The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement

Objective: This study aims to investigate the relationship of the persistence of metopic suture (PMS), frontal sinus volume (FSV), and olfactory fossa depth (OFD). Methods: Tomography scans of 1,603 patients aged 18-65 years were evaluated for the presence of PMS. In the study, 74 PMS cases and 74...

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Main Authors: Başak Atalay, Mehmet Bilgin Eser
Format: Article
Language:English
Published: Galenos Publishing House 2021-12-01
Series:Medeniyet Medical Journal
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Online Access:https://medeniyetmedicaljournal.org/jvi.aspx?pdir=medeniyet&plng=eng&un=MEDJ-36306&look4=
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author Başak Atalay
Mehmet Bilgin Eser
author_facet Başak Atalay
Mehmet Bilgin Eser
author_sort Başak Atalay
collection DOAJ
description Objective: This study aims to investigate the relationship of the persistence of metopic suture (PMS), frontal sinus volume (FSV), and olfactory fossa depth (OFD). Methods: Tomography scans of 1,603 patients aged 18-65 years were evaluated for the presence of PMS. In the study, 74 PMS cases and 74 controls were included. The appearance of each individual’s frontal sinus was classified as aplasia, hypoplasia, or normal. Two observers independently measured the lateral lamella length (LLL), OFD, and FSV. Interobserver agreement was evaluated with the intraclass correlation coefficient (ICC) and Cohen’s kappa coefficient (κ). Results: The prevalence of PMS was found to be 4.99% [95% confidence interval (CI): 4.03-6.17]. The PMS group had five times higher hypoplasia/aplasia than the controls (52.70%, 95% CI: 41.48-63.66 and 10.81%, 95% CI: 5.58-19.91, respectively; p<0.001). An “almost perfect” agreement was detected among observers for the frontal sinus appearance classification: κ=0.807, p<0.001. The ICC of continuous measurements for OFD, LLL, and FSV, respectively, presented “excellent” reliability: 0.956, 0.958, and 0.981, with p<0.001 for each. LLL was shorter, OFD was shallower, and FSV was smaller in the PMS group than the control group (p<0.001). There was a moderate positive correlation between OFD, LLL, and FSV (r=0.306, r=0.302). Conclusions: This study interprets that the presence of PMS is related frontal sinus development and volume. With PMS, a smaller FS, shorter lateral lamella, and shallower olfactory fossa may be expected.
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spelling doaj-art-dfb2aaf05ba348629e99aa234c885b762025-02-02T05:04:49ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062021-12-0136428729310.4274/MMJ.galenos.2021.36306The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume MeasurementBaşak Atalay0https://orcid.org/0000-0003-3318-3555Mehmet Bilgin Eser1https://orcid.org/0000-0003-2490-9449Istanbul Medeniyet University Faculty of Medicine, Department of Radiology, Istanbul, TurkeyIstanbul Medeniyet University Faculty of Medicine, Department of Radiology, Istanbul, TurkeyObjective: This study aims to investigate the relationship of the persistence of metopic suture (PMS), frontal sinus volume (FSV), and olfactory fossa depth (OFD). Methods: Tomography scans of 1,603 patients aged 18-65 years were evaluated for the presence of PMS. In the study, 74 PMS cases and 74 controls were included. The appearance of each individual’s frontal sinus was classified as aplasia, hypoplasia, or normal. Two observers independently measured the lateral lamella length (LLL), OFD, and FSV. Interobserver agreement was evaluated with the intraclass correlation coefficient (ICC) and Cohen’s kappa coefficient (κ). Results: The prevalence of PMS was found to be 4.99% [95% confidence interval (CI): 4.03-6.17]. The PMS group had five times higher hypoplasia/aplasia than the controls (52.70%, 95% CI: 41.48-63.66 and 10.81%, 95% CI: 5.58-19.91, respectively; p<0.001). An “almost perfect” agreement was detected among observers for the frontal sinus appearance classification: κ=0.807, p<0.001. The ICC of continuous measurements for OFD, LLL, and FSV, respectively, presented “excellent” reliability: 0.956, 0.958, and 0.981, with p<0.001 for each. LLL was shorter, OFD was shallower, and FSV was smaller in the PMS group than the control group (p<0.001). There was a moderate positive correlation between OFD, LLL, and FSV (r=0.306, r=0.302). Conclusions: This study interprets that the presence of PMS is related frontal sinus development and volume. With PMS, a smaller FS, shorter lateral lamella, and shallower olfactory fossa may be expected.https://medeniyetmedicaljournal.org/jvi.aspx?pdir=medeniyet&plng=eng&un=MEDJ-36306&look4=metopic suturecomputed tomography3d imagingfrontal sinusolfactory groove
spellingShingle Başak Atalay
Mehmet Bilgin Eser
The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
Medeniyet Medical Journal
metopic suture
computed tomography
3d imaging
frontal sinus
olfactory groove
title The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
title_full The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
title_fullStr The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
title_full_unstemmed The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
title_short The Relation Between the Metopic Suture Persistence and Frontal Sinus Volume and Olfactory Fossa Depth: A Reliability Study with Semiautomatic Volume Measurement
title_sort relation between the metopic suture persistence and frontal sinus volume and olfactory fossa depth a reliability study with semiautomatic volume measurement
topic metopic suture
computed tomography
3d imaging
frontal sinus
olfactory groove
url https://medeniyetmedicaljournal.org/jvi.aspx?pdir=medeniyet&plng=eng&un=MEDJ-36306&look4=
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