{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:37:04Z","timestamp":1785332224787,"version":"3.55.0"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentomaxillofacial Radiology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> A systematic review was performed to evaluate the performance of panoramic radiography (PR) vs CT or cone beam CT (CBCT) in the diagnosis of pathological maxillary sinuses. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> This review was registered in the PROSPERO database under the number CRD42020211766. Observational studies that compared PR with CT\/CBCT were used to evaluate pathological changes in the maxillary sinuses. A complete search of seven primary databases and gray literature was carried out. The risk of bias was assessed according to the Newcastle-Ottawa tool, and the GRADE tool was used to assess the quality of evidence. A binary meta-analysis was performed to assess the effectiveness of evaluating pathological alterations in the maxillary sinuses in PR and CT\/CBCT. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Seven studies were included in our study, out of which four were included in a quantitative analysis. All studies were classified as low risk of bias. Five studies compared PR with CBCT and two studies compared PR to CT. The most common pathological alteration in maxillary sinuses reported was mucosal thickening. CT\/CBCT was seen to be the most effective method for assessing pathological changes in the maxillary sinus when compared to PR (RR = 0.19, 95% confidence interval [CI] = 0.05\u2009to 0.70, p = 0.01). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> CT\/CBCT are the most appropriate imaging methods to evaluate pathological changes in the maxillary sinuses, while PR is still limited in the evaluation of these changes being considered only for initial diagnosis. <\/jats:p><\/jats:sec>","DOI":"10.1259\/dmfr.20230067","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T17:07:31Z","timestamp":1684256851000},"source":"Crossref","is-referenced-by-count":11,"title":["Performance of panoramic radiography compared with computed tomography in the evaluation of pathological changes in the maxillary sinuses: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"52","author":[{"given":"Amanda Regina","family":"Fischborn","sequence":"first","affiliation":[{"name":"Dentistry Department, State University of Ponta Grossa (UEPG), Ponta Grossa, Parana, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9ssica Daniela","family":"Andreis","sequence":"additional","affiliation":[{"name":"Dentistry Department, State University of Ponta Grossa (UEPG), Ponta Grossa, Parana, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia Ma\u00edra","family":"Wambier","sequence":"additional","affiliation":[{"name":"School of Health and Biological Sciences, Universidade Positivo, Street Prof. Pedro Viriato Parigot de Souza, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caique Mariano","family":"Pedroso","sequence":"additional","affiliation":[{"name":"Oral Diagnosis Department, Piracicaba Dental School, University of Campinas (UNICAMP), Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Claudino","sequence":"additional","affiliation":[{"name":"Dentistry Department, State University of Ponta Grossa (UEPG), Ponta Grossa, Parana, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilson Cesar Nobre","family":"Franco","sequence":"additional","affiliation":[{"name":"Dentistry Department, State University of Ponta Grossa (UEPG), Ponta Grossa, Parana, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593834"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2017.1372803"},{"key":"b3","first-page":"27","volume":"26","author":"Workman AD","year":"2018","journal-title":"CurrOpinOtolaryngol Head Neck Surg"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.5624\/isd.2019.49.2.115"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin20.600"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21504"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2019.1634837"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.17116\/otorino201782246-50"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2018.12.986"},{"key":"b10","first-page":"244","author":"Fadda GL","year":"2012","journal-title":"Acta Otorhinolaryngol"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2015.12.013"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-013-0963-x"},{"key":"b13","first-page":"MC07","volume":"10","author":"Capelli M","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"b14","author":"MirandaCMNR M","journal-title":"Radiol Bras2011;44(4):256\u2013262"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2018.10.005"},{"key":"b16","doi-asserted-by":"publisher","DOI":"10.1186\/s40729-017-0075-5"},{"key":"b17","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-021-01626-4"},{"key":"b18","volume-title":"The Newcastle Scale (NOS) for assessing the quality of nonrandomized studies in meta-analysis","author":"Wells GA","year":"2000"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.09.011"},{"key":"b20","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.18141"},{"key":"b21","doi-asserted-by":"publisher","DOI":"10.17921\/2447-8938.2017v19n3p205-208"},{"key":"b22","volume-title":"S\u00e3o Paulo: Universidade de S\u00e3o Paulo,2008. 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