Assessing the Impact of Hard Palate Inclination, Concha Bullosa, and Nasal Septum Deviation on Maxillary Sinus Volume Using CBCT Imaging

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Abstract

Abstract Objective: This study examines how maxillary sinus volume is influenced by factors such as nasal septum deviation, hard palate shift, and the presence of concha bullosa, considering the sinus’s close anatomical relationship with neighboring facial structures. Methodology: A total of 178 CBCT images were reviewed, with 28 cases excluded based on predefined inclusion and exclusion criteria. Using On-Demand software, the study assessed the presence of nasal septum deviation, concha bullosa, and hard palate shift in the coronal plane, and maxillary sinus volume was calculated across the coronal, sagittal, and axial planes. Statistical relationships between variables were analyzed using Chi-square tests Results: Out of 150 CBCT scans analyzed, 25.4% of participants showed hard palate shift, 50.7% had concha bullosa, and 78% exhibited nasal septum deviation. The participants ranged from 26 to 40 years old, with no significant correlation found between age and the studied variables. A significant relationship was identified between the combined presence of concha bullosa and hard palate shift and maxillary sinus volume (p < 0.05). Additionally, a significant association was observed between nasal septum deviation and concha bullosa (p 0.05). Conclusion: The results indicate that nasal septum deviation does not independently affect maxillary sinus volume in this population. While neither hard palate shift nor concha bullosa alone impacts sinus volume, their combined occurrence appears to influence it.
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Assessing the Impact of Hard Palate Inclination, Concha Bullosa, and Nasal Septum Deviation on Maxillary Sinus Volume Using CBCT Imaging | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessing the Impact of Hard Palate Inclination, Concha Bullosa, and Nasal Septum Deviation on Maxillary Sinus Volume Using CBCT Imaging Anis Moradi, Yasaman Mohajeri, Fatemeh nikoo This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8120446/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Objective: This study examines how maxillary sinus volume is influenced by factors such as nasal septum deviation, hard palate shift, and the presence of concha bullosa, considering the sinus’s close anatomical relationship with neighboring facial structures. Methodology: A total of 178 CBCT images were reviewed, with 28 cases excluded based on predefined inclusion and exclusion criteria. Using On-Demand software, the study assessed the presence of nasal septum deviation, concha bullosa, and hard palate shift in the coronal plane, and maxillary sinus volume was calculated across the coronal, sagittal, and axial planes. Statistical relationships between variables were analyzed using Chi-square tests Results: Out of 150 CBCT scans analyzed, 25.4% of participants showed hard palate shift, 50.7% had concha bullosa, and 78% exhibited nasal septum deviation. The participants ranged from 26 to 40 years old, with no significant correlation found between age and the studied variables. A significant relationship was identified between the combined presence of concha bullosa and hard palate shift and maxillary sinus volume (p < 0.05). Additionally, a significant association was observed between nasal septum deviation and concha bullosa (p 0.05). Conclusion: The results indicate that nasal septum deviation does not independently affect maxillary sinus volume in this population. While neither hard palate shift nor concha bullosa alone impacts sinus volume, their combined occurrence appears to influence it. hard palate shift nasal septum deviation CBCT sinus volume Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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Using On-Demand software, the study assessed the presence of nasal septum deviation, concha bullosa, and hard palate shift in the coronal plane, and maxillary sinus volume was calculated across the coronal, sagittal, and axial planes. Statistical relationships between variables were analyzed using Chi-square tests\u003c/p\u003e\n\u003cp\u003eResults:\u003c/p\u003e\n\u003cp\u003eOut of 150 CBCT scans analyzed, 25.4% of participants showed hard palate shift, 50.7% had concha bullosa, and 78% exhibited nasal septum deviation. The participants ranged from 26 to 40 years old, with no significant correlation found between age and the studied variables. A significant relationship was identified between the combined presence of concha bullosa and hard palate shift and maxillary sinus volume (p \u0026lt; 0.05). Additionally, a significant association was observed between nasal septum deviation and concha bullosa (p \u0026lt; 0.05). However, no other independent variables were significantly correlated with sinus volume (p \u0026gt; 0.05).\u003c/p\u003e\n\u003cp\u003eConclusion:\u003c/p\u003e\n\u003cp\u003eThe results indicate that nasal septum deviation does not independently affect maxillary sinus volume in this population. While neither hard palate shift nor concha bullosa alone impacts sinus volume, their combined occurrence appears to influence it.\u003c/p\u003e","manuscriptTitle":"Assessing the Impact of Hard Palate Inclination, Concha Bullosa, and Nasal Septum Deviation on Maxillary Sinus Volume Using CBCT Imaging","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-01-20 21:38:13","doi":"10.21203/rs.3.rs-8120446/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6836f42f-ef41-42bf-853a-0701066fd3e6","owner":[],"postedDate":"January 20th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2026-01-28T11:27:17+00:00","versionOfRecord":[],"versionCreatedAt":"2026-01-20 21:38:13","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8120446","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8120446","identity":"rs-8120446","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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