Correlation between frontal sinus dimensions and cephalometric indices: A cross-sectional study

ABSTRACT

Objective: Growth prediction plays a significant role in accurate diagnosis and treatment planning of orthodontics patients. It was hypothesized that the unique pattern of pneumatization of the frontal sinus as a component of craniofacial structure would influence the skeletal growth pattern and may be used as a growth predictor. Materials and Methods: A total of 144 subjects (78 females and 66 males) with a mean age of 19.26 ± 4.66 years were included in this retrospective study. Posterior-anterior and lateral cephalograms (LCs) were used to measure the frontal sinus dimensions. The skeletal growth pattern and relations of craniofacial structures were analyzed on LC using variables for sagittal and vertical analyses. Correlation between the frontal sinus dimensions and cephalometric indices was assessed by the Pearson's correlation coefficient. Results: The SN-FH and SNA angles had significant associations with frontal sinus dimensions in all enrolled subjects (P < 0.05). In males, the SN-FH, sum of posterior angles, Pal-SN, and Jarabak index were significantly associated with the size of frontal sinus (P < 0.05). In females, the associations of SN-FH and gonial angles with frontal sinus dimensions were significant (P < 0.05). Conclusion: The results show that larger size of frontal sinus was associated with reduced inclination of the anterior cranial base, increased anterior facial height (in males), and increased gonial angle (in females) in the study population.

Key words:

Analysis - anatomic variation - cephalometry - frontal sinus - radiography

• REFERENCES

• 1 Turchetta BJ, Fishman LS, Subtelny JD. Facial growth prediction: A comparison of methodologies. Am J Orthod Dentofacial Orthop 2007; 132: 439-49
• 2 Oueis H, Ono Y, Takagi Y. Prediction of mandibular growth in Japanese children age 4 to 9 years. Pediatr Dent 2002; 24: 264-8
• 3 Aki T, Nanda RS, Currier GF, Nanda SK. Assessment of symphysis morphology as a predictor of the direction of mandibular growth. Am J Orthod Dentofacial Orthop 1994; 106: 60-9
• 4 Collin-Osdoby P, Rothe L, Anderson F, Nelson M, Maloney W, Osdoby P. Receptor activator of NF-kappa B and osteoprotegerin expression by human microvascular endothelial cells, regulation by inflammatory cytokines, and role in human osteoclastogenesis. J Biol Chem 2001; 276: 20659-72
• 5 Rossouw PE, Lombard CJ, Harris AM. The frontal sinus and mandibular growth prediction. Am J Orthod Dentofacial Orthop 1991; 100: 542-6
• 6 Singer CP, Mamandras AH, Hunter WS. The depth of the mandibular antegonial notch as an indicator of mandibular growth potential. Am J Orthod Dentofacial Orthop 1987; 91: 117-24
• 7 Lambrechts AH, Harris AM, Rossouw PE, Stander I. Dimensional differences in the craniofacial morphologies of groups with deep and shallow mandibular antegonial notching. Angle Orthod 1996; 66: 265-72
• 8 Huggare J. The first cervical vertebra as an indicator of mandibular growth. Eur J Orthod 1989; 11: 10-6
• 9 Chaiyasate S, Baron I, Clement P. Analysis of paranasal sinus development and anatomical variations: A CT genetic study in twins. Clin Otolaryngol 2007; 32: 93-7
• 10 Blaney SP. Why paranasal sinuses?. J Laryngol Otol 1990; 104: 690-3
• 11 Chanson P, Salenave S. Acromegaly. Orphanet J Rare Dis 2008; 3-17
• 12 Prashar A, Sharma VP, Singh G, Singh GP, Sharma N, Singh H. A cephalometric study of frontal sinus and its relation with craniofacial patterns. Indian J Dent Sci 2012; 4: 4-8
• 13 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: 491-7
• 14 Gagliardi A, Winning T, Kaidonis J, Hughes T, Townsend GC. Association of frontal sinus development with somatic and skeletal maturation in Aboriginal Australians: A longitudinal study. Homo 2004; 55: 39-52
• 15 Guevara YV, Watanabe N, Yamaki M, Saito I. The frontal sinus enlargement as an indicator of growth maturity in Class III patients – A pilot study. Int J Med Sci Public Health 2013; 2: 451-5
• 16 Yoshino M, Miyasaka S, Sato H, Seta S. Classification system of frontal sinus patterns by radiography. Its application to identification of unknown skeletal remains. Forensic Sci Int 1987; 34: 289-99
• 17 Hanson CL, Owsley DW. Frontal sinus size in Eskimo populations. Am J Phys Anthropol 1980; 53: 251-5
• 18 Santana L, Guadagnin R, Reis CL, Cavalcante J, Júnior E, Neves RD. Area evaluation using image processing tools: An applied study to pressure ulcer monitoring. Pattern Recognit Image Anal 2010; 20: 220-4
• 19 Rakosi T, Jonas I, Graber TM. Orthodontic Diagnosis. Foreword by Moyers RE. [Translation by Reule-Giles Dental Service]. Stuttgart, New Yorkpubloc: G. Thieme Verlag, Thieme Medical Publishame; 1993: 179-205
• 20 Sadler TW, Langman J. Langman's Essential Medical Embryology. 1. Pladelphia: Lippincott Williams & Wilkins; 2004: 176
• 21 Szilvássy J. Development of the frontal sinuses. Anthropol Anz 1981; 39: 138-49
• 22 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: 988-94
• 23 Schuller A. Note on the identification of skulls by X-ray pictures of the frontal sinuses. Med J Aust 1943; 1: 554-6
• 24 Dolan KD. Paranasal sinus radiology, part IA: Introduction and the frontal sinuses. Head Neck Surg 1982; 4: 301-11
• 25 Harris AM, Wood RE, Nortjé CJ, Thomas CJ. The frontal sinus: Forensic fingerprint? A pilot study. J Forensic Odontostomatol 1987; 5: 9-15
• 26 Pondé JM, Metzger P, Amaral G, Machado M, Prandini M. Anatomic variations of the frontal sinus. Minim Invasive Neurosurg 2003; 46: 29-32
• 27 Tehranchi A, Saedi S, Motamedian SR, Rohani K. Radiographic evaluation of frontal sinus dimensions and anatomic variations. Br J Med Med Res 2015; 8: 454-62