Sex-Based Differences in Frontal Sinus Anatomy: A Cross-Sectional Study
Sex-Based Differences in Frontal Sinus Anatomy
DOI:
https://doi.org/10.54393/pjhs.v5i08.1846Keywords:
Frontal Sinus, Cells, Sinus and HeightAbstract
Within the frontal bone of the skull, directly above the eyebrows and behind the forehead, lies an air-filled chamber known as the frontal sinus. Objectives: To investigate sex-based differences in frontal sinus anatomy, including measurements such as height, width, and area. Method: This cross-sectional study was conducted at the Department of Anatomy, Women Medical and Dental College, Abbottabad from January 2023 to December 2023. A total of 300 participants were (N = 300). The participants were divided into two groups: 160 men and 140 women. The participants were physically examined using a radiological process. Results: The female and male mean age of 35.2 ± 18.5 years. The right and left side areas of the frontal sinus were significantly higher in males 77.7% and 82.8%, respectively; p = 0.0001) than in females. Males had a significantly greater height (73.3%) and 75.9 % (p = 0.0001) than females on both sides. It was shown that the right and left side widths in males 79.6% and 74.4% significantly higher, p = 0.0001 as compared to females. Males had more supra agger frontal cells and supraorbital ethmoid cells (78.1% and 81.2%, respectively; p < 0.0001). Conclusions: It was concluded that males have larger frontal sinuses in terms of height, width, area, and ethmoid air cell count than females. These results indicate that males have larger and more developed frontal sinuses than females.
References
Mohamed SA. Human Sex Identification from Frontal and Maxillary Air Sinuses Using Ct Scan. The Egyptian Journal of Forensic Sciences and Applied Toxicology. 2020 Jun; 20(2): 31-43. doi: 10.21608/ejfsat.2019.16220.1091. DOI: https://doi.org/10.21608/ejfsat.2019.16220.1091
Luo H, Wang J, Zhang S, Mi C. The application of frontal sinus index and frontal sinus area in sex estimation based on lateral cephalograms among Han nationality adults in Xinjiang. Journal of Forensic and Legal Medicine. 2018 May; 56: 1-4. doi: 10.1016/j.jflm.2017.12.014. DOI: https://doi.org/10.1016/j.jflm.2017.12.014
Davraj K, Yadav M, Chappity P, Sharma P, Grover M, Sharma S et al. Nasal physiology and sinusitis. Essentials of Rhinology. 2021 Apr: 49-101. doi: 10.1007/978-981-33-6284-0_3. DOI: https://doi.org/10.1007/978-981-33-6284-0_3
Toth F and Schumacher J. Paranasal sinus cyst. Academic Press: In Comparative Veterinary Anatomy. 2022 Jan; 586-598. doi: 10.1016/B978-0-323-91015-6.00139-4. DOI: https://doi.org/10.1016/B978-0-323-91015-6.00139-4
Yücel L, Azizi F, Meral SC, Sözer ÇS, Erol AS, Çoşkun ZÜ et al. Changes in paranasal sinus volumes, temporal bone pneumatization, internal acoustic canal and olfactory cleft dimensions over the centuries: a comparison of skulls from different epochs in Anatolia. European Archives of Oto-Rhino-Laryngology. 2024 Jul; 1-8. doi: 10.1007/s00405-024-08804-9. DOI: https://doi.org/10.1007/s00405-024-08804-9
Chatra L, Fasla EK, Shenoy P, Veena KM, Prabhu R. Sexual dimorphism in frontal sinus volume: A CBCT comparative study. Journal of Indian Academy of Forensic Medicine. 2020 May; 42(3): 172-6. doi: 10.5958/0974-0848.2020.00047.0. DOI: https://doi.org/10.5958/0974-0848.2020.00047.0
Iturralde-Garrote A, Sanz JL, Forner L, Melo M, Puig-Herreros C. Volumetric Changes of the Paranasal Sinuses with Age: A Systematic Review. Journal of Clinical Medicine. 2023 May; 12(10): 3355. doi: 10.3390/jcm12103355. DOI: https://doi.org/10.3390/jcm12103355
Bhalla RK. Applied Anatomy of the Nose and Sinuses. In Contemporary Rhinology: Science and Practice. Cham: Springer International Publishing. 2023 Nov; 13-32. doi: 10.1007/978-3-031-28690-2_2. DOI: https://doi.org/10.1007/978-3-031-28690-2_2
Waluyo RF, Priaminiarti M, Yuniastuti M, Soedarsono N, Susilo BT. Measurements of sex-related differences in maxillary sinus and mandibular canal characteristic using cone beam computed tomography. Forensic Imaging. 2020 Jun; 21: 200371. doi: 10.1016/j.fri.2020.200371. DOI: https://doi.org/10.1016/j.fri.2020.200371
Butaric LN, Jones GC, Garvin HM. Revisiting global patterns of frontal sinus aplasia utilizing computed tomography. Forensic Science International. 2020 Oct; 315: 110458. doi: 10.1016/j.forsciint.2020.110458. DOI: https://doi.org/10.1016/j.forsciint.2020.110458
ElBeshlawy DM and Helaly YR. Frontal sinus index for sex estimation: Is it possible?. Forensic Imaging. 2020 Dec; 23: 200407. doi: 10.1016/j.fri.2020.200407. DOI: https://doi.org/10.1016/j.fri.2020.200407
Lee JH and Park JT. Three-Dimensional Evaluation of the Frontal Sinus in Koreans. International Journal of Environmental Research and Public Health. 2022 Aug; 19(15): 9605. doi: 10.3390/ijerph19159605 DOI: https://doi.org/10.3390/ijerph19159605
Ramkumar SP, Brar T, Marks L, Marino MJ, Lal D. Biological sex as a modulator in rhinologic anatomy, physiology, and pathology: a scoping review. In International Forum of Allergy & Rhinology. 2023 Sep; 13(9): 1783-1800. doi: 10.1002/alr.23135. DOI: https://doi.org/10.1002/alr.23135
Abdalla MA. Human maxillary sinus development, pneumatization, anatomy, blood supply, innervation and functional theories: An update review. Siriraj Medical Journal. 2022 Jul; 74(7): 472-9. doi: 10.33192/Smj.2022.56. DOI: https://doi.org/10.33192/Smj.2022.56
Aslıer NY, Zeybek G, Karabay N, Keskinoğlu P, Kiray AM, Sütay S et al. The relationships between craniofacial structure and frontal sinus morphology: evaluation with conventional anthropometry and CT-based volumetry. Ear, Nose and Throat Journal. 2020 Dec; 99(10): 637-47. doi: 10.1177/0145561319876927. DOI: https://doi.org/10.1177/0145561319876927
Abdalla MA. Pneumatization patterns of human sphenoid sinus associated with the internal carotid artery and optic nerve by CT scan. Romanian Journal of Neurology. 2020 Oct; 19(4): 244-51. doi: 10.37897/RJN.2020.4.5. DOI: https://doi.org/10.37897/RJN.2020.4.5
Espersen J, Weber U, Römer-Franz A, Lenarz T, Stolle SR, Warnecke A. Level of sex hormones and their association with acetylsalicylic acid intolerance and nasal polyposis. PLoS One. 2020 Dec; 15(12): e0243732. doi: 10.1371/journal.pone.0243732. DOI: https://doi.org/10.1371/journal.pone.0243732
Ekpruke CD and Silveyra P. Sex differences in airway remodelling and inflammation: clinical and biological factors. Frontiers in Allergy. 2022 Apr; 3: 875295. doi: 10.3389/falgy.2022.875295. DOI: https://doi.org/10.3389/falgy.2022.875295
Tornese G, Pellegrin MC, Barbi E, Ventura A. Pediatric endocrinology through syndromes. European Journal of Medical Genetics. 2020 Jan 1;63(1):103614. doi: 10.1016/j.ejmg.2019.01.004. DOI: https://doi.org/10.1016/j.ejmg.2019.01.004
Kyritsi EM and Kanaka-Gantenbein C. Autoimmune thyroid disease in specific genetic syndromes in childhood and adolescence. Frontiers in Endocrinology. 2020 Aug; 11: 543. doi: 10.3389/fendo.2020.00543. DOI: https://doi.org/10.3389/fendo.2020.00543
Schmidt M, Slavicek G, Slavicek F, Schulz MC, Aretxabaleta M, Effert J et al. Masticatory efficiency in orthodontic patients with craniofacial disorder. International Journal of Environmental Research and Public Health. 2023 Feb; 20(5): 4324. doi: 10.3390/ijerph20054324. DOI: https://doi.org/10.3390/ijerph20054324
Peris-Ramos HC, Míguez MC, Rodriguez-Besteiro S, David-Fernandez S, Clemente-Suárez VJ. Gender-Based Differences in Psychological, Nutritional, Physical Activity, and Oral Health Factors Associated with Stress in Teachers. International Journal of Environmental Research and Public Health. 2024 Mar; 21(4):385. doi: 10.3390/ijerph21040385. DOI: https://doi.org/10.3390/ijerph21040385
Gerald T and Raj G. Testosterone and the androgen receptor. Urologic Clinics. 2022 Nov; 49(4): 603-14. doi: 10.1016/j.ucl.2022.07.004. DOI: https://doi.org/10.1016/j.ucl.2022.07.004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments