Cohen Oded, Warman Meir, Fried Moran, Shoffel-Havakuk Hagit, Adi Meital, Halperin Doron, Lahav Yonatan
Department of Otolaryngology, Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel; Hebrew University and Hadassah Medical School, Jerusalem, Israel.
Department of Otolaryngology, Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel; Hebrew University and Hadassah Medical School, Jerusalem, Israel.
Auris Nasus Larynx. 2018 Feb;45(1):96-102. doi: 10.1016/j.anl.2017.03.003. Epub 2017 Mar 22.
To study volume characteristics of the maxillary, sphenoid and frontal sinuses among healthy Caucasians adults, using computed tomography (CT) scans.
A retrospective, case series study in a single academic center, CT scans of 201 consecutive adult subjects, performed between January and September 2014, were reviewed for the volume and dimensions of the paranasal sinuses. Patients with documented sinus pathology or lack of pneumatization were excluded. The study population was subdivided by gender and age (50 men age 25-64; 51 men age ≥65; 50 women age 25-64, and 50 women age ≥65).
The mean volume of maxillary, sphenoid and frontal sinuses in the four groups were 12.75±4.38 cc; 4.00±1.99 cc and 2.92±2.57 cc, respectively. In both genders, older patients demonstrated a significantly lower volume of the maxillary and sphenoid sinuses (14.81±3.96 cc vs. 11.82±4.28 cc and 4.84±1.97 vs. 3.84±1.89 cc respectively; p<0.001). No age related difference was found in the frontal sinus. Males had significantly larger sinus volumes than females (p<0.001): maxillary 14.38±(4.64) vs. 12.23±(3.82) cc, sphenoid 4.74±(2.06) vs. 3.55±(1.73) cc, frontal 3.74±(2.97) vs. 3.21±(2.79) cc. No synergistic effect of age and gender was found.
Volumes of the paranasal sinuses correlates with age and gender. Age related volume degeneration is expected in the maxillary and sphenoid sinuses. This volume reduction may influence future surgical and therapeutic approaches in the geriatric population.
利用计算机断层扫描（CT）研究健康成年白种人上颌窦、蝶窦和额窦的容积特征。
在单一学术中心进行的一项回顾性病例系列研究，对2014年1月至9月期间连续201例成年受试者的CT扫描进行回顾，以评估鼻窦的容积和尺寸。排除有鼻窦病变记录或气化不良的患者。研究人群按性别和年龄细分（25 - 64岁男性50例；≥65岁男性51例；25 - 64岁女性50例，≥65岁女性50例）。
四组中上颌窦、蝶窦和额窦的平均容积分别为12.75±4.38立方厘米；4.00±1.99立方厘米和2.92±2.57立方厘米。在两个性别中，老年患者的上颌窦和蝶窦容积均显著降低（分别为14.81±3.96立方厘米对11.82±4.28立方厘米以及4.84±1.97对3.84±1.89立方厘米；p<0.001）。额窦未发现与年龄相关的差异。男性的鼻窦容积显著大于女性（p<0.001）：上颌窦14.38±（4.64）对12.23±（3.82）立方厘米，蝶窦4.74±（2.06）对3.55±（1.73）立方厘米，额窦3.74±（2.97）对3.21±（2.79）立方厘米。未发现年龄和性别的协同作用。
鼻窦容积与年龄和性别相关。上颌窦和蝶窦预期会出现与年龄相关的容积退变。这种容积减少可能会影响老年人群未来的手术和治疗方法。
