Dental Journal of Advance Studies

Register      Login

VOLUME 1 , ISSUE 2 ( May-August, 2013 ) > List of Articles

Original Article

A New Geometric Intersection Point (Ms) to Determine the Spatial Position of Maxillary Sinus

Sarabjeet Singh, Mukti Gautam, Rita Kashyap, Gurinderpal Sandhu, Divya Singla

Keywords : Maxillary sinus, Anatomic landmarks, Malocclusion

Citation Information : Singh S, Gautam M, Kashyap R, Sandhu G, Singla D. A New Geometric Intersection Point (Ms) to Determine the Spatial Position of Maxillary Sinus. 2013; 1 (2):100-105.

DOI: 10.1055/s-0038-1671962

License: NA

Published Online: 08-05-2023

Copyright Statement:  NA


Abstract

Introduction: Cephalometeric landmark detection, is a knowledge intensive activity to identify on standardized lateral x-rays of the skull, to perform measurements needed for medical diagnosis, treatment planning and evaluation. For computation of analysis of steps and for determination of underlying structures, provided landmarks should be correctly localized. Due to the complexity of human anatomy sensed in a cephalometric x-ray, the landmarks are localized and constructed. Maxillary sinus has an important role to play in the formation of facial contours. Objective: Our aim is to check the validity of new geometric intersection point Ms, evaluating cephalometerically the spatial position of maxillary sinus and to find any correlation between the spatial position of maxillary sinus and sagittal dysplasias. Study design: A single-institution prospective analysis. Subjects and methods: A total of 20 lateral cephalograms were used, of both sexes, ranging in age from 18-25 years. These radiographs were from subjects, classified into class I and class II on the bases of ANB and Ao-Bo. Maxillary sinus was carefully analyzed and measured in linear dimensions of length and width and its spatial position was calculated by using a new geometric intersection point Ms, created by the intersection of the linear measurements, in relation to the anterior cranial base. The spatial position of maxillary sinus was calculated from the position of the intersection point Ms. The length and height of maxillary sinus was measured and compared in both the groups. Results: The mean of maxillary sinus length (MSL) and height (MSH) was 43.2 ± SD 3.2mm and 41.2 ± SD 3.8mm, respectively for class I (p value=0.595) and 44.2 ± SD 4.9mm and 43.0 ± SD 3.4mm, respectively for class II (p value=0.283). The intersection point Ms depicting centre of maxillary sinus from x-axis (Ms-Msx) was same for both the groups. Mean for Ms-Msy, was 37.3 ± SD 5.7 for class I and 37.8 ± SD 1.9 for class II (p value=0.796). No statistical significance was found among the results in both the groups. Conclusion: The length and height of maxillary sinus was calculated and the centre of maxillary sinus was calculated by the intersection of the two. This new point can contribute in calculating the spatial position of sinus and be an effective measure to study the convexity and concavity of the midface. In the present study, the length and height of the sinus did not alter with the increased or decreased ANB and Ao-Bo. There was no significant spatial position change of maxillary sinus with variation in ANB and Ao-Bo (sagittal). Regarding vertical parameters, Ms may have significant correlation with the various malocclusions.


PDF Share
  1. Husamattin Otkay. The study of maxillary sinus areas in different orthodontic malocclusions. AJO 1992;102:143-5.
  2. Toshiya Endo, Ryota Abe, Hiroo Kuroki, Koji Kojima, Kenji Oka, Shohachi Shimooka. Cephalometeric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology 2010;98:65-72.
  3. Scott and Brown. Otorhinolaryngology, Head and Neck Surgery, 7th ed; 2008.
  4. Kulbersh PV, Wine P, Haughey M, Pajtas B, Kaczynski R. Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. Angle Orthod. 2012;82:448–457.
  5. Kim HY, Kim MB, Dhong HJ, Jung YG, Min JY et al. Changes of max. sinus volume and bony thickness of the paranasal sinuses in longitudinal pediatric chronic rhinosinusitis. Int. Journal of pediatric otorhinolaryngology 2008 Jan;72(1):103-108
  6. Alexander Jacobson. Radiographic cephalometery- From basic to videoimaging, 1st ed. Hongkong: Quintessence publishing co, Inc: 1995:117.
  7. Efthimia K. Basdra, Angelika Stellzig and Gerda Komposch The importance of maxillary sinus in facial development: a case report. EJO 1998; 20: 1-4.
  8. Jean Delaire. Maxillary development revisited: relevance to the orthopaedic treatment of the class III malocclusions. EJO 1997;19:289-311.
  9. Seok Hyun Cho, Tae Heon Kim, Kyung Rae Kim, Jong-Min Lee, Dong Kyun Lee et al. Factors for maxillary sinus volume and craniofacial anatomical features in adults with chronic rhinosinusitis. Arch Otolaryngol Head and Neck Surgery 2010;136(6):610-15.
  10. Maillet M, Bowler WR, Mc Clanahan SL, John MT, Ahmad M. Cone beam computed tomography evaluation of maxillary sinusitis. JOE 2011;37(6):753-757
  11. Vchida Y, Katsuki T, Soejima Y. Measurement of maxillary sinus volume using computerized tomographic images. Int. J Oral Maxillofac Implants 1998;13:811-818
  12. Alberti P W. Applied Surgical Anatomy of Maxillary Sinus. Otolaryngol Clin North Am 1976;9:3-20.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.