Evaluation of Maxillary Sinus Dimensions Using Cone Beam Computed Tomography in Egyptian Population

Hitham Hamdy, A. Kamel, F. Abo Zaid
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Abstract

Aim: This study was designed to evaluate the possible variation in dimensions of maxillary sinuses in Egyptian population using CBCT. Subjects and Methods: 120 CBCT of bilaterally maxillary sinuses of adult Egyptians of both sexes with ages ranging from 20 to 50 years were randomly selected. Then CBCT images were grouped according to gender, age and side. Three measurements in millimeters (width, depth, height), were taken on the axial and coronal cross sections. Results: Right and left height was statistically significant difference in male group than in female group (P<0.005). There was not statistically significant difference in dimensions between any age group and any another age group. It was difference between right and left sides of maxillary sinus, but this difference was not statistically significant. Conclusion: mean values of maxillary sinuses dimensions of males were found to be larger than these of females and this difference was statistically significant only for height dimensions. INTRODUCTION Maxillary sinus is a pneumatic space with its base adjacent to the nasal wall and apex pointing to the zygoma. It is the largest bilateral air sinus located in the body of the maxilla and opens in the middle nasal meatus of the nasal cavity with single or multiple openings. It varies greatly in size, shape, and position not only in different individuals (1) Maxillary sinus is located in the left and right maxillary bones and consists of two air filled cavities lined with mucosa. Maxillary sinus tends to appear at the end of the second embryonic month and complete by the age of 18 to 20 years. The primary components of any skeletal analysis in forensic sciences are age and sex determination. (2) Considering the complex structure of maxillary sinus, diagnostic methods like magnetic resonance imaging (MRI) and computed tomography (CT) are used as gold standard to evaluate the true anatomy of sinuses. (3)
锥形束计算机断层扫描在埃及人口上颌窦尺寸的评价
目的:本研究旨在利用CBCT评估埃及人群上颌窦尺寸的可能变化。对象与方法:随机选取年龄在20 ~ 50岁的埃及成年男女120例双侧上颌窦CBCT。然后将CBCT图像按性别、年龄、侧面进行分组。在轴向和冠状截面上进行了以毫米为单位的三次测量(宽度、深度、高度)。结果:男性组左右身高差异有统计学意义(P<0.005)。各年龄组与其他年龄组在各维度上均无统计学差异。左右两侧上颌窦有差异,但差异无统计学意义。结论:男性上颌窦尺寸平均值大于女性,且仅在身高尺寸上差异有统计学意义。上颌窦是一个底部与鼻壁相邻,鼻尖指向颧骨的气动腔。它是最大的双侧气窦,位于上颌骨体上,在鼻腔中鼻道开口,有单开口或多开口。上颌窦的大小、形状和位置不仅因人而异,而且差异很大。(1)上颌窦位于左右上颌骨,由两个充满空气的腔组成,腔内衬有粘膜。上颌窦往往在胚胎第二个月末出现,并在18至20岁时完成。在法医科学中,任何骨骼分析的主要组成部分都是年龄和性别确定。(2)考虑到上颌窦的复杂结构,磁共振成像(MRI)和计算机断层扫描(CT)等诊断方法是评估上颌窦真实解剖结构的金标准。(3)
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