학술논문
Is There Variation in the Morphology of the Frontal Sinus in Individuals with Different Craniofacial Patterns? A Systematic Review with Meta-Analysis.
Document Type
Academic Journal
Author
Küchler EC; Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany.; Oliveira MBCR; Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil.; Madalena IR; Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil.; School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei 36307-251, MG, Brazil.; Kirschneck C; Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany.; Beisel-Memmert S; Department of Orthodontics, University Hospital Bonn, Medical Faculty, 53111 Bonn, Germany.; de Oliveira DSB; School of Dentistry, Federal University of Alfenas, Alfenas 37130-001, MG, Brazil.; Schroder ÂGD; School of Dentistry, University of Tuiuti of Paraná, Curitiba 80230-901, PR, Brazil.; Lepri CP; Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil.; de Menezes-Oliveira MAH; Department of Biomaterials, University of Uberaba, Uberaba 38010-200, MG, Brazil.; Marañón-Vásquez GA; Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 77402-970, SP, Brazil.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101716125 Publication Model: Electronic Cited Medium: Internet ISSN: 2304-6767 (Electronic) Linking ISSN: 23046767 NLM ISO Abbreviation: Dent J (Basel) Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
To evaluate differences in the morphology of the frontal sinus in adolescents and adults with different craniofacial patterns, searches up to April 2024 were conducted in six databases and other information sources to identify observational studies. Study selection, data extraction, and quality assessment using the NOS scale were performed independently by two reviewers. Random effects meta-analyses were conducted to estimate the difference in frontal sinus measurements between different craniofacial skeletal patterns (α = 0.05). The certainty of the evidence was evaluated according to GRADE. Fourteen studies were included in the review. All studies had methodological limitations that affected their quality. The syntheses showed that skeletal Class II subjects presented a significantly smaller width of the frontal sinus than skeletal Class I subjects (MD = 0.56; 95% CI: 0.38, 0.74; p < 0.0001; I 2 = 3%). Skeletal Class III subjects showed a frontal sinus width (MD = -0.91; 95% CI: -1.35, -0.47; p < 0.0001; I 2 = 36%) and area (MD = -28.13; 95% CI: -49.03, -7.23; p = 0.0084; I 2 = 66%) significantly larger than those of the skeletal Class I subjects. The available evidence suggests a positive relationship between mandibular and frontal sinus size. There is limited evidence to make reliable estimates of the association of other craniofacial patterns and frontal sinus characteristics. These reported results are not conclusive and should be evaluated carefully due to the very low certainty of the evidence. The current evidence is scarce and consists of studies with methodological limitations; the results of the studies are often inconsistent, and the pooled estimates are imprecise. New high-quality research is still necessary.
Competing Interests: The authors declare no conflicts of interest.
Competing Interests: The authors declare no conflicts of interest.