The purpose of this study was to investigate the effects of craniofacial structure and nasal septal deviation on frontal sinus morphology 3-dimensionally. This study of anatomy, anthropology, morphology, and radiology included 74 dry skulls as study sample. The craniofacial measurements were made through conventional anthropometric methods by the use of calipers. The nasal septal deviation measurements were done by computerized software on photographs taken from frontal view. Frontal sinus volumes were estimated by the computerized tomography-based volumetry. The relationships between craniofacial structure, nasal septal deviation, and frontal sinus morphology were tested by linear regression and correlation analysis. The analysis of numerical variables and categorical variables within different groups was done by Mann-Whitney U/Kruskal-Wallis, and χ2 tests, respectively. There appeared a positive relationship between the dimensions of the frontal sinuses and the maximal cranial length and the nasal height especially on the left side (P < .05). However, after multivariate linear regression model for both factors was created, solely the nasal height kept being a positive factor for frontal sinus size as an independent variable. No statistical relevance was detected between the presence of metopic suture and frontal sinus morphology. Septal deviation itself affected frontal sinus morphometry, but the morphometry did not differ between the deviation side and the opposite side. In conclusion, the cranial structure does not affect the frontal sinus morphology but nasal structure affects. The true influences, among measured craniofacial elements, in relationship with the pneumatization of frontal sinus are appeared to be the nasal structure related.

译文

目的探讨颅面结构和鼻中隔偏曲对额窦形态的影响。这项解剖学,人类学,形态学和放射学的研究包括74个干头骨作为研究样本。颅面测量是通过使用卡尺通过常规人体测量方法进行的。鼻中隔偏差测量是通过计算机软件对从正面拍摄的照片进行的。额窦体积是通过基于计算机断层扫描的体积测定法估算的。通过线性回归和相关分析测试颅面结构,鼻中隔偏曲与额窦形态之间的关系。分别通过Mann-Whitney U/Kruskal-Wallis和 χ2检验对不同组中的数值变量和分类变量进行分析。额窦的尺寸与最大头颅长度和鼻高度之间存在正相关关系,尤其是在左侧 (P <.05)。然而,在建立了这两个因素的多元线性回归模型之后,仅鼻腔高度一直是额窦大小作为独立变量的积极因素。未检测到异位缝合线的存在与额窦形态之间的统计学相关性。间隔偏斜本身会影响额窦形态,但偏斜侧和相对侧之间的形态没有差异。总之,颅骨结构不会影响额窦形态,但会影响鼻腔结构。在测得的颅面元素中,与额窦气化有关的真正影响似乎与鼻结构有关。

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