Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions

BACKGROUND: On every patient’s lateral cephalogram, the frontal and maxillary sinuses are the most often seen paranasal sinuses. Impacted teeth alter the morphology of the frontal and maxillary sinuses. Consequently, it has an impact on the patient’s look and occlusion. OBJECTIVE: To determine the m...

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Main Authors: Hafiz Zuhair Ahmed, Irfan Qamruddin, Hina Siddiqui, Sooraj Lohana, Sohail Khan, Sunia Soomar, Hunny, Afreen Panjwani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-03-01
Series:Journal of Orthodontic Science
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Online Access:https://journals.lww.com/10.4103/jos.jos_215_23
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author Hafiz Zuhair Ahmed
Irfan Qamruddin
Hina Siddiqui
Sooraj Lohana
Sohail Khan
Sunia Soomar
Hunny
Afreen Panjwani
author_facet Hafiz Zuhair Ahmed
Irfan Qamruddin
Hina Siddiqui
Sooraj Lohana
Sohail Khan
Sunia Soomar
Hunny
Afreen Panjwani
author_sort Hafiz Zuhair Ahmed
collection DOAJ
description BACKGROUND: On every patient’s lateral cephalogram, the frontal and maxillary sinuses are the most often seen paranasal sinuses. Impacted teeth alter the morphology of the frontal and maxillary sinuses. Consequently, it has an impact on the patient’s look and occlusion. OBJECTIVE: To determine the mean height, width, and index of maxillary and frontal sinuses and compare them among high, average, and low-angle patients underwent orthodontic treatment. MATERIAL AND METHODS: A total of 192 cephalometric radiographs of patients who presented with malalignment of teeth having high, average, and low angles and underwent orthodontic treatment were selected. On radiograph, frontal sinus, maxillary sinus, and cephalometric landmarks were traced. Patients were divided into different classes of skeletal vertical malocclusion. The morphology of maxillary and frontal sinuses on lateral cephalogram was measured. Means ± SDs of the quantitative variable were calculated. ANOVA test was applied to compare maxillary and frontal sinus heights, widths, and indexes between high-angle, average-angle, and low-angle patients. RESULTS: The mean ± SD of height, width, and index of frontal sinus was 30.41 ± 2.59, 10.81 ± 1.53, and 3.44 ± 0.68, respectively, while these findings for maxillary sinus were 40.09 ± 2.36, 36.33 ± 3.38, and 1.11 ± 0.07, respectively. The mean frontal sinus width was significantly different among profile angles (P < 0.001), while the mean maxillary sinus width, mean maxillary sinus width, and mean maxillary sinus index were significantly different among profile angles with P < 0.001. CONCLUSION: In comparison to high- and low-angle profiles, the frontal sinus width was greater in the average angle profile. The average width, breadth, and index in the maxillary sinus varied statistically between different angle profiles. In comparison to high- and low-angle profiles, the height, width, and index of the maxillary sinus were all higher in the average angle profile.
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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-d2b8d2fea2e9442d89bf9c0b19b1d9f32025-08-20T02:25:25ZengWolters Kluwer Medknow PublicationsJournal of Orthodontic Science2278-18972278-02032025-03-011415510.4103/jos.jos_215_23Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusionsHafiz Zuhair AhmedIrfan QamruddinHina SiddiquiSooraj LohanaSohail KhanSunia SoomarHunnyAfreen PanjwaniBACKGROUND: On every patient’s lateral cephalogram, the frontal and maxillary sinuses are the most often seen paranasal sinuses. Impacted teeth alter the morphology of the frontal and maxillary sinuses. Consequently, it has an impact on the patient’s look and occlusion. OBJECTIVE: To determine the mean height, width, and index of maxillary and frontal sinuses and compare them among high, average, and low-angle patients underwent orthodontic treatment. MATERIAL AND METHODS: A total of 192 cephalometric radiographs of patients who presented with malalignment of teeth having high, average, and low angles and underwent orthodontic treatment were selected. On radiograph, frontal sinus, maxillary sinus, and cephalometric landmarks were traced. Patients were divided into different classes of skeletal vertical malocclusion. The morphology of maxillary and frontal sinuses on lateral cephalogram was measured. Means ± SDs of the quantitative variable were calculated. ANOVA test was applied to compare maxillary and frontal sinus heights, widths, and indexes between high-angle, average-angle, and low-angle patients. RESULTS: The mean ± SD of height, width, and index of frontal sinus was 30.41 ± 2.59, 10.81 ± 1.53, and 3.44 ± 0.68, respectively, while these findings for maxillary sinus were 40.09 ± 2.36, 36.33 ± 3.38, and 1.11 ± 0.07, respectively. The mean frontal sinus width was significantly different among profile angles (P < 0.001), while the mean maxillary sinus width, mean maxillary sinus width, and mean maxillary sinus index were significantly different among profile angles with P < 0.001. CONCLUSION: In comparison to high- and low-angle profiles, the frontal sinus width was greater in the average angle profile. The average width, breadth, and index in the maxillary sinus varied statistically between different angle profiles. In comparison to high- and low-angle profiles, the height, width, and index of the maxillary sinus were all higher in the average angle profile.https://journals.lww.com/10.4103/jos.jos_215_23angleaveragefrontal sinusheightwidthindexlowmaxillary sinus
spellingShingle Hafiz Zuhair Ahmed
Irfan Qamruddin
Hina Siddiqui
Sooraj Lohana
Sohail Khan
Sunia Soomar
Hunny
Afreen Panjwani
Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
Journal of Orthodontic Science
angle
average
frontal sinus
height
width
index
low
maxillary sinus
title Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
title_full Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
title_fullStr Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
title_full_unstemmed Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
title_short Morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
title_sort morphology of maxillary and frontal sinuses in different skeletal vertical malocclusions
topic angle
average
frontal sinus
height
width
index
low
maxillary sinus
url https://journals.lww.com/10.4103/jos.jos_215_23
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