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European Archives of Oto-Rhino-Laryngology

07-12-2024 | Head and Neck

The gender-related volumetric side asymmetries in sphenoid sinuses and their clinical significance

Authors: Bulent Ozdemir, Serdar Durmaz, Ayhan Kanat, Tugba Yemis, Cihangir Ozdemir, Fatma Beyazal Celiker

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Background

The sphenoid sinus (SS) is important in neurosurgical practice because it is surrounded by numerous critical neurovascular structures. Using helical computerized tomography (CT) scanning, we investigated the gender-related volumetric asymmetric nature of the SS.

Materials and methods

CT scans of SS of 49 (21 females, 28 males) patients admitted to the hospital between 1 October 2018 and 1 June 2019 were analyzed retrospectively. The volumes of SSs were calculated using a secondary reconstruction tool.

Results

The mean age was 33,81 for females, 41,107 and in males patients which was not statistically significant. The mean right and left SS volume was 3,03 cm³ and 3,.57cm³ in females, but 4,28cm³ and 4,70cm³ in males, respectively. The difference in side asymmetry between men and women was statistically significant (p < 0.05).

Conclusion

In this study, the gender-related side differences of the SS have been the first time reported in this study. The reason for this gender-related asymmetric size of the SSs may be related to the pneumatization process.

Kanat A, Yazar U, Ozdemir B, Coskun ZO, Erdivanli O (2015) Frontal sinus asymmetry: is it an effect of cranial asymmetry? X-ray analysis of 469 normal adult human frontal sinus. J Neurosci Rural Pr 6(4):511–514. https://doi.org/10.4103/0976-3147.168436CrossRef

Beger O, Taghipour P, Çakır S et al (2020) Fetal anatomy of the Optic Strut and Prechiasmatic Sulcus with a clinical perspective. World Neurosurg 136:e625–e634. https://doi.org/10.1016/j.wneu.2020.01.125CrossRefPubMed

Beger O, Ten B, Balcı Y et al (2020) A computed tomography study of the prechiasmatic sulcus anatomy in children. World Neurosurg. Published Online May. https://doi.org/10.1016/j.wneu.2020.05.023

Gurlek Celik N, Akman B (2024) Analysis of sphenoid sinus and ethmoid sinus volume and asymmetry by sex: a 3D-CT study. Surg Radiol Anat 46(5):551–558. https://doi.org/10.1007/s00276-024-03319-8CrossRefPubMed

Celiker M, Kanat A, Ozdemir A et al (2020) Controversy about the protective role of volume in the frontal sinus after severe head trauma: larger sinus equates with higher risk of death. Br J Oral Maxillofac Surg 58(3):314–318. https://doi.org/10.1016/j.bjoms.2019.12.008CrossRefPubMed

Orhan I, Ormeci T, Bilal N, Sagiroglu S, Doganer A (2019) Morphometric analysis of sphenoid sinus in patients with nasal septum deviation. J Craniofac Surg Published Online March. https://doi.org/10.1097/SCS.0000000000005443CrossRef

Azab WA, Abdelnabi EA, Mostafa KH et al (2020) Effect of sphenoid sinus pneumatization on the Surgical Windows for Extended Endoscopic Endonasal Transsphenoidal surgery. World Neurosurg 133:e695–e701. https://doi.org/10.1016/j.wneu.2019.09.126CrossRefPubMed

Findik H, Kanat A, Celiker FB et al (2020) What are we missing from asymmetric relationship between the retinal nerve Fiber layer thickness profiles and sphenoid sinus volume? J Craniofac Surg 31(2):e210–e214. https://doi.org/10.1097/SCS.0000000000005909CrossRefPubMed

Kanat A, Aydin Y (1999) Recurrent meningiomas. J Neurosurg 91(4):720–721PubMed

10.

Patel CR, Fernandez-Miranda JC, Wang W-H, Wang EW (2016) Skull Base Anatomy. Otolaryngol Clin North Am 49(1):9–20. https://doi.org/10.1016/j.otc.2015.09.001CrossRefPubMed

11.

Jaworek-Troć J, Zarzecki M, Bonczar A et al (2019) Sphenoid bone and its sinus - anatomo-clinical review of the literature including application to FESS. Folia Med Cracov 59(2):45–59PubMed

12.

Pirinc B, Fazliogullari Z, Guler I, Unver Dogan N, Uysal II, Karabulut AK (2019) Classification and volumetric study of the sphenoid sinus on MDCT images. Eur Arch oto-rhino-laryngology Off J Eur Fed Oto-Rhino-Laryngological Soc Affil with Ger Soc Oto-Rhino-Laryngology -. Head Neck Surg 276(10):2887–2894. https://doi.org/10.1007/s00405-019-05549-8

13.

Jaworek-Troć J, Zarzecki M, Zamojska I et al The dimensions of the sphenoid sinuses - evaluation before the functional endoscopic sinus surgery. Folia Morphol (Warsz). Published online June 2020. https://doi.org/10.5603/FM.a2020.0059

14.

Gibelli D, Cellina M, Gibelli S et al (2018) Volumetric assessment of sphenoid sinuses through segmentation on CT scan. Surg Radiol Anat 40(2):193–198. https://doi.org/10.1007/s00276-017-1949-1CrossRefPubMed

15.

Mutlu C, Unlu HH, Goktan C, Tarhan S, Egrilmez M (2001) Radiologic anatomy of the sphenoid sinus for intranasal surgery. Rhinology 39(3):128–132PubMed

16.

Yonetsu K, Watanabe M, Nakamura T (2000) Age-related expansion and reduction in aeration of the sphenoid sinus: volume assessment by helical CT scanning. AJNR Am J Neuroradiol 21(1):179–182PubMedPubMedCentral

17.

Štoković N, Trkulja V, Dumić-Čule I et al (2016) Sphenoid sinus types, dimensions and relationship with surrounding structures. Ann Anat = Anat Anzeiger off Organ Anat Gesellschaft 203:69–76. https://doi.org/10.1016/j.aanat.2015.02.013CrossRef

18.

Lewin JS, Curtin HD, Eelkema E, Obuchowski N (1999) Benign expansile lesions of the sphenoid sinus: differentiation from normal asymmetry of the lateral recesses. AJNR Am J Neuroradiol 20(3):461–466PubMedPubMedCentral

Title: The gender-related volumetric side asymmetries in sphenoid sinuses and their clinical significance
Authors: Bulent Ozdemir
Serdar Durmaz
Ayhan Kanat
Tugba Yemis
Cihangir Ozdemir
Fatma Beyazal Celiker
Publication date: 07-12-2024
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-09134-6

Podcast | Sexual health in older age

Springer Medicine

The gender-related volumetric side asymmetries in sphenoid sinuses and their clinical significance

Abstract

Background

Materials and methods

Results

Conclusion

Podcast | Sexual health in older age

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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