IJAR.2020.146
Type of Article: Original Research
Volume 8; Issue 2.2 (May 2020)
Page No.: 7505-7509
DOI: https://dx.doi.org/10.16965/ijar.2020.146
MORPHOMETRIC STUDY OF MAXILLARY SINUSES IN NORMAL SUBJECTS BY USING COMPUTED TOMOGRAPHIC IMAGES
A.P. Mishra 1, Kuldeep Kumar *2, C. S. Ramesh Babu 3.
1 Professor and Head, Department of Radiology, Rama Medical University, Mandhana, Kanpur ( U.P.), India.
*2 Assistant Professor, Department of Anatomy, Govt. Medical College Kannauj( U.P.), India.
3 Associate Professor, Department of Anatomy, Muzaffarnagar Medical College, Muzaffarnagar, ( U.P.), India.
Corresponding Author: Dr. Kuldeep Kumar, Assistant Professor, Department of Anatomy, Govt. Medical College Kannauj (U.P.), India. mob.no. 9794199741 E-Mail: drkuldeep15579@gmail.com
ABSTRACT
Introduction: Anatomical knowledge of maxillary sinus and its dimensions are Important during endoscopic sinus surgery.
Aim: The aim of our study was to measure bilaterally different Parameters of maxillary sinus[Antero-posterior diameter (APD), Transverse diameter (TD), Craniocaudal diameter (CCD)] in male and female subjects by computed tomography and their significant role during conduction of endoscopic sinus surgery and determination of sex of the individuals.
Materials and Methods: Cranial computed tomographic images of 67 normal subjects between the age groups of 21 to 70 years were taken in our study. The APD, TD and CCD of the maxillary sinuses were measured electronically. The axial and coronal sections were taken and examined.
Results: The mean Antero-posterior diameter, Transverse diameter, and Craniocaudal diameters of maxillary sinus in males on right side are 3.615 cm, 2.303cm, 3.328cm and on left side are 3.567cm, 2.264cm, 3.387 cm and in females on right side are 3.264cm, 2.059cm, 3.144cm and on left side are 3.188cm, 1.976cm and 2.925cm respectively. The discriminative analysis showed that the accuracy of maxillary sinus measurements (The ability of the size of maxillary sinus to identify gender) was 66.7% in females and 74.4% in males (overall accuracy = 71.6%).
Conclusion: The current study of CT guided morphometry of maxillary sinuses may be helpful for the Otolaryngologists during planning of the endoscopic sinus surgery and support to gender determination.
Key words: computed tomographic images, maxillary sinus, measurements.
REFERENCES
- Tambawala SS, Karjodkar FR, Sansare K, Prakash N. Sexual dimorphism of maxillary sinus using cone beam computed tomography. Egypt J Forensic Sci. 2015; 6(2):120–25.
- Ahmed, AzharGh.,Gataa, Ibrahim S., Fateh, Salah M. ,Mohammed, Ghadah N., CT scan images analysis of maxillary sinus dimensions as a forensic tool for sexual and racial detection in a sample of Kurdish population. European Scientific Journal. 2015 ; 11(18): 272-276.
- Souza AD , KV Rajagopal, Ankolekar VH, Souza AD, Kotian SR.Anatomy of maxillary sinus and its ostium: A radiological study using computed tomography. CHRISMED Journal of health and research. 2016; 3(1): 37-40.
- Fernandes CL. Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography. J Laryngol otol 2004;118: 877-81.
- Kim HJ, Yoon HR, Kim KD, Kang MK, Kwak HH, Park HD et al. Personal computer based three dimensional reconstruction and simulation of maxillary sinus. Surg Radiol Anat 2002; 24:393-9.
- Szılvssy J. New methods about the intraserial analysis of the excavation areas. Mitt Berliner GesAnthropEthnolUrgesc 1986;7: 49-62.
- 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.
- Fernandes CL. Forensic ethnic identification of crania. Therole of the maxillary sinus- a new approach. Am J ForensicMed Pathol 2004;25:302-13.
- V. Text book of anatomy: Head,Neck and Brain, volume III, 2nd. ed, ELSEVIER Publishers, New Delhi. 2014. P 261-262.
- Datta A.K. Essentials of Human Anatomy (Head and Neck), 4th Kolkata: Current Books International Publishers; 2000. p. 271.
- Amusa YB, Eziyi JA, Akinlade O, Famurewa OC, Adewole SA, Nwoha PU, et al. Volumetric measurements and anatomical variants of paranasal sinuses of Africans (Nigerians) using dry crania. Int J Med Med Sci 2011; 3: 299-303.
- Teke HY, Duran S, Canturk N, Canturk G. Determination of gender by measuring the size of the maxillary sinuses in CT scans. Surg Radiol Anat 2007;29: 9-13.
- Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC, et al. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 40th.ed. New York, NY: Churchill Livingstone; 2008. p. 547‑60.
- Hamdy RM, Abdel‑Wahed N. Three‑dimensional linear and volumetric analysis of maxillary sinus pneumatization. J Adv Re 2014;5: 387‑95.
- Ali A, Kurien M, Selvaraj KG. Correlation of the ethmoid infundibulum to the medial orbital wall in maxillary sinus hypoplasia: “Infundibular lateralization” a diagnostic CT finding. Ear Nose Throat J 2007;86: 744‑7.
- Van den Bergh JP, ten Bruggenkate CM, Disch FJ, Tuinzing DB. Anatomical aspects of sinus floor elevations. Clin Oral Implants Res 2000;11: 256‑65.
- Karakas S, Kavakli A. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med 2005;25: 41‑5.
- Miller AJ, Amedee RG. Functional anatomy of the paranasal sinuses. J La State Med Soc 1997;149: 85‑90.
- Amedee R. Sinus anatomy and function. In: Bailey BJ, editor. Head and Neck Surgery Otolaryngology. Vol. 1. Philadelphia: J.B. Lippincott Company; 1993. p. 342‑9.
- Prasanna LC, Mamatha H. The location of maxillary sinus ostium and its clinical application. Indian J Otolaryngol Head Neck Surg 2010;62: 335‑7.
- Uthman AT, Al‑Rawi NH, Al‑Naaimi AS, Al‑Timimi JF. Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. J Forensic Sci 2011; 56: 403‑8.
- Lakshmi N. Kiruba, Chandni Gupta, Sandeep Kumar, Antony S. D’Souza. Study of
- morphometric evaluation of the maxillary sinuses in normal subjects using computer tomography images. Arch Med Health Sci 2014; 2:12-15.