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Oliveira MBCRD, Marañón-Vásquez GA, Madalena IR, Paddenberg-Schubert E, Beisel-Memmert S, Lepri CP, Schroder ÂGD, Proof P, Kirschneck C, Küchler EC, Meneze-Oliveira MAHD. Analysis of Frontal Sinus Dimensions According to the Skeletal Malocclusion in German Teenagers. Braz Dent J 2024; 35:e245964. [PMID: 40136130 PMCID: PMC11653665 DOI: 10.1590/0103-644020245964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 09/12/2024] [Indexed: 03/27/2025] Open
Abstract
The present study explored the association between the craniofacial sagittal skeletal patterns and frontal sinus dimensions in Germans. This cross-sectional study included orthodontic patients with age ranging from 11 to 18 (80 males, 82 females). Lateral cephalograms were used in the cephalometric and frontal sinus analysis. Cephalometric analysis was performed to measure SNA, SNB and ANB angles. Frontal sinus measurements were performed to obtain the frontal sinus height, antero-posterior dimension and frontal sinus lateral projection area. The frontal sinus dimensions were compared between genders with Mann Withney test. Kruskal Wallis and Dunn's post-hoc tests were used to compare the mean differences between the skeletal malocclusions. Spearman's correlation test and linear regression model were also performed. Statistical significance was set at 5%. Regarding skeletal malocclusion, 71 patients presented class I, 81 class II and 10 class III skeletal malocclusion. The frontal sinus height (p=0.009), frontal sinus antero-posterior dimension (p=0.001) and frontal sinus lateral projection area (p=0.007) were bigger in males than in females. The frontal sinus antero-posterior dimension was significantly greater in the class III when compared to the class I (p=0.010) and class II (p=0.027). Frontal sinus lateral projection area was also bigger in class III than class I (p=0.039). In the linear regression model a significant association was observed between frontal sinus lateral projection area and class III (skeletal class I as a reference). In conclusion, our result suggests that the frontal sinus lateral projection area might present morphometric differences in German teenagers with skeletal class III malocclusion.
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Affiliation(s)
| | | | | | | | | | - César Penazzo Lepri
- Department of Biomaterials, University of Uberaba, Uberaba, Minas Gerais, Brazil
| | | | - Peter Proof
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
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Küchler EC, de Oliveira MBCR, Madalena IR, Kirschneck C, Beisel-Memmert S, de Oliveira DSB, Schroder ÂGD, Lepri CP, de Menezes-Oliveira MAH, Marañón-Vásquez GA. Is There Variation in the Morphology of the Frontal Sinus in Individuals with Different Craniofacial Patterns? A Systematic Review with Meta-Analysis. Dent J (Basel) 2024; 12:143. [PMID: 38786541 PMCID: PMC11119789 DOI: 10.3390/dj12050143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Revised: 05/06/2024] [Accepted: 05/10/2024] [Indexed: 05/25/2024] Open
Abstract
To evaluate differences in the morphology of the frontal sinus in adolescents and adults with different craniofacial patterns, searches up to April 2024 were conducted in six databases and other information sources to identify observational studies. Study selection, data extraction, and quality assessment using the NOS scale were performed independently by two reviewers. Random effects meta-analyses were conducted to estimate the difference in frontal sinus measurements between different craniofacial skeletal patterns (α = 0.05). The certainty of the evidence was evaluated according to GRADE. Fourteen studies were included in the review. All studies had methodological limitations that affected their quality. The syntheses showed that skeletal Class II subjects presented a significantly smaller width of the frontal sinus than skeletal Class I subjects (MD = 0.56; 95% CI: 0.38, 0.74; p < 0.0001; I2 = 3%). Skeletal Class III subjects showed a frontal sinus width (MD = -0.91; 95% CI: -1.35, -0.47; p < 0.0001; I2 = 36%) and area (MD = -28.13; 95% CI: -49.03, -7.23; p = 0.0084; I2 = 66%) significantly larger than those of the skeletal Class I subjects. The available evidence suggests a positive relationship between mandibular and frontal sinus size. There is limited evidence to make reliable estimates of the association of other craniofacial patterns and frontal sinus characteristics. These reported results are not conclusive and should be evaluated carefully due to the very low certainty of the evidence. The current evidence is scarce and consists of studies with methodological limitations; the results of the studies are often inconsistent, and the pooled estimates are imprecise. New high-quality research is still necessary.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany; (C.K.); (S.B.-M.)
| | | | - Isabela Ribeiro Madalena
- Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil; (M.B.C.R.d.O.); (I.R.M.); (C.P.L.); (M.A.H.d.M.-O.)
- School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei 36307-251, MG, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany; (C.K.); (S.B.-M.)
| | - Svenja Beisel-Memmert
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany; (C.K.); (S.B.-M.)
| | | | | | - César Penazzo Lepri
- Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil; (M.B.C.R.d.O.); (I.R.M.); (C.P.L.); (M.A.H.d.M.-O.)
| | | | - Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 77402-970, SP, Brazil;
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Algahefi AL, Alak'hali MS, Halboub E, Tong F, Almashraqi AA, ghaleb LH, Zhihua L, Alhammadi MS. The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis. Heliyon 2024; 10:e24200. [PMID: 38293353 PMCID: PMC10824763 DOI: 10.1016/j.heliyon.2024.e24200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 12/19/2023] [Accepted: 01/04/2024] [Indexed: 02/01/2024] Open
Abstract
Objective The goal of this systematic review and meta-analysis was to assess whether the dimensions of the frontal air sinus correlate with skeletal malocclusion. Study selection PubMed, Scopus, Embase, and Google Scholar were searched for relevant studies published up to May 23, 2023. The review included observational and retrospective studies that compared the dimensions of the frontal air sinus between different skeletal malocclusions. The PECOS method was used in this study ("Population, Exposure, Comparator, Outcome, and Study design"). The search was done using the following English keywords: "frontal sinus" OR "lateral cephalometric" OR "malocclusion" AND "surface area". Results Seven studies were included, which involved 1101 participants, of whom 403 were class I, 375 were class II, and 323 were class III. These studies had a moderate risk of bias. The surface area of the frontal sinus in class III was significantly larger than in class I (standardized difference in means (SDM) = -0.971; 95 % CI = -1.147- -0.796; P < 0.001) and in class II (SDM = -1.535; 95 % CI = -1.732- -1.337; P < 0.001). Conclusion Class III malocclusion is associated with a larger surface area of the frontal sinus compared to classes I and II.
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Affiliation(s)
- Ahmed lotf Algahefi
- School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China
- Faculty of Dentistry, Ibb University, Ibb, Republic of Yemen
| | | | - Esam Halboub
- College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Fei Tong
- School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China
| | - Abeer A. Almashraqi
- Department of Pre-Clinical Oral Health Sciences, College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | | | - Li Zhihua
- School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China
| | - Maged S. Alhammadi
- Orthodontics and Dentofacial Orthopedics, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Saudi Arabia
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Albarakani AY, Zheng BW, Hong J, Al-Somairi MAA, Abdulqader AA, Liu Y. A comparison of maxillary sinus diameters in Chinese and Yemeni patients with skeletal malocclusion. BMC Oral Health 2022; 22:582. [PMID: 36494727 PMCID: PMC9733360 DOI: 10.1186/s12903-022-02633-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 11/29/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND This study aimed to compare the maxillary sinus dimensions and surface area in accordance with skeletal malocclusion, gender and ethnicity factors in a sample of Chinese and Yemeni patients. METHODS This cross-sectional study analysed 180 maxillary sinuses using 180 lateral cephalometric radiographs. The patients were subdivided into two ethnic groups: Chinese and Yemeni. Each ethnic group comprised 90 patients, and men and women were divided equally. Each ethnic group was classified into three skeletal classes using ANB and Wits appraisal (skeletal Classes I, II and III). Pearson's correlation coefficient was also used to assess the relationship between maxillary sinus dimensions and cephalometric parameters. RESULTS Men had larger maxillary sinuses than women; skeletal Class II had a higher length and surface area increase than other skeletal classes, although skeletal Classes I and II were almost equal in height. Except for the maxillary sinus length, none of these findings were statistically significant. The maxillary sinuses in Chinese are larger than those in Yemenis (P = 0.000). These variables were positively correlated with SNA, SNB and Co-A. The maxillary sinus length and Co-Gn were positively correlated. The NA-APO and NA-FH angles were also correlated with the maxillary sinus surface area. However, the gonial and GoGn-Sn angles negatively affected the maxillary sinus dimension and surface area. CONCLUSIONS Men had larger maxillary sinuses than women in both ethnic groups, and Chinese individuals had larger maxillary sinuses than Yemenis. Skeletal Class II malocclusion of both ethnicities had larger maxillary sinus dimensions. Furthermore, the maxillary sinus dimensions correlated with cephalometric parameters.
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Affiliation(s)
- Abduljabbar Yahya Albarakani
- grid.412449.e0000 0000 9678 1884Department of Orthodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002 China
| | - Bo-wen Zheng
- grid.412449.e0000 0000 9678 1884Department of Orthodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002 China
| | - Jialin Hong
- grid.412449.e0000 0000 9678 1884Department of Orthodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002 China
| | - Majedh Abdo Ali Al-Somairi
- grid.412449.e0000 0000 9678 1884Department of Orthodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002 China ,grid.444909.4Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Ibb University, Ibb, Republic of Yemen
| | - Abass Ahmed Abdulqader
- grid.13291.380000 0001 0807 1581Department of Orthodontics, West China School of Stomatology, Sichuan University, Chengdu, Sichuan China
| | - Yi Liu
- grid.412449.e0000 0000 9678 1884Department of Orthodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, 110002 China
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