Nota Alessandro, Kashtelianska Iuliia, Monticciolo Francesco Manfredi, Pittari Laura, Tecco Simona, Castaldo Attilio
Dental School, Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital, 20132 Milan, Italy.
Dental School, University of Trieste, 34127 Trieste, Italy.
Healthcare (Basel). 2025 May 31;13(11):1310. doi: 10.3390/healthcare13111310.
The aim of this work is to compare the size of the frontal sinus and the different skeletal classes and divergence patterns of the subjects.
This study retrospectively includes lateral radiographs performed on a total of 200 adults (78 M, 122 F; mean age 29.2 ± 8.0 years). Subject inclusion criteria were an age of 18-45 years, presence of both frontal sinuses, and good general health with no hormonal system disorders that may affect the growth and pneumatization of the frontal sinuses. Four different parameters of the frontal sinus were evaluated: length, width, perimeter, and area. In order to calculate the variables inherent to the sagittal and vertical skeletal pattern, two independent nominal variables were considered: skeletal class (ANB°) and mandibular divergence (SN^MP°).
The statistical analysis showed that there is a statistically significant difference between the frontal sinus dimension and the three skeletal classes. Subjects in group 3 presented significantly higher mean dimensional values. In the analysis of sinus size variables with skeletal divergence, significant results were found for the width value, which resulted in higher average values in group c.
The present study shows a statistically significant difference in frontal sinus size among different skeletal classes and divergence patterns. This result suggests that, in future studies, it should be analyzed whether the dimensional analysis of the frontal sinus could be associated with skeletal class III malocclusion.
本研究的目的是比较额窦的大小以及受试者的不同骨骼类型和牙合面发散模式。
本研究回顾性纳入了总共200名成年人（78名男性，122名女性；平均年龄29.2±8.0岁）的头颅侧位片。受试者纳入标准为年龄在18 - 45岁之间，双侧额窦均存在，且身体健康，无可能影响额窦生长和气化的激素系统疾病。评估了额窦的四个不同参数：长度、宽度、周长和面积。为了计算矢状和垂直骨骼模式固有的变量，考虑了两个独立的名义变量：骨骼类型（ANB°）和下颌牙合面发散（SN^MP°）。
统计分析表明，额窦尺寸与三种骨骼类型之间存在统计学上的显著差异。第3组受试者的平均尺寸值显著更高。在分析鼻窦大小变量与骨骼发散时，发现宽度值有显著结果，C组的平均值更高。
本研究表明，不同骨骼类型和发散模式之间额窦大小存在统计学上的显著差异。这一结果表明，在未来的研究中，应分析额窦的尺寸分析是否与III类错牙合畸形有关。
