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Year : 2019  |  Volume : 6  |  Issue : 3  |  Page : 143-147

Classification of anatomical variants of maxillary sinus shapes and symmetry using computerized tomographic imaging

1 Department of Anatomy, College of Health Sciences Usmanu Danfodiyo University, Sokoto, Nigeria
2 Department of Radiology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
Dr. Abdulhameed Aliu
Department of Anatomy, Faculty of Basic Medical Sciences College of Health Sciences, Usmanu Danfodiyo University, PMB. 2346, Sokoto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ssajm.ssajm_24_19

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Background: The maxillary sinus is characterized by a considerable variation in sizes and shapes and between the right and left sides. Due to easy access to all its walls and surfaces, imaging via computerized tomography (CT) has enhanced the quality and quantity of information obtainable from the assessment of the maxillary sinus. Aim: To determine normal variations in shapes and symmetry of the maxillary sinus using CT. Methods: A total of 130 subjects comprising 79 males and 51 females, between the ages of 20 and 80 years, with normal maxillary sinus CT anatomy, who had head CT scans carried out at the Radiology Department of the Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto, over a period of five years, were used for this study. Images were taken with a GE Bright Speed Multidetector Helical CT (GE Healthcare, USA, 2005) Scanner, while films were viewed on the computer monitor. Variations in shapes of the maxillary sinus were identified on axial images and classified based on their resemblance to known shapes of solids. Data were analyzed using Minitab 16.0 statistical package (Minitab inc. USA). Results: Five distinct shapes of the maxillary sinus were identified. These were: irregular in two subjects (0.77%) (right = 1 and left = 1); oval in three subjects (1.15%) (right = 2 and left = 1); quadrangular in three subjects (1.15%) (right = 2 and left = 1); spherical in 61 subjects (23.46%) (right = 30 and left = 31); and triangular 191 (73.46%) (right = 95 and left = 96). Shapes were symmetrical in 85.38% and asymmetrical in 14.62% of subjects. Conclusion: Five normal but distinct shapes of the maxillary sinus were identified, with the predominant shape, being the triangular type, and sinuses of individuals were frequently symmetrical in shape.

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