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Computed tomography measurements of different dimensions of maxillary and frontal sinuses

Identifieur interne : 003556 ( Ncbi/Merge ); précédent : 003555; suivant : 003557

Computed tomography measurements of different dimensions of maxillary and frontal sinuses

Auteurs : Pernilla Sahlstrand-Johnson [Suède] ; Magnus Jannert [Suède] ; Anita Strömbeck [Suède] ; Kasim Abul-Kasim [Suède]

Source :

RBID : PMC:3080316

Abstract

Background

We have previously proposed the use of Doppler ultrasound to non-invasively stage sinus infection, as we showed that acoustic streaming could be generated in nonpurulent sinus secretions and helped to distinguish it from mucopurulent sinus secretions. In order to continue this development of a clinically applicable Doppler equipment, we need to determine different dimensions of the paranasal sinuses, especially the thickness of the anterior wall of the maxillary sinus (at the canine fossa). To the best of our knowledge, this is the first report on the thickness of the canine fossa. This study aimed to (a) estimate different dimensions of the maxillary and frontal sinuses measured on computed tomography (CT) of the head, (b) define cut-off values for the normal upper and lower limits of the different measured structures, (c) determine differences in age, side and gender, (d) compare manually and automatically estimated maxillary sinuses volumes, and (e) present incidental findings in the paranasal sinuses among the study patients.

Methods

Dimensions of 120 maxillary and frontal sinuses from head CTs were measured independently by two radiologists.

Results

The mean value of the maxillary sinus volume was 15.7 ± 5.3 cm3 and significantly larger in males than in females (P = 0.004). There was no statistically significant correlation between the volume of maxillary sinuses with age or side. The mean value of the bone thickness at the canine fossa was 1.1 ± 0.4 mm. The automatically estimated volume of the maxillary sinuses was 14-17% higher than the calculated volume. There was high interobserver agreement with regard to the different measurements performed in this study. Different types of incidental findings of the paranasal sinuses were found in 35% of the patients.

Conclusion

We presented different dimensions of the maxillary and frontal sinuses on CTs. We believe that our data are necessary for further development of a clinically applicable Doppler equipment for staging rhinosinusitis.


Url:
DOI: 10.1186/1471-2342-11-8
PubMed: 21466703
PubMed Central: 3080316

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PMC:3080316

Le document en format XML

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<name>
<surname>Sahlstrand-Johnson</surname>
<given-names>Pernilla</given-names>
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<email>pernilla.sahlstrand_johnson@med.lu.se</email>
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<contrib contrib-type="author" equal-contrib="yes" id="A2">
<name>
<surname>Jannert</surname>
<given-names>Magnus</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>magnus.jannert@med.lu.se</email>
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<name>
<surname>Strömbeck</surname>
<given-names>Anita</given-names>
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<email>anita.strombeck@skane.se</email>
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<contrib contrib-type="author" equal-contrib="yes" id="A4">
<name>
<surname>Abul-Kasim</surname>
<given-names>Kasim</given-names>
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<aff id="I1">
<label>1</label>
Department of Oto-Rhino-Laryngology, Faculty of Medicine, Lund University, Skåne University Hospital, Malmö, Sweden</aff>
<aff id="I2">
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Division of Neuroradiology, Diagnostic Centre for Imaging and Functional Medicine, Faculty of Medicine, Lund University, Skåne University Hospital, Malmö, Sweden</aff>
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<year>2011</year>
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<day>5</day>
<month>4</month>
<year>2011</year>
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<volume>11</volume>
<fpage>8</fpage>
<lpage>8</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>12</month>
<year>2010</year>
</date>
<date date-type="accepted">
<day>5</day>
<month>4</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright ©2011 Sahlstrand-Johnson et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2011</copyright-year>
<copyright-holder>Sahlstrand-Johnson et al; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.biomedcentral.com/1471-2342/11/8"></self-uri>
<abstract>
<sec>
<title>Background</title>
<p>We have previously proposed the use of Doppler ultrasound to non-invasively stage sinus infection, as we showed that acoustic streaming could be generated in nonpurulent sinus secretions and helped to distinguish it from mucopurulent sinus secretions. In order to continue this development of a clinically applicable Doppler equipment, we need to determine different dimensions of the paranasal sinuses, especially the thickness of the anterior wall of the maxillary sinus (at the canine fossa). To the best of our knowledge, this is the first report on the thickness of the canine fossa. This study aimed to (a) estimate different dimensions of the maxillary and frontal sinuses measured on computed tomography (CT) of the head, (b) define cut-off values for the normal upper and lower limits of the different measured structures, (c) determine differences in age, side and gender, (d) compare manually and automatically estimated maxillary sinuses volumes, and (e) present incidental findings in the paranasal sinuses among the study patients.</p>
</sec>
<sec>
<title>Methods</title>
<p>Dimensions of 120 maxillary and frontal sinuses from head CTs were measured independently by two radiologists.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean value of the maxillary sinus volume was 15.7 ± 5.3 cm
<sup>3 </sup>
and significantly larger in males than in females (P = 0.004). There was no statistically significant correlation between the volume of maxillary sinuses with age or side. The mean value of the bone thickness at the canine fossa was 1.1 ± 0.4 mm. The automatically estimated volume of the maxillary sinuses was 14-17% higher than the calculated volume. There was high interobserver agreement with regard to the different measurements performed in this study. Different types of incidental findings of the paranasal sinuses were found in 35% of the patients.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>We presented different dimensions of the maxillary and frontal sinuses on CTs. We believe that our data are necessary for further development of a clinically applicable Doppler equipment for staging rhinosinusitis.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Suède</li>
</country>
</list>
<tree>
<country name="Suède">
<noRegion>
<name sortKey="Sahlstrand Johnson, Pernilla" sort="Sahlstrand Johnson, Pernilla" uniqKey="Sahlstrand Johnson P" first="Pernilla" last="Sahlstrand-Johnson">Pernilla Sahlstrand-Johnson</name>
</noRegion>
<name sortKey="Abul Kasim, Kasim" sort="Abul Kasim, Kasim" uniqKey="Abul Kasim K" first="Kasim" last="Abul-Kasim">Kasim Abul-Kasim</name>
<name sortKey="Jannert, Magnus" sort="Jannert, Magnus" uniqKey="Jannert M" first="Magnus" last="Jannert">Magnus Jannert</name>
<name sortKey="Strombeck, Anita" sort="Strombeck, Anita" uniqKey="Strombeck A" first="Anita" last="Strömbeck">Anita Strömbeck</name>
</country>
</tree>
</affiliations>
</record>

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