Abstract:The aim of this retrospective research is to compare frontal sinus dimensions in skeletal Class I, skeletal Class II, and skeletal Class III individuals and to evaluate the relationship of these dimensions with anterior skull base length and some cephalometric values.
Materials and MethodsIn this research, we used lateral cephalometric radiographs of 60 people aged 17 to 25. In individuals with skeletal Class I malocclusion, skeletal Class II malocclusion due to mandibular insufficiency, and skeletal Class III… Show more
“…They were conducted in six nations, with India having the highest number (n = 3) 23,24,35 . The rest of the studies were carried out in Iran [ 13 ], Nepal [ 35 ], Yemen [ 26 ], China [ 26 ], and Turkey [ 36 ]. There was a total of 1101 participants, who were examined with cephalometric X-rays and had different skeletal malocclusions.…”
Section: Resultsmentioning
confidence: 99%
“…The age range was 15–30 years. The majority of subjects in the studies were selected from universities (n = 5) [ 13 , 23 , 24 , 35 , 36 ] and hospitals (n = 1) [ 26 ]. Only one study did not include the location of recruitment [ 37 ].…”
Section: Resultsmentioning
confidence: 99%
“… Skeletal Class I 65 Skeletal Class II 50 Skeletal Class III 30 Skeletal Class I 20 Skeletal Class II 20 Skeletal Class III 20 Measurements of the frontal sinus's surface area, width and length on lateral cephalometric radiographs with Winceph version 8.0 software Compared to skeletal class I and class II malocclusions, the frontal air sinus surface area was much larger in skeletal class III malocclusions. Tunca M et al [ 36 ] Turkey 2022 Comparative retrospective study Male-Female 17 to 25 In total, 60 patients Skeletal Class I 20 Skeletal Class II 20 Skeletal Class III 20 Measurements of the frontal sinus's surface area, width and length on lateral cephalometric radiographs with NemoCeph NX 2005 software The length and height of the frontal sinus were found to be greater in skeletal Class III people than in skeletal Class I and skeletal Class II people, which may be a sign of the mandibular potential growth still present. …”
Section: Resultsmentioning
confidence: 99%
“…Most prior investigations have measured the morphological alterations of the paranasal sinuses using 2-dimensional conventional radiography [ 13 , 24 ]. Of the few articles identifying the morphological change of the frontal sinus surface area in the different types of skeletal malocclusion, we included only studies that used cephalometric radiographs to measure the difference in the frontal sinus surface area in different skeletal malocclusions [ 13 , 23 , 24 , 26 , [37] , [35] , [36] ].…”
Section: Discussionmentioning
confidence: 99%
“…Most of the included articles in this study demonstrated that the frontal surface area was larger in class-III skeletal malocclusion [ 13 , 23 , 26 , [37] , [35] , [36] ]. Besides what has been already mentioned above, this result may be attributed to the lack of anterior occlusion in class-III skeletal malocclusion, leading to a lack of transmission of mastication force to the frontal sinus area.…”
“…They were conducted in six nations, with India having the highest number (n = 3) 23,24,35 . The rest of the studies were carried out in Iran [ 13 ], Nepal [ 35 ], Yemen [ 26 ], China [ 26 ], and Turkey [ 36 ]. There was a total of 1101 participants, who were examined with cephalometric X-rays and had different skeletal malocclusions.…”
Section: Resultsmentioning
confidence: 99%
“…The age range was 15–30 years. The majority of subjects in the studies were selected from universities (n = 5) [ 13 , 23 , 24 , 35 , 36 ] and hospitals (n = 1) [ 26 ]. Only one study did not include the location of recruitment [ 37 ].…”
Section: Resultsmentioning
confidence: 99%
“… Skeletal Class I 65 Skeletal Class II 50 Skeletal Class III 30 Skeletal Class I 20 Skeletal Class II 20 Skeletal Class III 20 Measurements of the frontal sinus's surface area, width and length on lateral cephalometric radiographs with Winceph version 8.0 software Compared to skeletal class I and class II malocclusions, the frontal air sinus surface area was much larger in skeletal class III malocclusions. Tunca M et al [ 36 ] Turkey 2022 Comparative retrospective study Male-Female 17 to 25 In total, 60 patients Skeletal Class I 20 Skeletal Class II 20 Skeletal Class III 20 Measurements of the frontal sinus's surface area, width and length on lateral cephalometric radiographs with NemoCeph NX 2005 software The length and height of the frontal sinus were found to be greater in skeletal Class III people than in skeletal Class I and skeletal Class II people, which may be a sign of the mandibular potential growth still present. …”
Section: Resultsmentioning
confidence: 99%
“…Most prior investigations have measured the morphological alterations of the paranasal sinuses using 2-dimensional conventional radiography [ 13 , 24 ]. Of the few articles identifying the morphological change of the frontal sinus surface area in the different types of skeletal malocclusion, we included only studies that used cephalometric radiographs to measure the difference in the frontal sinus surface area in different skeletal malocclusions [ 13 , 23 , 24 , 26 , [37] , [35] , [36] ].…”
Section: Discussionmentioning
confidence: 99%
“…Most of the included articles in this study demonstrated that the frontal surface area was larger in class-III skeletal malocclusion [ 13 , 23 , 26 , [37] , [35] , [36] ]. Besides what has been already mentioned above, this result may be attributed to the lack of anterior occlusion in class-III skeletal malocclusion, leading to a lack of transmission of mastication force to the frontal sinus area.…”
Background
The lateral profile is an important indicator of facial attractiveness. This study explored the general characteristics of the forehead profile and protrusion, and their relationship with related factors in structure and development.
Methods
Four hundred fourteen Chinese participants in the Yangtze River Delta region were involved. Including 206 males (17.15 ± 7.68 years old) and 208 females (18.35 ± 8.06 years old); 94 children (8.54 ± 2.21 years old, ranging from 4 to 12 years old), 166 adolescents (14.83 ± 1.50 years old, ranging from 13 to 17 years old), and 154 adults (25.52 ± 4.89, 18 years or older). The frontal section of the forehead was used to explore its shape. The straight distance between the vertical line of the FH plane through the nasal root point and its parallel line, which is tangential to the forehead, indicates the forehead prominence. Frontal sinus width was measured using the method described by Mahmood.
Results
The general shape of the forehead was straight and slightly bulged near the eyebrow arch in males but rounder in females. The average forehead protrusion in males was higher than that in females in adults. Significant differences in forehead protrusion between the dentoskeletal classifications and growth phases were notable. Frontal protrusion significantly correlated with frontal sinus depth, especially in males, adults, Class I, and those whose convex points were located in the lower section of the forehead.
Conclusions
Age, race, and sex affect the forehead protrusion and frontal sinus width. Forehead protrusion may be an indicator of dentoskeletal deformities in the early stage. And dentoskeletal deformities may impair the correlation between the frontal sinuses and forehead protrusion during development.
Trial registration
This retrospective, cross-sectional study was reviewed and approved by the Research Ethical Committee (T2020008), and registered at ClinicalTrial.gov with an identified number (ChiCTR2100041913).
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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