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Key words: extraction, maxillary sinus, panoramic radiograph, pneumatization, sinus floor topography. Pneumatization is a physiologic process that. occurs in all paranasal sinuses during the growth. period, causing them to increase in volume.1,2 The. maxillary sinus is the largest of the paranasal sinuses.
Recent research on inflammatory sinus disease has implicated a central role for the ethmoid labyrinth, which may influence changes in the maxillary and frontal sinuses. CT scan can provide excellent definition of the paranasal sinuses and particularly the ethmoids, which is a prerequisite for endoscopic surgery.adiographic sign of maxillary sinus mucosal thickening is common finding in routine outpatient paranasal sinus x-rays.Radiography can improve the diagnostic accuracy of sinusitis and correlate well with sinus aspiration.However,many issues remain unsolved,especially the question of when to order CT.