Lee Jeong-Hyun, Park Jong-Tae
Department of Oral Anatomy, Dankook Institute for Future Science and Emerging Convergence, Dental College, Dan-Kook University, Cheonan 31116, Republic of Korea.
Department of Bio Health Convergency Open Sharing System, Dan-Kook University, Cheonan 31116, Republic of Korea.
Diagnostics (Basel). 2024 Dec 23;14(24):2888. doi: 10.3390/diagnostics14242888.
This study aims to investigate the three-dimensional morphological differences of the sphenoid sinus according to sex in the Korean adult population and conduct an exploratory study based on the findings. The sphenoid sinus, located deep within the skull, plays a crucial role in forensic identification due to its relative protection from external damage and its unique anatomical characteristics. Using cone-beam computed tomography (CBCT) data from 120 patients (60 males and 60 females) aged 20-29, the sphenoid sinus was visualized and measured in three dimensions using Mimics software (version 22.0). Measurements included the volume of the sphenoid sinus, as well as its dimensions in the X, Y, and Z axes. The measured data were analyzed using SPSS (version 23.0) with a -test and linear regression analysis. The results showed that the sphenoid sinus volume was significantly larger in males compared to females ( < 0.05), with an average male sinus volume of 16,957.9 mm and a female volume of 13,517.7 mm. Additionally, the X-width, Y-width, and Z-width were all larger in males, with significant differences ( < 0.001) across all dimensions. Further regression analysis revealed that the volume of the sphenoid sinus was primarily influenced by the Z-axis height (measured from the coronal view) and the Y-axis width (measured from the sagittal view), while the X-axis width had a negligible effect on the overall volume. These findings suggest that sex-specific differences in the sphenoid sinus may provide important insights for clinical diagnoses and forensic personal identification. This study highlights the need for further research on different age groups and ethnic populations to enhance the understanding of anatomical variations in the sphenoid sinus and their potential applications in both medical and forensic fields.
本研究旨在调查韩国成年人群中蝶窦根据性别呈现的三维形态差异，并基于研究结果进行探索性研究。蝶窦位于颅骨深处，由于其相对不易受到外部损伤以及独特的解剖特征，在法医鉴定中起着至关重要的作用。利用120例年龄在20 - 29岁的患者（60例男性和60例女性）的锥束计算机断层扫描（CBCT）数据，使用Mimics软件（版本22.0）对蝶窦进行三维可视化和测量。测量内容包括蝶窦的体积以及其在X、Y和Z轴上的尺寸。使用SPSS（版本23.0）对测量数据进行t检验和线性回归分析。结果显示，男性的蝶窦体积显著大于女性（P < 0.05），男性蝶窦平均体积为16957.9立方毫米，女性为13517.7立方毫米。此外，男性的X宽度、Y宽度和Z宽度均更大，所有维度均存在显著差异（P < 0.001）。进一步的回归分析表明，蝶窦的体积主要受Z轴高度（从冠状面测量）和Y轴宽度（从矢状面测量）影响，而X轴宽度对总体积的影响可忽略不计。这些发现表明，蝶窦的性别特异性差异可能为临床诊断和法医个人识别提供重要见解。本研究强调需要对不同年龄组和种族人群进行进一步研究，以加深对蝶窦解剖变异及其在医学和法医领域潜在应用的理解。
