open access
The relationship between frontal sinus morphology and skeletal maturation
Affiliations- Department of Orthodontics, Faculty of Dentisty, Ordu University, Ordu, Turkey
- Department of Paediatric Dentistry, Faculty of Dentistry, Ordu University, Ordu, Turkey, Türkiye
open access
Abstract
Background: The aim of this study is to evaluate the relationship between frontal sinus morphology and hand-wrist bone maturation by using postero-anterior (PA) cephalometric radiographs.
Materials and methods: The study sample consisted of 220 patients divided into 11 groups based on the hand-wrist radiographs. The right and left maximum height, width and area of the frontal sinus parameters were measured in PA cephalometric radiographs of 220 subjects aged 8–18 years. The hand-wrist skeletal maturation stages were evaluated on the hand-wrist radiographs using the method of Fishman. The Kendall tau-b values were analysed to evaluate the correlation between the hand-wrist skeletal maturation stages and the frontal
sinus parameters.
Results: The right and left frontal sinus areas and widths were found to be larger in males than in females (p < 0.05). In males, a significant difference was observed in all frontal sinus parameters in different maturation stages (p < 0.001), while a statistically significant correlation was found in females between the left frontal sinus area, right frontal sinus height, right frontal sinus width and different maturation stages (p < 0.05).
Conclusions: The relationship between frontal sinus dimensions obtained from PA cephalometric radiographs and hand-wrist maturation stages suggests that frontal sinuses can be used in determining growth and development.
Abstract
Background: The aim of this study is to evaluate the relationship between frontal sinus morphology and hand-wrist bone maturation by using postero-anterior (PA) cephalometric radiographs.
Materials and methods: The study sample consisted of 220 patients divided into 11 groups based on the hand-wrist radiographs. The right and left maximum height, width and area of the frontal sinus parameters were measured in PA cephalometric radiographs of 220 subjects aged 8–18 years. The hand-wrist skeletal maturation stages were evaluated on the hand-wrist radiographs using the method of Fishman. The Kendall tau-b values were analysed to evaluate the correlation between the hand-wrist skeletal maturation stages and the frontal
sinus parameters.
Results: The right and left frontal sinus areas and widths were found to be larger in males than in females (p < 0.05). In males, a significant difference was observed in all frontal sinus parameters in different maturation stages (p < 0.001), while a statistically significant correlation was found in females between the left frontal sinus area, right frontal sinus height, right frontal sinus width and different maturation stages (p < 0.05).
Conclusions: The relationship between frontal sinus dimensions obtained from PA cephalometric radiographs and hand-wrist maturation stages suggests that frontal sinuses can be used in determining growth and development.
Keywords
frontal sinus dimension; growth spurt; hand-wrist radiographs
About this articleTitle
The relationship between frontal sinus morphology and skeletal maturation
Journal
Issue
Article type
Original article
Pages
503-508
Published online
2017-12-28
Page views
1493
Article views/downloads
1769
DOI
Pubmed
Bibliographic record
Folia Morphol 2018;77(3):503-508.
Keywords
frontal sinus dimension
growth spurt
hand-wrist radiographs
Authors
S. K. Buyuk
H. Simsek
A. Karaman
References (17)- Brown WA, Molleson TI, Chinn S. Enlargement of the frontal sinus. Ann Hum Biol. 1984; 11(3): 221–226.
- Camacho-Basallo P, Yáñez-Vico RM, Solano-Reina E, et al. Five radiographic methods for assessing skeletal maturity in a Spanish population: is there a correlation? Acta Odontol Scand. 2017; 75(2): 106–112.
- Camargo JR, Daruge E, Prado FB, et al. The frontal sinus morphology in radiographs of Brazilian subjects: its forensic importance. Braz J Morphol Sci. 2007; 24: 239–243.
- Cross DL, McDonald JP. Effect of rapid maxillary expansion on skeletal, dental, and nasal structures: a postero-anterior cephalometric study. Eur J Orthod. 2000; 22(5): 519–528.
- da Silva RF, Prado FB, Caputo IG, et al. The forensic importance of frontal sinus radiographs. J Forensic Leg Med. 2009; 16(1): 18–23.
- Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod. 1982; 52(2): 88–112, doi: 10.1043/0003-3219(1982)052<0088:REOSM>2.0.CO;2.
- Flores-Mir C, Burgess CA, Champney M, et al. Correlation of skeletal maturation stages determined by cervical vertebrae and hand-wrist evaluations. Angle Orthod. 2006; 76(1): 1–5.
- Flores-Mir C, Nebbe B, Major PW. Use of skeletal maturation based on hand-wrist radiographic analysis as a predictor of facial growth: a systematic review. Angle Orthod. 2004; 74(1): 118–124, doi: 10.1043/0003-3219(2004)074<0118:UOSMBO>2.0.CO;2.
- Gagliardi A, Winning T, Kaidonis J, et al. Association of frontal sinus development with somatic and skeletal maturation in Aboriginal Australians: a longitudinal study. Homo. 2004; 55(1-2): 39–52.
- Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod. 1976; 69(6): 611–619.
- Kim DI, Lee UY, Park SO, et al. Identification using frontal sinus by three-dimensional reconstruction from computed tomography. J Forensic Sci. 2013; 58(1): 5–12.
- Kjær I, Pallisgaard C, Brock-Jacobsen MT. Frontal sinus dimensions can differ significantly between individuals within a monozygotic twin pair, indicating environmental influence on sinus sizes. Acta Otolaryngol. 2012; 132(9): 988–994.
- Mahmood HT, Shaikh A, Fida M. Association between frontal sinus morphology and cervical vertebral maturation for the assessment of skeletal maturity. Am J Orthod Dentofacial Orthop. 2016; 150(4): 637–642.
- Rossouw PE, Lombard CJ, Harris AM. The frontal sinus and mandibular growth prediction. Am J Orthod Dentofacial Orthop. 1991; 100(6): 542–546.
- Ruf S, Pancherz H. Development of the frontal sinus in relation to somatic and skeletal maturity. A cephalometric roentgenographic study at puberty. Eur J Orthod. 1996; 18(5): 491–497.
- Trakinienė G, Smailienė D, Kučiauskienė A. Evaluation of skeletal maturity using maxillary canine, mandibular second and third molar calcification stages. Eur J Orthod. 2016; 38(4): 398–403.
- Yun InS, Kim YO, Lee SK, et al. Three-dimensional computed tomographic analysis of frontal sinus in Asians. J Craniofac Surg. 2011; 22(2): 462–467.
