The diagnostic value of anthropometric indices of maxillary sinuses for sex determination using CT-scan images in Iranian adults: A cross-sectional study

Akhlaghi, Mitra; Bakhtavar, Khadijeh; Kamali, Artin; Maarefdoost, Jaleh; Sheikhazadi, Ardeshir; Mousavi, Farinaz; Anary, Seyed Hossein Saberi; Sheikhazadi, Elham

doi:10.1016/j.jflm.2017.05.017

Cited by 28 publications

(10 citation statements)

References 8 publications

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“…A wide variety of software was used for tomographic analyses; however, seven studies did not mention this information [46, 47, 49, 50, 56, 61, 63]. The examiners in five studies [3, 37, 38, 47, 49] were calibrated radiologists, whereas information on the calibration process or examiner training was not mentioned in the 13 articles [31, 46, 48, 50–52, 54, 55, 57, 59, 61–63]. The parameters used to obtain CT scans are summarized in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…The height of the maxillary and frontal sinuses exhibited a mean difference of 3.73 mm (weight of 65.6%) and 2.45 mm (weight of 34.45%) in the distinction between the sexes. Studies with different sample sizes showed moderate sensitivity and specificity values, such as those authored by Ekizoglu ( n = 140) [50] and Akhlaghi ( n = 288) [59], which showed sensitivity and specificity of 70.0% and 71.4%, and 63.8% and 71.5%, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…After removing duplicates and studies that did not meet the inclusion criteria, 17 potentially relevant studies were selected for full-text screening [4,32,37,38,[46][47][48][49][50][51][52][53][54][55][56][57][58]. Of these, two papers were retrieved from the Google Scholar database [51,55] and eight from the references of the studies selected for full-text reading [3,24,32,[59][60][61][62][63], totaling 25 articles (Appendix S2).…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…The studies included 2507 MSCTs (males = 1266; females = 1241) and were published between 2006 and 2021. Among the articles included in the meta-analysis, nine exclusively addressed the maxillary sinuses (MSs) [4,46,48,50,51,55,59,61,63] and five addressed only the frontal sinuses [3,31,47,57,60]. Three studies evaluated both the maxillary and frontal sinuses [37,38,62], and only one study investigated the maxillary, frontal, and sphenoid sinuses simultaneously [56].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Mendonça

Ribeiro

Silva

et al. 2022

Journal of Forensic Sciences

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This systematic review aimed to answer the question, "Are paranasal measurements obtained with multislice computed tomography able to accurately estimate sex?" This PROSPERO-registered systematic review included six databases and gray literature.Meta-analysis of linear and volumetric data was performed using a random-effects model, mean differences (MDs), and inverse variance. The QUADAS-2 tool-related risk of bias (RoB) and certainty evidence (GRADE approach) were assessed. A total of 1651 articles were initially selected from the main electronic databases for title and abstract screening. After removing duplicates and studies that did not meet the inclusion criteria, 18 studies were eligible for the meta-analysis. The screened studies included 2507 computed tomography of non-pathologic paranasal sinuses of adults aged between 18 and 40 years. Frontal sinus (FS) width (−4.89 mm; p < 0.00001) and maxillary sinus (MS) height (−3.73 mm; p < 0.00001) showed the greatest MD between females and males. Regarding volume, the MD was significant (p < 0.00001) in both paranasal sinuses (−3.01 and −1.04 cm 3 , respectively). The best sensitivity (ability to identify males) and specificity (ability to identify females) were found for the anteroposterior (72.3%) and intermaxillary (69%) MS distances, respectively. In general, all studies exhibited low RoB and applicability concerns. The certainty of the evidence was categorized as very low to moderate. Both paranasal sinuses were shown to be dimorphic structures, which could be valuable tools for forensic identification using the FS width and MS anteroposterior distance measurements. However, heterogeneity among studies must be considered.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Mendonça

Ribeiro

Silva

et al. 2022

Journal of Forensic Sciences

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“…The use of remained skeleton for investigating an individual identity is a complex process and need continuous efforts and researches to validate the available used tools (Akhlaghi et al, 2017). First of all, it is mandatory to use the still intact bones which resisted crushing and disfigurement.…”

Section: Introductionmentioning

confidence: 99%

Validity of computed tomography maxillary sinuses dimensions measuring in sex determination in Egyptian sample

Abdelhakim

2022

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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Background: Gender determination is an essential issue in forensic medicine. It is one of the deceased person identification data that could not be easily elucidated in several conditions as road traffics and mass disasters. Maxillary sinus is characterized by being intact even with skull disfigurement. Aim of the study: assessment of the maxillary sinus dimensions as measured from CT scan and evaluation of its potential efficacy in sex determination. Patients and methods: 64 patients attended the radiology department Al-Demerdash hospital, Ain Shams University for paranasal sinuses computerized tomography (PNS CT scan) were the subjects of the study. CT scan was performed and maxillary sinus dimensions were obtained. Results: no statistically significant difference was found between both genders regarding the maxillary sinus dimensions. Conclusion: The current study did not validate the use of maxillary sinus dimensions in sex determination among Egyptian individuals.

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Human maxillary sinus size, shape, and surface area: Implications for structural and functional hypotheses

Kim

Ward

Butaric

et al. 2022

American Journal of Biological Anthropology

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Objectives: Although research into human maxillary sinus (MS) morphology has overwhelmingly focused on sinus volume, other aspects of morphology (e.g., overall shape, mucosal surface area) factor prominently in hypotheses regarding MS form and function. Here, we investigate MS volume in conjunction with measures of MS shape and surface area in a large, diverse sample of modern humans. We test whether variation in MS volume is associated with predictable changes in MS shape (i.e., allometry) and investigate the influence of MS size-shape scaling on mucosal surface area dynamics.Materials and Methods: Measures of MS volume and surface area were obtained from computed tomographic (CT) scans of 162 modern human crania from three ancestral backgrounds-Equatorial Africa, Europe, and East Asia. 3D coordinate landmarks and linear measurements were also collected. Multivariate analyses were employed to test for associations between MS volume and other morphological variables.Results: Significant associations between MS volume and 3D shape were identified both across and within the subsamples. Variation in MS volume was found to predominantly relate to differences in MS height and width dimensions relative to MS length. This pattern of allometric scaling was found to differentially influence total mucosal surface area and the SAV ratio. Conclusion:This study suggests that variation in MS volume is disproportionately mediated by MS width and height dimensions. This finding has implications for hypotheses which structurally link MS morphology to craniofacial ontogeny and those which suggest that MS morphology may perform adaptive physiological functions.

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The diagnostic value of anthropometric indices of maxillary sinuses for sex determination using CT-scan images in Iranian adults: A cross-sectional study

Cited by 28 publications

References 8 publications

Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Diagnostic accuracy of paranasal sinus measurements on multislice computed tomography for sex estimation: A systematic review, meta‐analysis, and meta‐regression

Validity of computed tomography maxillary sinuses dimensions measuring in sex determination in Egyptian sample

Human maxillary sinus size, shape, and surface area: Implications for structural and functional hypotheses

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