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Craniofacial parameters and their interrelationships: a comprehensive CBCT analysis of cranial, nasal, mandibular, and maxillary dimensions with sinus measurements

Open Access
|Jun 2025

Figures & Tables

Figure 1.

Two-dimensional measurements taken manually.
Two-dimensional measurements taken manually.

Figure 2.

Hounsfield (HU) values were set to a minimum of -1024 HU and a maximum of -302 HU to visualise the frontal and maxillary sinuses.
Hounsfield (HU) values were set to a minimum of -1024 HU and a maximum of -302 HU to visualise the frontal and maxillary sinuses.

Figure 3.

Obtaining the volumes of the final sinuses in 3D after mask editing.
Obtaining the volumes of the final sinuses in 3D after mask editing.

Figure 4.

Correlation between the frontal sinus volume a cranial parameters.
Correlation between the frontal sinus volume a cranial parameters.

Figure 5.

Correlation of right maxillary sinus volume with cranial parameters.
Correlation of right maxillary sinus volume with cranial parameters.

Figure 6.

Correlation of left maxillary sinus volume with cranial parameters.
Correlation of left maxillary sinus volume with cranial parameters.

Distribution and comparison of measurements according to age and gender

Mean.±S.D.(M.) (mm mm3)Test statisticsp
Old FemaleYoung FemaleOld maleYoung male
R MSH30.54 ± 4.5 (30.6)33.19 ± 4.46 (33.2)34.28 ± 3.33 (34.6)34.8 ± 4.41 (35.6)6.922<0.001 *
R MSW25.51 ±4.69(25.4)27.43 ± 3.86 (27.2)26.03 ± 4.22 (26.4)27.61 ± 4.1 (28.2)5.2360.155
R MSD34.87 ± 3.28 (35.4)34.42 ± 6.4 (35.2)35.4 ± 3.64 (35.4)36.81 ± 3.19 (37.3)8.0980.044*
L MSH31.01 ±4.21 (31.5)33.06 ± 4.38 (32.9)35.34 ± 3.62 (35.6)34.98 ± 4.73 (35.2)19.217<0.001 *
L MSW25.3 ±4.26(25)27.13 ± 3.66 (27.1)26.51 ±4.12 (25.6)26.55 ± 4.45 (26.8)3.5340.316
L MSD35.29 ± 3.51 (35.6)35.51 ± 3.28 (36.4)36.1 ± 3.09 (35.8)36.07 ± 3.63 (36.3)0.4890.690
R FSH18.84 ± 6.5 (18.6)21.79 ± 5.4 (22.8)19.79 ± 5.63 (20.6)19.62 ± 6.56 (20.1)5.2510.154
R FSW20.6 ± 8.4 (21.2)22.94 ± 6.38 (23.4)21.27 ± 8.03 (20.9)20.49 ± 8.41 (20)0.7050.550
R FSD12.99 ±4.52 (13.2)14.56 ± 4.24 (14.4)14.38 ± 5.62 (13.3)13.05 ± 3.78 (12.7)1.1250.342
L FSH18.09 ± 6.41 (19.6)21.58 ± 5.5 (21.9)19.34 ± 5.23 (19.9)19.84 ± 4.56 (19)2.3800.073
L FSW19.9 ± 8.44 (19.65)22.36 ± 8.71 (22.2)21.84 ± 8.21 (20.8)22.92 ± 6.89 (22.6)0.8960.445
L FSD12.4 ±4.45 (12.1)14.45 ±4.15 (13.9)14.72 ± 5.33 (13.8)14.22 ± 3.74 (14)1.8940.134
EurR-EurL139.84 ± 6.49 (139.2)138.26 ± 6.13 (138.4)145.42 ± 6.48 (146.4)143.09 ± 6 (142.7)8.940<0.001 *
LnR-LnL30.31 ± 2.2 (30.7)30.61 ± 2.2 (30.8)34.08 ± 2.36 (34)34.87 ± 3.19 (35.2)29.396<0.001 *
MxR-MxL58.3 ± 3.01 (58.8)59.14 ± 3.61 (59)60.55 ± 3.38 (60.6)60.63 ± 10.28 (62)20.234<0.001 *
AgR-AgL85.26 ± 3.55 (85.6)83.24 ± 4.15(83.1)86.21 ± 4.63 (86.25)87.41 ± 3.84 (86.6)14.3270.002*
R MS VOL12208.5 ± 3388.08 (12269)14832.29 ±4660.44 (14185.5)13345.24 ±4452.49 (13485.5)14666.97 ± 4275.41 (13935)7.8680.049*
L MS VOL13018.71 ± 3979.72 (12716.5)14549.44 ±4764.15 (14843.5)17930.15 ± 21 135.2 (14460.5)15063.56 ±41 25.58 (15646.5)5.2880.152
FS VOL4243 ± 2277.36 (3878.5)5184.65 ± 2537.53 (4874.5)4869.88 ± 2754.26 (4014)5429.18 ± 3236.15 (5036.5)3.2030.361
MxR-MxL/AgR-AgL68.41 ± 3.12 (68.23)71.13 ± 4.39(70.72)70.35 ± 4.14 (69.66)69.4 ±11.68 (72.01)11.1130.01 1 *

Distribution and comparison of measurements by gender

Mean.±S.D.(M.) (mm mm3)Test statisticsp
FemaleMale
R MSH31.86 ± 4.64 (31.8)34.54 ± 3.89 (35.3)-3.646<0.001*
R MSW26.47 ± 4.37 (26.6)26.82 ± 4.2 (27.6)-0.4420.659
R MSD34.65 ± 5.05 (35.2)36.11 ± 3.47 (36.6)-2.0420.041*
L MSH32.03 ± 4.38 (32.6)35.16 ± 4.18 (35.4)-4.250<0.001*
L MSW26.21 ± 4.05 (26)26.53 ± 4.25 (26)-0.4420.659
L MSD35.4 ± 3.37 (35.6)36.08 ± 3.35 (36.1)-1.1890.236
R FSH20.31 ± 6.12 (21.4)19.71 ± 6.07 (20.6)0.5770.565
R FSW21.77 ± 7.5 (22.05)20.88 ± 8.17 (20.6)0.6630.509
R FSD13.76 ± 4.42 (13.6)13.72 ± 4.8 (12.9)-0.2090.834
L FSH19.84 ± 6.18 (21.05)19.59 ± 4.88 (19.7)-0.8600.390
L FSW21.13 ± 8.60 (21.4)22.38 ± 7.54 (22)-0.9020.369
L FSD13.43 ± 4.39 (12.6)14.47 ± 4.58 (14)-1.3550.178
EurR-EurL139.05 ± 6.32 (138.8)144.26 ± 6.31 (144.8)-4.811<0.001*
LnR-LnL30.46 ± 2.19 (30.8)34.47 ± 2.81 (34.7)-7.493<0.001*
MxR-MxL58.72 ± 3.33 (59)60.59 ± 7.6 (61)-4.078<0.001*
AgR-AgL84.25 ± 3.97 (84.6)86.81 ± 4.27 (86.4)-3.615<0.001*
R MS VOL13520.4 ± 4254.22 (13322.5)14006.1 ± 4383.01 (13687)-1.0100.313
L MS VOL13784.07 ± 4424.32 (13681)16496.85 ± 15181.67 (14703.5)-1.6630.096
FS VOL4713.82 ± 2439.45 (4580)5149.53 ± 2995.65 (4627.5)-0.6270.531
MxR-MxL/AgR-AgL69.77 ± 4.02 (69.8)69.87 ± 8.71 (70.98)-1.4860.137

Relationships between maxillary sinus volume measurements and craniofacial measurements in female and male groups

FemaleR MS VOL (mm3)FemaleL MS VOL (mm3)MaleR MS VOL (mm3)MaleL MS VOL (mm3)
EurR-EurLr-0.0220.004-0.0700.082
p0.8590.9730.5710.506
LnR-LnLr-0.182-0.195-0.099-0.206
p0.1370.1110.4210.093
MxR-MxLr0.4720.4640.1160.141
p<0.001*<0.001*0.3480.250
AgR-AgLr-0.070**-0.006**-0.225-0.162
p0.5700.9620.0650.186
MxR-MxL/AgR-AgLr0.5820.4960.3120.272
p<0.001*<0.001*0.012*0.025*

Relationships between frontal sinus volume measurements and craniofacial measurements in female and male groups

FemaleFS VOL (mm3)MaleFS VOL (mm3)
EurR-EurLr0.111-0.045
p0.3690.717
LnR-LnLr0.2060.254
p0.0920.037*
MxR-MxLr0.3040.001
p0.012*0.991
AgR-AgLr0.1130.036
p0.3570.773
MxR-MxL/AgR-AgLr0.272-0.089
p0.025*0.470
DOI: https://doi.org/10.2478/aoj-2025-0008 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 112 - 122
Submitted on: Jan 1, 2025
Accepted on: Mar 1, 2025
Published on: Jun 3, 2025
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2025 Dilara Nur Ür, Esra Çifçi Özkan, Berceste Polat Akmansoy, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.