Dental and Medical Problems

Dent. Med. Probl.
Index Copernicus (ICV) – 109.28, MNiSW – 11
Rejection rate – 43.33%
License – Creative Commons: Attribution 3.0 Unported (CC BY 3.0)
ISSN 1644-387X (print),   ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2018, vol. 55, nr 4, October-December, p. 411–417

doi: 10.17219/dmp/99622

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Utility of the morphometry of the maxillary sinuses for gender determination by using computed tomography

Użyteczność morfometrii zatok szczękowych przy użyciu tomografii komputerowej w ustalaniu płci

Suwarna Dangore-Khasbage1,A,B,C,D,E, Rahul Bhowate1,F

1 The Datta Meghe Institute of Medical Sciences, Wardha, India

Abstract

Background. It is impossible to use the routine skeletal parts for gender identification if the skeleton of unknown human remains is obtained in a fragmented and incomplete state. The alternative is to use other parts of the skeleton for gender identification.
Objectives. The objective of this study was to assess the utility of the morphometry of the maxillary sinuses using computed tomography (CT) for gender determination.
Material and Methods. The study, approved by the institutional ethics committee, analyzed CT scans of 200 patients (100 males, 100 females). The measurement of the mediolateral (ML), superoinferior (SI) and anteroposterior (AP) dimensions, as well as of the volume and the antero-lateral (AL) angle of both the maxillary sinuses, was performed using a CT scan. Head circumference and head area were also measured on an axial image in order to evaluate the correlation between the sinus volume and the head circumference and head area.
Results. The mean of the mediolateral, superoinferior and anteroposterior dimensions, volume and AL angle of the right and left maxillary sinuses showed a statistically significant difference between males and females. Head circumference as well as head area were observed to be greater in males than in females, with a statistically significant difference. A positive correlation was observed between the volume of maxillary sinuses and the head circumference and head area on both sides and in both genders; however, it was not significant. Amongst all the parameters, the left AL angle with a 78.5% accuracy was found to be the best discriminative parameter, followed by the right AL angle with a 73% accuracy. The overall accuracy of the maxillary sinus parameters to identify gender was 86%.
Conclusion. The maxillary sinus measurements, as well as head circumference and head area are valuable parameters for sex determination in forensic medicine, with a relatively good accuracy rate. However, the prediction rate can be increased by including the AL angle of the maxillary sinus.

Key words

maxillary sinus, head circumference, head area, gender determination

Słowa kluczowe

zatoka szczękowa, obwód głowy, powierzchnia głowy, ustalanie płci

References (28)

  1. Christensen AM, Passalacqua NV, Bartelink EJ. Forensic Anthropology: Current Methods and Practice. San Diego, CA: Elsevier Academic Press; 2014:199–220.
  2. Deshmukh AG, Deversh DB. Comparison of cranial sex determination by univariate and multivariate analysis. J Anat Soc India. 2006;55:1–5.
  3. Singal K. Significance of radiology forensic identification. ARC J Forensic Sci. 2016;1:21–24.
  4. Teke HY, Duran S, Canturk N, Canturk G. Determination of gender by measuring the size of the maxillary sinuses in computerized tomography scans. Surg Radio Anat. 2007;29:9–13.
  5. Sharma SK, Jehan M, Kumar A. Measurements of maxillary sinus volume and dimensions by computed tomography scan for gender determination. J Anat Soc India. 2014;63:36–42.
  6. Prabhat M, Rai S, Kaur M, Prabhat K, Bhatnagar P, Panjwani S. Computed tomography-based forensic gender determination by measuring the size and volume of the maxillary sinuses. J Forensic Dent Sci. 2016;8:40–46.
  7. Uthman AT, Al-Rawi NH, Al-Naaimi AS, Al-Timimi JF. Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. J Forensic Sci. 2011;56:403–408.
  8. Attia AM, El-Badrawy AM, Shebel HM. Gender identification from maxillary sinus using multi-detector computed tomography. Mansoura J Forensic Med Clin Toxicol. 2012;20:17–28.
  9. Ekizoglu O, Inci E, Hocaoglu E, Sayin I, Kayhan FT, Can IO. The use of maxillary sinus dimensions in gender determination: A thin-slice multi-detector computed tomography-assisted morphometric study. J Craniofac Surg. 2014;25:957–960.
  10. Ahmed A, Gataa AG, Fateh IS, Salah MM Ghadah N. CT scan images analysis of maxillary sinus dimensions as a forensic tool for sexual and racial detection in a sample of Kurdish population. Euro Sci J. 2015;11:271–281.
  11. Saccucci M, Cipriani F, Carderi S, et al. Gender assessment through three-dimensional analysis of maxillary sinuses by means of cone beam computed tomography. Eur Rev Med Pharmacol Sci. 2015;19:185–193.
  12. Dkhar W, Pradhan A, Shajan M. Measurement of different dimension of maxillary and frontal sinus through computed tomography. Online J Health Allied Scs. 2017;16:5.
  13. Paknahad M, Shahidi S, Zarei Z. Sexual dimorphism of maxillary sinus dimensions using cone-beam computed tomography. J Forensic Sci. 2017;62:395–398.
  14. Bangi BB, Ginjupally U, Nadendla LK, Vadla B. 3D evaluation of maxillary sinus using computed tomography: A sexual dimorphic study. Int J Dent. 2017;2017:9017078.
  15. Mansur DI, Haque MK, Sharma K, Mehta DK, Shakya R. Use of head circumference as a predictor of height of individual. Kathmandu Uni Med J. 2014;12:89–92.
  16. Geraedts EJ, Dommelen PV, Caliebe J, et al. Association between head circumference and body size. Horm Res Paediatr. 2011;75:213–219.
  17. Sahlstrand-Johnson P, Jannert M, Strömbeck A, Abul-Kasim K. Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med Imag. 2011;11:8.
  18. Kapusuz GZ, Ozkırış M, Okur A, Karaçavuş S, Saydam L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur Arch Otorhinolaryngol. 2013;270:3069–3073.
  19. Jadia S, Qureshi S, Agrawal S, Singh SG. Effect of deviated nasal septum on maxillary sinus volume and occurrence of sinusitis. Ind J Otolaryngol Head Neck Surgery. 2018. https://doi.org/10.1007/s12070-018-1276-9
  20. Erdem T, Aktas D, Erdem G, Miman MC, Ozturan O. Maxillary sinus hypoplasia. Rhinology. 2002;40:150–153.
  21. Hasan HYA, Prabhu S, Mohammed MA. Hypoplastic maxillary antra. Bahrain Med Bull. 2017;39:150–153.
  22. Kim DI, Lee UY, Park SO, Kwak DS, Han SH. Identification using frontal sinus by three dimensional reconstruction from computed tomography. J Forensic Sci. 2012;58:5–11.
  23. Michel J, Paganeli A, Varoquaux A, et al. Determination of sex: Interest of frontal sinus 3D reconstructions. J Forensic Sci. 2015;60:269–273.
  24. Xavier TA, Sayuri Silveira Dias Terada A, Alves da Silva RH. Forensic application of the frontal and maxillary sinuses: A literature review. J Forensic Radiol Imaging. 2015;3:105–110.
  25. Etemadi S, Seylavi G, Yadegari A. Correlation of the maxillary sinus volume with gender and some of craniofacial indices using cone beam computed tomography. Biosci Biotech Res Comm. 2017;10:580–586.
  26. Krishan K, Chatterjee PM, Kanchan T, Kaur S, Baryah N, Singh RK. A review of sex estimation techniques during examination of skeletal remains in forensic anthropology case work. Forensic Sci Int. 2016;261:165e1–e8.
  27. Urooge A, Patil BA. Sexual dimorphism of maxillary sinus: A morphometric analysis using cone beam computed tomography. J Clin Diag Res. 2017;11:ZC67–ZC70
  28. Kiruba LN, Gupta C, Kumar S, D’Souza AS. A study of morphometric evaluation of the maxillary sinuses in normal subjects using computer tomography images. Arch Med Health Sci. 2014;2:12–15.