Volumetric Evaluation of Maxillary and Frontal Sinuses in 9–14 year old children — A Cone-Beam Computed Tomography Pilot Study

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Published May 30, 2023
https://doi.org/10.18311/jfds/13/2/2021.23
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Volume 13, Issue 2, May - August 2021

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Ritesh Kalaskar
Professor, Pediatric & Preventive Dentistry Government Dental College and Hospital, Medical College Premises, Medical Square, Nagpur- 440003, Maharashtra
Rajesh Ijalkar
Post Graduate, Pediatric & Preventive Dentistry, Government Dental College and Hospital, Medical College Premises, Medical Square, Nagpur- 440003, Maharashtra
Ashita Kalaskar
Associate Professor, Oral Medicine and Radiology, Government Dental College and Hospital, Medical College Premises, Medical Square, Nagpur- 440003, Maharashtra India

Abstract

Context: Literature sums up numerous advantages of volumetric evaluation of maxillary and frontal sinuses in the field of pathology and forensic sciences. However, studies involving paediatric age groups are scarce. Aims and Objectives: To evaluate the volumes of maxillary and frontal sinuses in children aged 9–14 years of age and establish a correlation, if any, between the volumes and the age and sex of the children. Settings and Design: A retrospective study. Materials and Methods: Volumetric measurements of the maxillary and frontal sinuses were conducted on CBCT scans of 30 children aged 9-14 years, divided into three groups, those aged 9–10 years in group A, 11-12 years in group B, and 13-14 years in group C. Statistical Analysis Used: One way ANOVA test to compare the sinus volumes within the groups and unpaired t-test to compare the difference in the volumes in males and females as well as between right and left maxillary sinuses were used. Results: The mean values of the volumes of the right and left maxillary, total maxillary, and frontal sinuses in Group A were 8.4940±1.1966 cm3, 8.3774±1.2047 cm3, 16.8714±2.1212 cm3, and 2.1903±0.8870 cm3; in Group B were 8.7553±0.9067 cm3, 8.3937±1.1461 cm3, 17.1490±1.5732 cm3, and 3.0469±1.5907 cm3; and in Group C were 11.9895±2.230 cm3, 12.6164±1.6797 cm3, 24.6059±4.38536 cm3, and 7.6546±1.7763 cm3, respectively. The difference in the values among all three age groups was statistically significant (p < 0.001). However, there was no significant difference in the values between males and females or between the right and left maxillary sinuses. Conclusion: The study provides volumetric data of maxillary and frontal sinuses in paediatric age groups and proposes a correlation of the volumes with the age of the children.

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Kalaskar, R. ., Ijalkar, R. ., & Kalaskar, A. . (2023). Volumetric Evaluation of Maxillary and Frontal Sinuses in 9–14 year old children — A Cone-Beam Computed Tomography Pilot Study. Journal of Forensic Dental Sciences, 13(2), 70–77. https://doi.org/10.18311/jfds/13/2/2021.23
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References

  1. Eggesbø HB. Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol. 2006; 16(4):872-888. https://doi.org/10.1007/s00330-005-0068-2 PMid:16391905 DOI: https://doi.org/10.1007/s00330-005-0068-2
  2. Li L, Yang J, Chu Y, Wu W, Xue J, Liang P, et al. A novel augmented reality navigation system for endoscopic sinus and skull base surgery: a feasibility study. PLoS One 2016; 11(1):1-17. https://doi.org/10.1371/journal.pone.0146996 PMid:26757365 PMCid:PMC4710572 DOI: https://doi.org/10.1371/journal.pone.0146996
  3. Kanthem RK, Guttikonda VR, Yeluri S, Kumari G. Sex determination using maxillary sinus. J Forensic Dent Sci. 2015; 7:163-167. https://doi.org/10.4103/0975-1475.154595 PMid:26005308 PMCid:PMC4430577 DOI: https://doi.org/10.4103/0975-1475.154595
  4. 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; 9(1):46-50.
  5. Nethan ST, Sinha S, Chandra S. Frontal sinus dimensions: An aid in gender determination. Acta Scientific Dental Sciences. 2018; 2(12): 02-06
  6. Belaldavar C, Kotrashetti VS, Hallikerimath SR, Kale AD. Assessment of frontal sinus dimensions to determine sexual dimorphism among Indian adults. J Forensic Dent Sci 2014; 6:25-30 https://doi.org/10.4103/0975-1475.127766 PMid:24695810 PMCid:PMC3970383
  7. Abdulhameed A, Zagga AD, Maaji SM, Bello A, Bello SS, Usman JD, et al. Three dimensional volumetric analysis of the maxillary sinus using computed tomography from Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Int J Health Med Inf. 2013; 2:1-9
  8. Lorkiewicz-Muszyńska D, Kociemba W, Rewekant A, Sroka A, Jończyk-Potoczna K, Patelska-Banaszewska M, et al. Development of the maxillary sinus from birth to age 18. Postnatal growth pattern. International Journal of Pediatric Otorhinolaryngology 2015; 79(9):1393-1400. https://doi.org/10.1016/j.ijporl.2015.05.032 PMid:26162781 DOI: https://doi.org/10.1016/j.ijporl.2015.05.032
  9. Schűtz P, Ibrahim HHH, Rajab B. Contemporary management of frontal sinus injuries and frontal bone fractures. In Motamedi MHK, editor. A textbook of advanced oral and maxillofacial surgery. In Tech. 2013; 2:435-469.
  10. Erdem T, Aktas D, Erdem G, Miman MC, Ozturam O. Maxillary sinus hypoplasia. Rhinology. 2002; 4:150-153.
  11. Moideen SP, Afroze MKH, Mohan M, Regina M, Sheriff RM, Moideen CP. Incidence of frontal sinus aplasia in Indian population. Int J Otorhinolaryngol Head Neck Surg. 2017; 3:108-11. https://doi.org/10.18203/issn.2454-5929. ijohns20164811 DOI: https://doi.org/10.18203/issn.2454-5929.ijohns20164811
  12. Park H, Song J, Choi H, Kim T, Hoon S, Lee S, et al. Volumetric study in the development of paranasal sinuses by CT imaging in Asian: A Pilot study. International Journal of Pediatric Otorhinolaryngology. 2010; 74(12):1347-1350. https://doi.org/10.1016/j.ijporl.2010.08.018 PMid:20863577 DOI: https://doi.org/10.1016/j.ijporl.2010.08.018
  13. Sonam A, Sujhata P, Lingappa A. Morphometric evaluation of the frontal sinus in relation to age and gender in subjects residing in Davangere, Karnataka. Journal of Forensic Dental Sciences. 2016; 8(1):57-61 https://doi.org/10.4103/0975- 1475.176945 PMid:27051227 PMCid:PMC4799523 DOI: https://doi.org/10.4103/0975-1475.176945
  14. Aktuna Belgin C, Colak M, Adiguzel O, Akkus Z, Orhan K. Three-dimensional evaluation of maxillary sinus volume in different age and sex groups using CBCT. Eur Arch Otorhinolaryngol 2019; 276(5):1493-1499 https://doi.org/10.1007/s00405-019-05383-y PMid:30879193 DOI: https://doi.org/10.1007/s00405-019-05383-y
  15. Cossellu G, De Luca S, Biagi R, Farronato G, Cingolani M, Ferrante L, et al. Reliability of frontal sinus by cone-beam computed tomography for individual identification. Radiol Med. 2015; 120(12):1130-1136 https://doi.org/10.1007/ s11547-015-0552-y PMid:25981382 DOI: https://doi.org/10.1007/s11547-015-0552-y
  16. Sahlstrand-Johnson P, Jannert M, Strömbeck A, Abul- Kasim K. Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med Imaging. 2011; 11:8-15 https://doi.org/10.1186/1471-2342-11-8 PMid:21466703 PMCid:PMC3080316 DOI: https://doi.org/10.1186/1471-2342-11-8
  17. Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F, et al. EPOS 2012: European position paper on rhinosinusitis and nasal polyps. A summary for otorhinolaryngologists. Rhinology. 2012; 50:1-12 https:// doi.org/10.4193/Rhino12.000 PMid:22469599 DOI: https://doi.org/10.4193/Rhino12.000
  18. Spaeth J, Krugelstein U, Schlondorff G. The paranasal sinuses in CT-imaging: Development from birth to age 25. Int J Pediatr Otorhinolaryngol. 1997; 39:25-40. https://doi.org/10.1016/S0165-5876(96)01458-9 PMid:9051437 DOI: https://doi.org/10.1016/S0165-5876(96)01458-9
  19. Kim HJ, Friedman EM, Sulek M, Duncan NO, McCluggage C. Paranasal sinus development in chronic sinusitis, cystic fibrosis, and normal comparison population: A computerized tomography correlation study. Am J Rhinol. 1997; 11:275- 781. https://doi.org/10.2500/105065897781446676 PMid:9292178 DOI: https://doi.org/10.2500/105065897781446676
  20. Barghouth G, Prior JO, Lepori D, Duvoisin B, Schnyder P, Gudinchet F. Paranasal sinuses in children: Size evaluation of maxillary, sphenoid, and frontal sinuses by magnetic resonance imaging and proposal of volume index percentile curves. Eur Radiol. 2002; 12:1451-1458. https:// doi.org/10.1007/s00330-001-1218-9 PMid:12042953 DOI: https://doi.org/10.1007/s00330-001-1218-9
  21. Mozzo P, Procacci C, Tacconi A, Martini P, Andreis I. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998; 8:1558-1564. https://doi.org/10.1007/s003300050586 PMid:9866761 DOI: https://doi.org/10.1007/s003300050586
  22. Szabo BT, Aksoy S, Repassy G, Csomo K, Dobo-Nagy C, Orhan K. Comparison of hand and semiautomatic tracing methods for creating maxillofacial artificial organs using sequences of Computed Tomography (CT) and Cone Beam Computed Tomography (CBCT) images. Int J Artif Organs Jun. 2017; 9(6):307-312. https://doi.org/10.5301/ijao.5000580 PMid:28525668 DOI: https://doi.org/10.5301/ijao.5000580
  23. Bhushan B, Rychlik K, Schroeder J. Development of the maxillary sinus in infants and children. Int J Pediatr Otorhinolaryngol. 2016; 91:146-151. https://doi. org/10.1016/j.ijporl.2016.10.022 PMid:27863629 DOI: https://doi.org/10.1016/j.ijporl.2016.10.022
  24. Sidhu R, Chandra S, Devi P, Taneja N, Sah K, Kaur N. Forensic importance of maxillary sinus in gender determination: A morphometric analysis from Western Uttar Pradesh, India. Eur J Gen Dent. 2014; 3:53-6 https:// doi.org/10.4103/2278-9626.126213 DOI: https://doi.org/10.4103/2278-9626.126213
  25. Abu El-Dahab O, Dakhli I. The role of cone beam computed tomography in sex identification of a sample of Egyptian population using maxillary sinus predictors. Oral Surgery Oral Medicine Oral Radiology. 2018; 6(1):4-9
  26. Ekizoglu O, Inci E, Hocaoglu E, Sayin I, Kayhan F, Can I. The use of maxillary sinus dimensions in gender determination: a thin-slice multidetector computed tomography assisted morphometric study. J Craniofac Surg. 2014; 25(3):957- 960. https://doi.org/10.1097/SCS.0000000000000734 PMid:24657979 DOI: https://doi.org/10.1097/SCS.0000000000000734
  27. Masri A, Yusof A, Hassan R. A three dimensional computed tomography (3DCT): A study of maxillary sinus in Malays. Can J Basic Appl Sci. 2013; 1(2):125-134.
  28. Tatlisumak E, Asirdizer M, Bora A, Hekimoglu Y, Etli Y, Gumus O, et al. The effects of gender and age on forensic personal identification from frontal sinus in a Turkish population. Saudi Med J. 2017; 38(1):41-47. https://doi.org/10.15537/smj.2017.1.16218 PMid:28042629 PMCid:PMC5278064 DOI: https://doi.org/10.15537/smj.2017.1.16218
  29. Cohen O, Warman M, Fried M, Shoffel-Havakuk H, Adi M, Halperin D, et al. Volumetric analysis of the maxillary, sphenoid and frontal sinuses: A comparative computerized tomography based study. Auris Nasus Larynx. 2018; 45(1):96-102. https://doi.org/10.1016/j.anl.2017.03.003 PMid:28341352 DOI: https://doi.org/10.1016/j.anl.2017.03.003
  30. Michel J, Paganelli A, Varoquaux A, Piercecchi-Marti M, Adalian P, Leonetti G, et al. Determination of sex: Interest of frontal sinus 3D reconstructions. J Forensic Sci. 2015; 60(2):269-273 https://doi.org/10.1111/1556-4029.12630 PMid:25676659 DOI: https://doi.org/10.1111/1556-4029.12630
  31. Mathur H, Mathur A, Ahmed J, Khorate M, Tripathi P. Conventional frontal sinus imaging in identification of sex: Original study in population of Udaipur City. India. J Med Sci Clin Res. 2013; 1(1):33-37
  32. Navdeep K, Sunira C, Parvathi D, Srinivasa R, Neeraj T, Ruhi S. The forensic importance of frontal sinus in gender discrimination: a morphometric study. J Oral Sign. 2013; 5(1):2-5.
  33. Belaldavar C, Kotrashetti V, Hallikerimath S, Kale A. Assessment of frontal sinus dimensions to determine sexual dimorphism among Indian adults. J Forensic Dent Sci. 2014; 6:25-30. https://doi.org/10.4103/0975-1475.127766 PMid:24695810 PMCid:PMC3970383 DOI: https://doi.org/10.4103/0975-1475.127766