Nasal Septum Deviasyonu Olan Kişilerin Bilgisayarlı Tomografi Görüntülerinde Sinus Maxillaris Hacminin Hesaplanması ve Cinsiyet ile İlişkisi

Behiye Sarıyıldız; Ilgaz Akdoğan; Ömer Can Kızılay; Gizem Sakallı

Article Details

Nasal Septum Deviasyonu Olan Kişilerin Bilgisayarlı Tomografi Görüntülerinde Sinus Maxillaris Hacminin Hesaplanması ve Cinsiyet ile İlişkisi

Authors:

Behiye Sarıyıldız | Ilgaz Akdoğan | Ömer Can Kızılay | Gizem Sakallı

Publisher:

Eskişehir Osmangazi University

Main Topics:

Ağız | Diş ve Çene Radyolojisi | Kulak Burun Boğaz | Radyoloji ve Organ Görüntüleme

Journal:

Osmangazi Tıp Dergisi Vol.46 Issue 4, pp.528-537

Document Type:

Article

Publication Date:

7/2024

Document Language:

Turkish

Document ID (Org No.):

2001314136

pISSN:

1305-4953

Keywords:

Abstract:

 The sinus maxillaris SM, the largest of the paranasal sinuses, is located next to numerous facial anatomical features. The objectives of this study were to assess the SM morphometrically in cases of nasal septum deviation NSD, determine if it is associated with NSD, and clarify the correlation between gender and SM volume. The study was conducted at Aydin Adnan Menderes University and the height, width and depth of the SM were measured in paranasal sinus CT images of 150 subjects 90 with deviated nasal septum and 60 without deviated nasal septum. The obtained measurements were used in the elliptical formula to calculate the SM volume. In patients with deviated septum, the direction of NSD was evaluated and the deviation angle and deviation severity were calculated. SM volume was measured as 16.885.69 cm3 on the right side and 17.075.52 cm3 on the left side. Right septum deviation was detected in 30 of the cases, left septum deviation was detected in 30, and no deviation was detected in 40 of the cases. Of those with deviated septum, 49 had mild deviation and 51 had moderate deviation. There was a statistically significant difference between SM volume and septal deviation. There was a statistically significant difference between men and women in all measurements of SM. Discriminant analysis showed that the most prominent variable in discrimination according to gender was SM height. Gender assessment was determined with an accuracy rate of 74.4 in women and 65.3 in men. As a result of the study, it was determined that the deviation side of the nasal septum did not affect the SM volume. Higher values were obtained in men in all measurements and our findings reveal the importance of sexual dimorphism in terms of morphometric properties of the SM. We think that SM volume findings will be useful in the clinic and can be used as an aid in forensic medicine in the process of gender determination.

 The sinus maxillaris SM, the largest of the paranasal sinuses, is located next to numerous facial anatomical features. The objectives of this study were to assess the SM morphometrically in cases of nasal septum deviation NSD, determine if it is associated with NSD, and clarify the correlation between gender and SM volume. The study was conducted at Aydin Adnan Menderes University and the height, width and depth of the SM were measured in paranasal sinus CT images of 150 subjects 90 with deviated nasal septum and 60 without deviated nasal septum. The obtained measurements were used in the elliptical formula to calculate the SM volume. In patients with deviated septum, the direction of NSD was evaluated and the deviation angle and deviation severity were calculated. SM volume was measured as 16.885.69 cm3 on the right side and 17.075.52 cm3 on the left side. Right septum deviation was detected in 30 of the cases, left septum deviation was detected in 30, and no deviation was detected in 40 of the cases. Of those with deviated septum, 49 had mild deviation and 51 had moderate deviation. There was a statistically significant difference between SM volume and septal deviation. There was a statistically significant difference between men and women in all measurements of SM. Discriminant analysis showed that the most prominent variable in discrimination according to gender was SM height. Gender assessment was determined with an accuracy rate of 74.4 in women and 65.3 in men. As a result of the study, it was determined that the deviation side of the nasal septum did not affect the SM volume. Higher values were obtained in men in all measurements and our findings reveal the importance of sexual dimorphism in terms of morphometric properties of the SM. We think that SM volume findings will be useful in the clinic and can be used as an aid in forensic medicine in the process of gender determination.

 The sinus maxillaris SM, the largest of the paranasal sinuses, is located next to numerous facial anatomical features. The objectives of this study were to assess the SM morphometrically in cases of nasal septum deviation NSD, determine if it is associated with NSD, and clarify the correlation between gender and SM volume. The study was conducted at Aydin Adnan Menderes University and the height, width and depth of the SM were measured in paranasal sinus CT images of 150 subjects 90 with deviated nasal septum and 60 without deviated nasal septum. The obtained measurements were used in the elliptical formula to calculate the SM volume. In patients with deviated septum, the direction of NSD was evaluated and the deviation angle and deviation severity were calculated. SM volume was measured as 16.885.69 cm3 on the right side and 17.075.52 cm3 on the left side. Right septum deviation was detected in 30 of the cases, left septum deviation was detected in 30, and no deviation was detected in 40 of the cases. Of those with deviated septum, 49 had mild deviation and 51 had moderate deviation. There was a statistically significant difference between SM volume and septal deviation. There was a statistically significant difference between men and women in all measurements of SM. Discriminant analysis showed that the most prominent variable in discrimination according to gender was SM height. Gender assessment was determined with an accuracy rate of 74.4 in women and 65.3 in men. As a result of the study, it was determined that the deviation side of the nasal septum did not affect the SM volume. Higher values were obtained in men in all measurements and our findings reveal the importance of sexual dimorphism in terms of morphometric properties of the SM. We think that SM volume findings will be useful in the clinic and can be used as an aid in forensic medicine in the process of gender determination.

 Paranasal sinuslerin en büyüğü olan sinus maxillaris SM yüzde pek çok anatomik yapı ile komşuluk yapmaktadır. Bu çalışmada nasal septum deviasyonu NSD olan olgularda SM morfometrik olarak değerlendirerek, NSD ile ilişkisi olup olmadığını saptamak ve SM hacminin cinsiyet ile ilişkisini tespit etmek amaçlanmıştır. Çalışma Aydın Adnan Menderes Üniversitesinde gerçekleştirilmiş olup, 150 kişiye deviasyonu olanlar 90 kişi, deviasyonu olmayanlar 60 kişi ait paranasal sinus BT görüntülerinde SM yüksekliği, genişliği ve derinliği ölçüldü. Elde edilen ölçümler eliptik formülde kullanılarak SM hacim hesaplaması yapıldı. NSD olan kişilerde deviasyon yönü değerlendirilip, deviasyon açısı ve deviasyon şiddeti hesaplandı. SM hacmi sağ tarafta 16,885,69 cm3, sol tarafta 17,075,52 cm3 olarak ölçüldü. Olguların 30unda sağ septum deviasyonu, 30unda sol septum deviasyonu saptandı, 40ında ise deviasyon saptanmadı. Septum deviasyonu olanların 49unda hafif, 51inde orta şiddette deviasyon belirlendi. SM hacmi ile septum deviasyonu arasında istatistiksel olarak anlamlı farklılık vardı. SMi tüm ölçümlerinde erkekler ve kadınlar arasında istatistiksel olarak anlamlı farklılık vardı. Diskriminant analizinde cinsiyetlere göre ayrımda en belirgin değişkenin SM yüksekliği olduğu görüldü. Cinsiyet değerlendirmesi kadınlarda 74,4, erkeklerde ise 65,3 doğruluk oranıyla belirlendi. Çalışmanın sonucunda nasal septumun deviasyon yönünü SM hacmine etki etmediği saptanmıştır. Tüm ölçümlerde erkeklerde daha yüksek değerler elde edilmiş olup, bulgularımız SMin morfometrik özellikleri açısından cinsel dimorfizminin önemini ortaya koymaktadır. SM hacim bulgularının klinikte yararlı olacağını ve cinsiyet tayini sürecinde adli tıpta yardımcı olarak kullanılabileceğini düşünmekteyiz.

Article Details

Nasal Septum Deviasyonu Olan Kişilerin Bilgisayarlı Tomografi Görüntülerinde Sinus Maxillaris Hacminin Hesaplanması ve Cinsiyet ile İlişkisi

Authors:

Behiye Sarıyıldız | Ilgaz Akdoğan | Ömer Can Kızılay | Gizem Sakallı

Publisher:

Eskişehir Osmangazi University

Main Topics:

Ağız | Diş ve Çene Radyolojisi | Kulak Burun Boğaz | Radyoloji ve Organ Görüntüleme

Journal:

Osmangazi Tıp Dergisi Vol.46 Issue 4, pp.528-537

Document Type:

Article

Publication Date:

7/2024

Document Language:

Turkish

Document ID (Org No.):

2001314136

pISSN:

1305-4953

nasal septum deviation

sinus maxillaris volume

computed tomography

gender determinationnasal septum deviasyonu

sinus maxillaris hacmi

bilgisayarlı tomografi

cinsiyet tayini

Issues

Article Details

Authors: Behiye Sarıyıldız | Ilgaz Akdoğan | Ömer Can Kızılay | Gizem Sakallı

Publisher: Eskişehir Osmangazi University

Main Topics: Ağız | Diş ve Çene Radyolojisi | Kulak Burun Boğaz | Radyoloji ve Organ Görüntüleme

Journal: Osmangazi Tıp Dergisi Vol.46 Issue 4, pp.528-537

Document Type: Article

Publication Date: 7/2024

Document Language: Turkish

Document ID (Org No.): 2001314136

pISSN: 1305-4953

Issues

Authors:

Behiye Sarıyıldız | Ilgaz Akdoğan | Ömer Can Kızılay | Gizem Sakallı

Publisher:

Eskişehir Osmangazi University

Main Topics:

Ağız | Diş ve Çene Radyolojisi | Kulak Burun Boğaz | Radyoloji ve Organ Görüntüleme

Journal:

Osmangazi Tıp Dergisi Vol.46 Issue 4, pp.528-537

Document Type:

Article

Publication Date:

7/2024

Document Language:

Turkish

Document ID (Org No.):

2001314136

pISSN:

1305-4953