Skip to main content

Advertisement

Log in

The effect of ectodermal dysplasia on volume and surface area of maxillary sinus

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

Ectodermal dysplasia (ED) is a congenital syndrome characterized by abnormal development of ectodermal structures, such as skin, hair, nails, teeth, or salivary glands. Patients with ED demonstrate craniofacial dysmorphology, midfacial hypoplasia and hypodontia. The aim of this study is to evaluate volume and surface area of maxillary sinus and craniofacial structures in patients with ectodermal dysplasia (ED) using cone-beam computed tomography (CBCT) images.

Methods

The CBCT images of 20 patients with ED (study group) and 20 healthy individuals (control) which are equal in terms of age and gender were evaluated. After a three-dimensional analysis and segmentation of each maxillary sinus, the volume and surface area were calculated. Craniofacial dimensions were measured on the sagittal planes of the CBCT images. The results of the ED and control groups were statistically compared.

Results

The right and left sinus volumes and surface areas were significantly lower in the ED group than in the control group (p < 0.05) while the SNA was significantly higher (p < 0.05). ANB and SN-GoMe were also lower in patients with ED than in controls (p < 0.05). The difference in SNB values between the two groups was not significant (p > 0.05).

Conclusions

The volumes and surface areas of both maxillary sinuses were found to be smaller in patients with ED compared to healthy individuals. Class III malocclusion with maxillary retrusion is a characteristic craniofacial feature of these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Kere J, Srivastava AK, Montonen O et al (1996) X-linked anhidrotic (hypohidrotic) ectodermal dysplasia is caused by mutation in a novel transmembrane protein. Nat Genet 13:409–416

    Article  CAS  Google Scholar 

  2. Yenisey M, Guler A, Unal U (2004) Orthodontic and prosthodontic treatment of ectodermal dysplasia—a case report. Br Dent J 196:677–679

    Article  CAS  Google Scholar 

  3. Levin LS (1988) Dental and oral abnormalities in selected ectodermal dysplasia syndromes. Birth Defects Orig Artic Ser 24:205–227

    CAS  PubMed  Google Scholar 

  4. Clarke A, Phillips DI, Brown R, Harper PS (1987) Clinical aspects of X-linked hypohidrotic ectodermal dysplasia. Arch Dis Child 62:989–996

    Article  CAS  Google Scholar 

  5. de Aquino SN, Paranaíba LMR, Swerts MSO et al (2012) Orofacial features of hypohidrotic ectodermal dysplasia. Head Neck Pathol 6:460–466

    Article  Google Scholar 

  6. Ruhin B, Martinot V, Lafforgue P et al (2001) Pure ectodermal dysplasia: retrospective study of 16 cases and literature review. Cleft Palate Craniofac J 38:504–518

    Article  CAS  Google Scholar 

  7. Worsaae N, Jensen BN, Holm B, Holsko J (2007) Treatment of severe hypodontia-oligodontia-an interdisciplinary concept. Int J Oral Maxillofac Surg 36:473–480

    Article  CAS  Google Scholar 

  8. Mills R, Montague M-L, Naysmith L (2004) Ear, nose and throat manifestations of ectodermal dysplasia. J Laryngol Otol 118:406–408

    PubMed  Google Scholar 

  9. Gündüz Arslan S, Devecioǧlu Kama J, Özer T, Yavuz I (2007) Craniofacial and upper airway cephalometrics in hypohidrotic ectodermal dysplasia. Dentomaxillofac Radiol 36:478–483

    Article  Google Scholar 

  10. de Rezende Barbosa GL, Pimenta LA, Pretti H et al (2014) Difference in maxillary sinus volumes of patients with cleft lip and palate. Int J Pediatr Otorhinolaryngol 78:2234–2236

    Article  Google Scholar 

  11. Emirzeoglu M, Sahin B, Bilgic S et al (2007) Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx 34:191–195

    Article  Google Scholar 

  12. Endo T, Abe R, Kuroki H et al (2010) Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology 98:65–72

    Article  Google Scholar 

  13. Kuijpers MAR, Pazera A, Admiraal RJ et al (2014) Incidental findings on cone beam computed tomography scans in cleft lip and palate patients. Clin Oral Investig 18:1237–1244

    Article  Google Scholar 

  14. Carter L, Farman AG, Geist J et al (2008) American Academy of Oral and Maxillofacial Radiology executive opinion statement on performing and interpreting diagnostic cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 106:561–562

    Article  Google Scholar 

  15. Nakayama Y, Baba Y, Tsuji M et al (2015) Dentomaxillofacial characteristics of ectodermal dysplasia. Congenit Anom (Kyoto) 55:42–48

    Article  Google Scholar 

  16. Myer CM (1986) Otolaryngologic manifestations of the ectodermal dysplasias—clinical note. Int J Pediatr Otorhinolaryngol 11:307–310

    Article  Google Scholar 

  17. Callea M, Teggi R, Yavuz I et al (2013) Ear nose throat manifestations in hypohidrotic ectodermal dysplasia. Int J Pediatr Otorhinolaryngol 77:1801–1804

    Article  Google Scholar 

  18. Mehta U, Brunworth J, Lewis RA, Sindwani R (2007) Rhinologic manifestations of ectodermal dysplasia. Am J Rhinol 21:55–58

    Article  Google Scholar 

  19. Salib S, Chaudri RJ, Rockley S TJ (2001) Sinusitis in the hypoplastic maxillary antrum: the crucial role of radiology in diagnosis and management. J Laryngol Otol 115:676–678

    CAS  PubMed  Google Scholar 

  20. Tikku T, Khanna R, Sachan K et al (2013) Dimensional changes in maxillary sinus of mouth breathers. J Oral Biol Craniofac Res 3:9–14

    Article  Google Scholar 

  21. Agacayak KS, Gulsun B, Koparal M et al (2015) Alterations in maxillary sinus volume among oral and nasal breathers. Med Sci Monit 21:18–26

    Article  Google Scholar 

  22. Yavuz I, Baskan Z, Ulku R et al (2006) Ectodermal dysplasia: Retrospective study of fifteen cases. Arch Med Res 37:403–409

    Article  Google Scholar 

  23. Bryant PA, Croft J, Cole P (2018) Integration of risks from multiple hazards into a holistic ALARA/ALARP demonstration. J Radiol Prot 38:81–91

    Article  CAS  Google Scholar 

  24. Möhlhenrich SC, Heussen N, Peters F et al (2015) Is the maxillary sinus really suitable in gender determination? A three-dimensional analysis of maxillary sinus volume and surface depending on gender and dentition. J Craniofac Surg 26:723–726

    Article  Google Scholar 

  25. Uthman AT, Al-Rawi NH, Al-Naaimi AS, Al-Timimi JF (2011) Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. J Forensic Sci 56:403–408

    Article  Google Scholar 

  26. Cohen O, Warman M, Fried M, Shoffel-Havakuk H, Adi M, Halperin DLY (2017) Volumetric analysis of the maxillary, sphenoid and frontal sinuses: a comparative computerized tomography based study. Auris Nasus Larynx 45:96–102

    Article  Google Scholar 

  27. Sahlstrand-Johnson P, Jannert M, Strömbeck A, Abul-Kasim K (2011) Computed tomography measurements of different dimensions of maxillary and frontal sinuses. BMC Med Imaging 11:1–7

    Article  Google Scholar 

  28. Kawarai Y, Fukushima K, Ogawa T et al (1999) Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol 119:45–49

    Article  Google Scholar 

  29. Fernandes CL (2004) Volumetric analysis of maxillary sinuses of Zulu and European crania by helical, multislice computed tomography. J Laryngol Otol 118:877–881

    Article  CAS  Google Scholar 

  30. Oktay H (1992) The study of the maxillary sinus areas in different orthodontic malocclusions. Am J Orthod Dentofac Orthop 102:143–145

    Article  CAS  Google Scholar 

  31. Erdur O, Ucar FI, Sekerci AE et al (2015) Maxillary sinus volumes of patients with unilateral cleft lip and palate. Int J Pediatr Otorhinolaryngol 79:1741–1744

    Article  Google Scholar 

  32. Kulczyk T, Przystańska A, Rewekant A et al (2017) Maxillary sinuses and midface in patients with cleidocranial dysostosis. Ann Anat Anat Anzeiger 215:78–82

    Article  Google Scholar 

Download references

Funding

No funding resource is associated with this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eda Didem Yalcin.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The protocol of the study was approved by the Ethical Committee of Sanko University: number 2018/04–08.

Informed consent

Informed consent was obtained from all patients for being included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yalcin, E.D., Koparal, M. & Aksoy, O. The effect of ectodermal dysplasia on volume and surface area of maxillary sinus. Eur Arch Otorhinolaryngol 275, 2991–2996 (2018). https://doi.org/10.1007/s00405-018-5177-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-018-5177-z

Keywords

Navigation