utero and reaches its full size when the permanent dentition is fully erupted. In adults, it typically measures 34x33x23 mm. Pneumatization is the process where bone resorption and deposition remodels the maxillary sinus. It has four walls - the roof forms the orbit floor, the posterior wall the infraorbital surface, and the anterior wall extends to the facial maxilla. Drainage occurs through the ostium maxillare opening into the middle nasal meatus. Related teeth include numbers 6, 7, 5, 4, 8, and 3.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views25 pages

    9-Maxillary Sinus

    Uploaded by

    badr abdelkader
    The maxillary sinus is the largest air sinus located within the body of the maxilla. It develops beginning at 3-4 months in utero and reaches its full size when the permanent dentition is fully erupted. In adults, it typically measures 34x33x23 mm. Pneumatization is the process where bone resorption and deposition remodels the maxillary sinus. It has four walls - the roof forms the orbit floor, the posterior wall the infraorbital surface, and the anterior wall extends to the facial maxilla. Drainage occurs through the ostium maxillare opening into the middle nasal meatus. Related teeth include numbers 6, 7, 5, 4, 8, and 3.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 25

    MAXILLARY

    SINUS
    AIR SINUSES
    --Maxillary

    --Frontal

    --Ethmoidal
    Definition
    • It is the largest bilateral air sinus

    • It occupies most of the body of the maxilla

    • It is also called Antrum of Higmore


    Development
    • Beginning of development at 3-4 M.I.U.
    • At birth it measures 8x4x6 mm.
    • It increases in size by pneumatization. The full size is
    reached when the permanent dentition is fully erupted.
    • Adult sinus measures 34 mm anteroposteriorly, 33 mm in
    height, and 23 mm in width.
    • Total Capacity :15 ml.
    Pneumatization is a process of bone remodeling
    where bone resorption takes place in the maxillary
    sinus internal walls and bone deposition on the outer
    surface of maxilla. This process results from air
    inspiration.
    Anatomy
    It can be described as a four sided pyramid

    The apex extends laterally into the zygomatic process of


    the maxilla.
    The base is related to the nasal cavity.
    The upper wall (roof) is the floor of the orbit.
    The posterior wall is formed by the infra-temporal surface
    of the maxilla.
    Anteriorly the sinus extends to the facial surface of the
    body of the maxilla (region of the bicuspid or cuspid
    teeth).
    The floor of the sinus forms the base of the alveolar
    process.
    Relation between sinus floor and
    nasal cavity:
    1-At a higher level

    2- Same level or

    3- At a lower level
    Drainage of the sinus:
    • Opens into the nose by an
    opening called Ostium
    maxillare.

    • This ostium is present in the


    middle nasal meatus in a
    recess called Hiatus
    semilunaris.

    • The inner surface of the sinus


    has often bony septa that divide
    it partially or completely into
    several chambers
    Related teeth:
    • 6,7,5,4,8,3
    Extension into the alveolar process

    1-A bony plate separate


    the teeth from the sinus.
    or

    2-The sinus extends


    between the roots with
    bone in-between. The
    extension of the sinus may
    reach the extent that roots
    covered only with soft
    tissues
    Histology
    Linning of the sinus
    Histology
    The maxillary sinus is lined by a thin delicate mucous
    membrane which is typical to the lining of the
    respiratory tract and is continuous with the nasal mucosa.
    The lining mucoperiosteum is formed of three layers:

    Pseudostratified columnar ciliated epithelium


    -
    with goblet cells
    -basement membrane
    -lamina propria and

    periosteum.
    Cilia is necessary for the drainage of the sinus
    due to high position of its ostium opening. Cilia
    works automatically.
    Secretions in the sinus
    • 1-mixed glands (maxillary subepithelial glands)
    serous secretion
    mucous secretion

    • 2- goblet cells mucous secretion

    Apocrine secretory cells


    Function
    1-Warming and moistening of the inhaled air

    2-Vocalization and phonation

    3-Lightens the weight of skull

    4-Bactericidal lysozyme secretion

    5-Enhances resistance to mechanical shock


    Clinical
    Aspects
    1-Periapical infection of related teeth

    2-Disease of the sinus mucous membrane

    3-Sinus damage during surgery

    4-Perforation of the sinus


    Samples of Questions
    A- Choose the right answer:
    1- The secretion in the maxillary sinus is:
    a- Mixed that results from goblet cells and mixed salivary acini in the lamina propria of the sinus
    lining.
    b- Mixed that results from goblet cells only.
    c- Serous that results from serous salivary acini in the lamina propria of the sinus lining.
    d- Serous that results from goblet cells.

    B- Write the scientific term:


    Name of the maxillary sinus opening (Ostium Maxillare)

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