Publication: Computerized Tomography-Based Volumetric Analysis Of The Maxillary, Sphenoid, And Frontal Sinuses: An Observational Study
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Volumetric analysis of the paranasal sinuses can help evaluate disease extent, treatment, and sinus surgery outcome. This study aims to determine the baseline volumes of frontal, maxillary, and sphenoid sinuses.
Methods: An observational cross-sectional study was conducted in a tertiary care center after obtaining ethical approval (Reference number: 264/2021). Computerized Tomography Scan head or Computerized Tomography Scan nose/Paranasal sinus images of patients across all age groups from January to December 2022 were analyzed. Sinus volumes were calculated using Digital Imaging and Communications in Medicine software.
Results: The study included 154 patients, median age was 29 years (IQR: 22.75 - 39.25) and 84 (54.5%) were male. The median volume of the maxillary sinus was 14.30 cm³ (IQR: 10.76 - 18.02), with the right side at 13.82 cm³ (IQR: 10.34 - 17.39) and the left at 14.62 cm³ (IQR:11.11 - 18.75). The median volume of the sphenoid sinus was 4.52 cm³ (IQR:3.02 - 6.03), with the right side at 4.42 cm³ (IQR: 2.61 - 6.84) and the left at 3.95 cm³ (IQR: 2.16 - 6.47). The median volume of the frontal sinus was 2.59 cm³ (IQR:1.42 - 4.59), with the right side at 2.27 cm³ (IQR:0.94 - 4.12) and the left at 3.04 cm³ (IQR:1.22 - 5.04).
Conclusions: Male population had larger volumes across all types. The maxillary and frontal sinuses had the largest and smallest volumes respectively.
Description
Ashish Dhakal
Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal
Bikash Lal Shrestha
Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal
Monika Pokharel
Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal
Samip Shrestha
Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal
Subindra Karki
Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal
Krishna Sundar Shrestha
Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal