Relation between paranasal sinuses and surrounding bone tissue

Ievgen V. Shumynskyi, Andrey V. Kopchak



Introduction. The formation and increase in volume of the paranasal sinuses occurs during the growth and development of the facial skull. Pneumatization of the sinuses and bone architectonics can have the variability. Understanding of the midfacial bones architectonics is a key to successes in osteosynthesis, reconstructive, orthognathic surgery, dental and maxillofacial implantation.

The aim. Study the individual features of the normal anatomical structure and architectonics of the midfacial bones and to develop the objective criteria for assessing the relationship between bone elements and airways using methods of computed tomography.

Materials and methods. 30 patients spiral computed tomograms with no signs of pathology were analyzed. Relations between volume and surface of the bony elements and airways, the ratio between the volume of bone and air cavities pneumatization index (PI) were determined.

Results. PI ranged from 0.8 to 1.9 and averaged 1.22 ± 0.29. Range from 0.9 to 1.5 was considered a normal ratio. Index values exceeding 1.5 indicated a sclerotic type of the midfacial bone structure, and less than 0.9 indicated a pneumatic type.

Conclusions. The anatomical structure, architectonics of the midfacial bones and the degree of their pneumatization are characterized by significant individual variability. For an objective integrated assessment of the bone architectonics of the midfacial area the ratio of the bone volume to the volume of the airways (PI) and the volume of bone to its surface area can be used.


Pneumatization index; midfacial bones; paranasal sinuses; architectonics

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Fattahi T. Surgical anatomy of the maxillary region. Atlas Oral Maxillofac Surg Clin North Am. 2007 Mar;15(1):1-6. doi: 10.1016/j.cxom.2006.10.001. PMID: 17434056.

Khajehahmadi S, Rahpeyma A, Hoseini Zarch S H. Association Between the Lateral Wall Thickness of the Maxillary Sinus and the Dental Status: Cone Beam Computed Tomography Evaluation, Iran J Radiol. 2014 ; 11(1):e6675. doi: 10.5812/iranjradiol.6675.

Lenkeit CP, Lofgren DH, Shermetaro C. Maxillary Sinus Fracture. 2020 May 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 32491387.

Mitroshenkov P.M. Rekonstruktivnaya hirurgiya total'nyh i subtotal'nyh defektov verhnej, srednej i nizhnej zon licevogo skeleta [Reconstructive surgery of total and subtotal defects of the upper, middle and lower zones of the facial skeleton]. Saint-Petersburg.: Sintez Buk, 2010 – 416 s.

Bertl K, Heimel P, Rokl-Riegler M, Hirtler L, Ulm C, Zechner W (2015) MicroCT-based evaluation of the trabecular bone quality of different implant anchorage sites for masticatory rehabilitation of the maxilla. J Craniomaxillofac Surg 43:961–968

Nastri AL, Gurney B. Current concepts in midface fracture management. Curr Opin Otolaryngol Head Neck Surg. 2016 Aug;24(4):368-75. doi: 10.1097/MOO.0000000000000267. PMID: 27348349.

Vaid S, Vaid N. Normal Anatomy and Anatomic Variants of the Paranasal Sinuses on Computed Tomography. Neuroimaging Clin N Am. 2015 Nov;25(4):527-48. doi: 10.1016/j.nic.2015.07.002. Epub 2015 Aug 20. PMID: 26476378.

Değermenci M, Ertekin T, Ülger H, Acer N, Coşkun A. The Age-Related Development of Maxillary Sinus in Children. J Craniofac Surg. 2016 Jan;27(1):e38-44. doi: 10.1097/SCS.0000000000002304. PMID: 26703070.

Lee JE, Jin SH, Ko Y, Park JB. Evaluation of anatomical considerations in the posterior maxillae for sinus augmentation. World J Clin Cases 2014; 2(11): 683-688 Available from: URL: http:// DOI: http://

Yazici D. The effect of frontal sinus pneumatization on anatomic variants of paranasal sinuses. Eur Arch Otorhinolaryngol. 2019 Apr;276(4):1049-1056. doi: 10.1007/s00405-018-5259-y. Epub 2019 Jan 3. PMID: 30607558.

Whyte A, Boeddinghaus R. The maxillary sinus: physiology, development and imaging anatomy. Dentomaxillofac Radiol. 2019 Dec;48(8):20190205. doi: 10.1259/dmfr.20190205. Epub 2019 Aug 13. Erratum in: Dentomaxillofac Radiol. 2019 Sep 10;:20190205c. PMID: 31386556; PMCID: PMC6951102.

Renton T, Durham J, Hill CM. Oral surgery II: Part 2. The maxillary sinus (antrum) and oral surgery. Br Dent J. 2017 Oct 13;223(7):483-493. doi: 10.1038/sj.bdj.2017.858. PMID: 29026224.

Chan H-L, Suarez F, Monje A, Benavides E, Wang H-L. Evaluation of maxillary sinus width on cone-beam computed tomography for sinus augmentation and new sinus classification based on sinus width. Clin. Oral Impl. Res. 25, 2014, 647–652 doi: 10.1111/clr.12055

Niu L, Wang J, Yu H, Qiu L. New classification of maxillary sinus contours and its relation to sinus floor elevation surgery. Clin Implant Dent Relat Res. 2018 Aug;20(4):493-500. doi: 10.1111/cid.12606. Epub 2018 Apr 25. PMID: 29691967.

Yüksel Aslier NG, Karabay N, Zeybek G, Keskinoğlu P, Kiray A, Sütay S, Ecevit MC. The classification of frontal sinus pneumatization patterns by CT-based volumetry. Surg Radiol Anat. 2016 Oct;38(8):923-30. doi: 10.1007/s00276-016-1644-7. Epub 2016 Feb 16. PMID: 26884400.

Melo DG, Bianchini EM. Relationship between electrical activity of the temporal and masseter muscles, bite force, and morphological facial index. Codas. 2016 Jul-Aug;28(4):409-16. English, Portuguese. doi: 10.1590/2317-1782/20162014233. Epub 2016 Aug 18. PMID: 27556824.

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