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Otolaryngol Head Neck Surg. 2009 Nov;141(5):614-20. doi: 10.1016/j.otohns.2009.08.018.

Volume and distances of the maxillary sinus in craniofacial deformities with midfacial hypoplasia.

Author information

1
Department of Plastic and Reconstructive Surgery, CHA University School of Medicine, Seongnam-Si, Gyeonggi-Do, South Korea.

Abstract

OBJECTIVE:

Craniofacial deformities (CFDs) frequently accompany midfacial hypoplasia. The authors evaluated characteristics of maxillary sinuses that had CFDs with variable degrees of midfacial hypoplasia.

STUDY DESIGN:

Cross-sectional survey with chart review.

SETTING:

Department of Plastic and Reconstructive Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

SUBJECTS AND METHODS:

We investigated 40 patients with CFDs having midfacial hypoplasia. Study group 1 (SG 1) consisted of eight patients with Crouzon syndrome (16 maxillary sinuses). Study group 2 (SG 2) consisted of 10 patients with midfacial hypoplasia after palatoplasty (20 maxillary sinuses). Study group 3 (SG 3) consisted of 22 patients with Pruzansky grade I hemifacial microsomia (22 maxillary sinuses on the affected sides). Data on volume and three-dimensional distances (height, width, and depth) from computed tomography were collected and compared with each corresponding control group. Correlation coefficient between volume and the three distances was also calculated.

RESULTS:

The volume, height, width, and depth of the maxillary sinus were significantly decreased in SG 1 (P < 0.01). In SG 2, only the depth was significantly decreased (P < 0.05). In SG 3, there were no significant differences in any parameters. A multiple-regression analysis between the volume and the three distances showed a statistically significant relationship for width in SG 1, width and height in SG 2, and all distances in SG 3.

CONCLUSION:

There were differences in the structure of the maxillary sinuses among patients with different CFDs.

PMID:
19861200
DOI:
10.1016/j.otohns.2009.08.018
[Indexed for MEDLINE]

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