The fundaments of CBCT and its use for evaluation of paranasal sinuses: review of literature

  • Liana Matos Ferreira
  • Yuri Nejaim
  • Deborah Queiroz Freitas
  • Cínthia Pereira Machado Tabchoury


 Image methods such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT) and Cone Beam Computed Tomography (CBCT) are powerful tools to help clinicians on diagnosis and preoperative planning. They provide an accurate view of regional anatomy, anatomical variations and the presence of diseases. Compared to CT, CBCT produces images with adequate spatial resolution with smaller fields of view at lower radiation doses. It has emerged as a potential alternative for obtaining 3D evaluation of the paranasal sinus
at relatively modest costs. The aim of this review was to verify whether CBCT images offer an additional value to the evaluation of paranasal sinus.


1. Fatterpekar GM, Delman BN, Som PM. Imaging the paranasal sinuses: Where we are and where we
are going. Anat Rec (Hoboken). 2008 Nov;291(11):1564-72. doi: 10.1002/ar.20773.
2. Ritter L, Lutz J, Neugebauer J, Scheer M, Dreiseidler T, Zinser MJ, et al. Prevalence of pathologic
findings in the maxillary sinus in cone beam computerized tomography. Oral Surg Oral Med Oral
Pathol Oral Radiol Endod. 2011 May;111(5):634-40. doi: 10.1016/j.tripleo.2010.12.007.
3. Cagici CA, Cakmak O, Hurcan C, Tercan F. Three-slice computerized tomography for the diagnosis
and follow-up of rhinosinusitis. Eur Arch Otorhinolaryngol. 2005 Sep;262(9):744-50.
4. Cakli H, Cingi C, Ay Y, Oghan F, Ozer T, Kaya E. Use of cone beam computed tomography in otolaryngologic
treatments. Eur Arch Otorhinolaryngol. 2012 Mar;269(3):711-20. doi: 10.1007/s00405-011-1781-x.
5. Poorey VK, Gupta N. Endoscopic and computed tomographic evaluation of influence of nasal septal
deviation on lateral wall of nose and its relation to sinus diseases. Indian J Otolaryngol Head Neck
Surg. 2014 Sep;66(3):330-5. doi: 10.1007/s12070-014-0726-2.
6. Rani SU, Rao GV, Kumar DR, Sravya T, Sivaranjani Y, Kumar MP. Age and gender assessment through
three-dimensional morphometric analysis of maxillary sinus using magnetic resonance imaging. J
Forensic Dent Sci. 2017 Jan-Apr;9(1):46. doi: 10.4103/0975-1475.206481.
7. Agacayak KS, Gulsun B, Koparal M, Atalay Y, Aksoy O, Adiguzel O. Alterations in maxillary sinus volume
among oral and nasal breathers. Med Sci Monit. 2015 Jan 2;21:18-26. doi: 10.12659/MSM.891371.
8. Liang X, Jacobs R, Hassan B, Li L, Pauwels R, Corpas L, et al. A comparative evaluation of cone beam
computed tomography (CBCT) and multi-slice CT (MSCT) Part I. On subjective image quality. Eur J
Radiol. 2010 Aug;75(2):265-9. doi: 10.1016/j.ejrad.2009.03.042.
9. Konen E, Faibel M, Kleinbaum Y, Wolf M, Lusky A, Hoffman C, et al. The value of the occipitomental
(waters’) view in diagnosis of sinusitis: A comparative study with computed tomography. Clin Radiol.
2000 Nov;55(11):856-60.
10. Güldner C, Diogo I, Windfuhr J, Bien S, Teymoortash A, Werner JA, et al. Analysis of the fossa olfactoria using
cone beam tomography (CBT). Acta Otolaryngol. 2011 Jan;131(1):72-8. doi: 10.3109/00016489.2010.506653.
11. Rafferty MA, Siewerdsen JH, Chan Y, Moseley DJ, Daly MJ, Jaffray DA, et al. Investigation of C-arm
cone beam CT-guided surgery of the frontal recess. Laryngoscope. 2005 Dec;115(12):2138-43.
12. Shahbazian M, Jacobs R. Diagnostic value of 2D and 3D imaging in odontogenic maxillary sinusitis: A
review of literature. J Oral Rehabil. 2012 Apr;39(4):294-300. doi: 10.1111/j.1365-2842.2011.02262.x.
13. Aramani A, Karadi RN, Kumar S. A study of anatomical variations of osteomeatal complex
in chronic rhinosinusitis patients-CT findings. J Clin Diagn Res. 2014 Oct;8(10):KC01-4.
doi: 10.7860/JCDR/2014/9323.4923.
14. Zojaji R, Naghibzadeh M, Mazloum Farsi Baf M, Nekooei S, Bataghva B, Noorbakhsh S. Diagnostic
accuracy of cone beam computed tomography in the evaluation of chronic rhinosinusitis. ORL J
Otorhinolaryngol Relat Spec. 2015;77(1):55-60.
15. Saccucci M, Cipriani F, Carderi S, Di Carlo G, D’Attilio M, Rodolfino D, et al. Gender assessment
through three-dimensional analysis of maxillary sinuses by means of cone beam computed
tomography. Eur Rev Med Pharmacol Sci. 2015;19(2):185-93.
16. Demeslay J, Vergez S, Serrano E, Chaynes P, Cantet P, Chaput B, et al. Morphological concordance
between CBCT and MDCT: a paranasal sinus-imaging anatomical study. Surg Radiol Anat. 2016
Jan;38(1):71-8. doi: 10.1007/s00276-015-1509-5.
17. Prisman E, Daly MJ, Chan H, Siewerdsen JH, Vescan A, Irish JC. Real-time tracking and virtual
endoscopy in cone beam CT-guided surgery of the sinuses and skull base in a cadaver model. Int
Forum Allergy Rhinol. 2011 Jan-Feb;1(1):70-7. doi: 10.1002/alr.20007.
18. Bui NL, Ong SH, Foong KWC. Automatic segmentation of the nasal cavity and paranasal
sinuses from cone beam CT images. Int J Comput Assist Radiol Surg. 2015 Aug;10(8):1269-77.
doi: 10.1007/s11548-014-1134-5.
19. Scarfe WC, Farman AG. What is Cone beam CT and How Does it Work? Dent Clin North Am. 2008
Oct;52(4):707-30, v. doi: 10.1016/j.cden.2008.05.005.
20. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP
publication 103. Ann ICRP. 2007;37(2-4):1-332.
21. Durack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J. 2012;23(3):179-91.
22. Dahmani-Causse M, Marx M, Deguine O, Fraysse B, Lepage B, Escudé B. Morphologic
examination of the temporal bone by cone beam computed tomography: Comparison with
multislice helical computed tomography. Eur Ann Otorhinolaryngol Head Neck Dis. 2011
Nov;128(5):230-5. doi: 10.1016/j.anorl.2011.02.016..
23. Hodez C, Griffaton-Taillandier C, Bensimon I. Cone beam imaging: Applications in ENT. Eur Ann
Otorhinolaryngol Head Neck Dis. 2011 Apr;128(2):65-78. doi: 10.1016/j.anorl.2010.10.008.
24. Al Abduwani J, Zilinskiene L, Colley S, Ahmed S. Cone beam CT paranasal sinuses versus standard
multidetector and low dose multidetector CT studies. Am J Otolaryngol. 2016 Jan-Feb;37(1):59-64.
doi: 10.1016/j.amjoto.2015.08.002.
25. Bremke M, Sesterhenn AM, Murthum T, Al Hail A, Bien S, Werner JA. Digital volume tomography (DVT)
as a diagnostic modality of the anterior skull base. Acta Otolaryngol. 2009 Oct;129(10):1106-14.
doi: 10.1080/00016480802620621.
26. Rege IC, Sousa T, Leles C, Mendonça E. Occurrence of maxillary sinus abnormalities detected by cone
beam CT in asymptomatic patients. BMC Oral Health. 2012 Aug 10;12:30. doi: 10.1186/1472-6831-12-30.
27. Queiroz PM, Oliveira ML, Groppo FC, Haiter-Neto F, Freitas DQ. Evaluation of metal artefact reduction
in cone beam computed tomography images of different dental materials. Clin Oral Investig. 2018
Jan;22(1):419-423. doi: 10.1007/s00784-017-2128-9.
28. Daly MJ, Siewerdsen JH, Moseley DJ, Jaffray DA, Irish JC. Intraoperative cone beam CT for guidance
of head and neck surgery: Assessment of dose and image quality using a C-arm prototype. Med
Phys. 2006 Oct;33(10):3767-80.
29. Göçmez C, Göya C, Hamidi C, Teke M, Hattapoğlu S, Kamaşak K. Evaluation of the surgical anatomy
of sphenoid ostium with 3D computed tomography. Surg Radiol Anat. 2014 Oct;36(8):783-8.
doi: 10.1007/s00276-013-1245-7.
30. Maillet M, Bowles WR, McClanahan SL, John MT, Ahmad M. Cone beam computed tomography
evaluation of maxillary sinusitis. J Endod. 2011 Jun;37(6):753-7. doi: 10.1016/j.joen.2011.02.032.
31. Minni A, Messineo D, Attanasio G, Pianura E, D’Ambrosio F. 3D cone beam(CBCT) in evaluation of
frontal recess: Findings in youth population. Eur Rev Med Pharmacol Sci. 2012 Jul;16(7):912-8.
32. Shahidi S, Zamiri B, Momeni Danaei S, Salehi S, Hamedani S. Evaluation of Anatomic Variations in
Maxillary Sinus with the Aid of Cone Beam Computed Tomography (CBCT) in a Population in South
of Iran. J Dent (Shiraz). 2016 Mar;17(1):7-15.
33. Orhan K, Kusakci Seker B, Aksoy S, Bayindir H, Berberoğlu A, Seker E. Cone beam CT evaluation
of maxillary sinus septa prevalence, height, location and morphology in children and an adult
population. Med Princ Pract. 2013;22(1):47-53. doi: 10.1159/000339849.
34. Oz AZ, Oz AA, El H, Palomo JM. Maxillary sinus volume in patients with impacted canines. Angle
Orthod. 2017 Jan;87(1):25-32. doi: 10.2319/122915-895.1.
35. Choi IGG, Duailibi-Neto EF, Beaini TL, da Silva RLB, Chilvarquer I. The Frontal Sinus Cavity Exhibits
Sexual Dimorphism in 3D Cone beam CT Images and can be Used for Sex Determination. J Forensic
Sci. 2018 May;63(3):692-698. doi: 10.1111/1556-4029.13601.
How to Cite
FERREIRA, Liana Matos et al. The fundaments of CBCT and its use for evaluation of paranasal sinuses: review of literature. Brazilian Journal of Oral Sciences, [S.l.], p. e18038, nov. 2017. ISSN 1677-3225. Available at: <>. Date accessed: 22 july 2019. doi:
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