Clinical significance of normal paranasal sinus and its bone thickness&nbsp;

doi:10.13418/j.issn.1001-165x.2025.3.05

PDF(1704 KB)

Chinese Journal of Clinical Anatomy ›› 2025, Vol. 43 ›› Issue (3) : 269-273. DOI: 10.13418/j.issn.1001-165x.2025.3.05

Clinical significance of normal paranasal sinus and its bone thickness

Hu Ruili¹, Zhang Xiaochen², Xu Xiaoyan¹, Li Zefei¹, Ding Yongqing¹, Xie Qi¹, Zhang Qingjun¹, Xue Gang¹

Author information +

History +

Abstract

Objective To analyze the difference of bone thickness of normal paranasal sinuses and explore its significance for the global osteitis scoring scale(GOSS) of chronic rhinosinusitis. Methods A total of 39 patients who received sinus CT examination in the Department of Otolaryngology, Head and Neck Surgery of our hospital from January 2023 to March 2024 were collected. The bone thickness of maxillary sinus, bilateral anterior ethmoid sinus, bilateral posterior ethmoid sinus, bilateral posterior frontal sinus and bilateral anterior sphenoid sinus were measured respectively. The difference of bone thickness of paranasal sinus was analyzed and the 95% confidence interval of every sinus was evaluated. Results The average bone thickness of the posterior lateral wall of maxillary sinus was (1.35±0.17) mm, that of the anterior ethmoid sinus was (0.82±0.08) mm, that of the posterior ethmoid sinus was (0.80±0.06) mm, and that of the posterior frontal sinus was (1.22±0.21) mm. The mean bone thickness of the anterior wall of bilateral sphenoid sinus was (0.81±0.11) mm. There were statistically significant differences in bone thickness of paranasal sinus in all groups (F=134.6, P<0.05). Multiple comparisons showed the bone thickness of posterior lateral wall of maxillary sinus and posterior wall of frontal sinus was thicker (P<0.05), while there was no statistical differences in the bone thickness of the walls of the anterior ethmoid sinus, posterior ethmoid sinus and sphenoid sinus (P>0.05). Conclusions The bone thickness of normal paranasal sinuses was different, maxillary and frontal sinuses were thicker while ethmoid and sphenoid sinuses were thinner. This difference may lead to overestimate the bone thickening of maxillary sinuses, frontal sinuses and underestimate the bone thickening of ethmoid and sphenoid sinuses in CRS.

Key words

Paranasal sinuses / / / Thickness / / / Chronic rhinosinusitis / / / Global osteitis scoring scale /

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Hu Ruili, Zhang Xiaochen, Xu Xiaoyan, Li Zefei, Ding Yongqing, Xie Qi, Zhang Qingjun, Xue Gang. Clinical significance of normal paranasal sinus and its bone thickness [J]. Chinese Journal of Clinical Anatomy. 2025, 43(3): 269-273 https://doi.org/10.13418/j.issn.1001-165x.2025.3.05

References

[1] Shi JB, Fu QL, Zhang H, et al. Epidemiology of chronic rhinosinusitis: results from a cross sectional survey in seven Chinese cities[J]. Allergy, 2015, 70(5): 533-539. DOI: 10.1111/all.12577.
[2] Sethi N. The significance of osteitis in rhinosinus[J]. Eur Arch Otorhinolaryngol, 2015, 272(18): 821-826. DOI: 10.1007/s00405-014-3060-0.
[3] Snidvongs K, Sacks R, Harvey RJ. Osteitis in chronic rhinosinusitis[J]. Curr Allergy Asthma Rep, 2019, 19(5): 24. DOI: 10.1007/s11882-019-0855-5.
[4] Leung N, Mawby TA, Turner AZ, et al. Osteitis and chronic rhinosinusitis: a review of the current literature[J]. Eur Arch Otorhinolaryngol, 2016, 273(10): 2917-2923. DOI: 10.1007/s00405-015-3817-0.
[5] Georgalas C, Videler W, Freling N , et al. Global Osteitis Scoring Scale and chronic rhinosinusitis:a marker of revision surgery[J]. Clin Otolaryngol All, 2010, 35(6): 455-461. DOI: 10.1111/j.1749-4486. 2010. 02218.x.
[6] 王珍珍, 唐兵, 郝文娟, 等. GOSS评分系统对指导慢性鼻窦炎患者术后口服激素的临床意义[J]. 中国耳鼻咽喉头颈外科杂志, 2023, 30(3): 165-168. DOI: 10.16066/j.1672-7002.2023.03.007.
Wang ZZ,Tang B, Hao WJ, et al. Evaluation of GOSS scoring system in guiding postoperative oral glucocorticoid in patients with chronic sinusitis [J]. Chin Arch Otolaryngol Head Neck Surg, 2023, 30(3): 165-168. DOI: 10.16066/j.1672-7002.2023.03.007.
[7] 陈德平, 皮雪敏, 刘倩, 等. 上颌窦底提升相关的应用解剖和放射线诊断[J]. 中国口腔种植学杂志, 2022, 27(3): 193-198. DOI: 10.12337/zgkq zzxzz.2022.06.012.
Chen DP, Pi XM, Liu Q, et al. Applied anatomy and radiological diagnosis of maxillary sinus floor elevation [J]. Chin J Oral Implantol, 2022, 27(3): 193-198. DOI: 10.12337/zgkq zzxzz.2022.06.012.
[8] Danesh-Sani SA, Movahed A, ElChaar ES, et al. Radiographic evalua- tion of maxillary sinus lateral wall and posterior superior alveolar artery anatomy: a cone-beam computed tomographic study[J]. Clin Implant Dent Relat Res, 2017, 19(1): 151-160. DOI: 10.1111/cid.12426.
[9] 郑振宇, 丁怡戈, 李灏然, 等. 1910名初中新生慢性鼻-鼻窦炎与鼻中隔偏曲的相关性分析[J]. 中国临床解剖学杂志, 2020, 38(3): 348-350. DOI: 10.13418/j.issn.1001-165x.2020.03.021.
Zheng ZY, Ding YG, Li HR, et al. Analysis of the correlation between chronic rhinosinusitis and nasal septum deviation in 1910 junior middle school students [J]. Chin J Clin Anat, 2020, 38(3): 348-350. DOI: 10.13418/j.issn.1001-165x.2020.03.021.
[10]张力, 康渊春, 刘海斌, 等. 首诊眼科的真菌性鼻窦炎的影像解剖学特点[J]. 中国临床解剖学杂志, 2021, 39(1): 216-219. DOI: 10.13418/j.issn.1001-165x.2021.02.019.
Zhang L, Liao YC, Liu HB, et al. Imaging anatomical characteristics and clinical manifestations of fungal sinusitis in the first consultation ophthalmology [J]. Chin J Clin Anat, 2021, 39(1): 216-219. DOI: 10.13418/j.issn.1001-165x.2021.02.019.
[11]中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组, 中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 中国慢性鼻窦炎诊断和治疗指南(2018)[J]. 中华耳鼻咽喉头颈外科杂志, 2019, 54(2): 81-100. DOI: 10.3760/cma.j.issn.1673-0860.2019.02.001.
Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Chinese guidelines for diagnosis and treatment of chronic rhinosinusitis (2018) [J]. Chin J Otorhinolaryngol Head Neck Surg, 2019, 54(2): 81-100. DOI: 10.3760/cma.j.issn.1673-0860.2019.02.001.
[12] 中国居民营养与慢性病状况报告[R]. 营养学报, 2020, 42(6): 521.
Report on nutrition and chronic disease status of Chinese residents [R].Acta Nutrimenta Sinica, 2020, 42(6): 521.
[13]Khalid AN, Hunt J, Perloff JR, et al. The role of bone in chronic rhinosinusitis[J]. Laryngoscope, 2010, 112(11): 1951-1957. DOI: 10.1097/00005537-200211000-00008.
[14]Gunel C, Feldman RE, Bleier BS. Osteitis is associated with P-glycoprotein overexpression in patients with chronic sinusitis without nasal polyps[J]. Am J Rhinol Allergy, 2014, 28(2): 99-102. DOI: 10.25 00/ajra.2014.28.4011.
[15]Zhao YC, Wormald PJ. Biofilm and osteitis in refractory chronic rhinosinusitis[J]. Otolaryngol Clin North Am, 2017, 50(1): 49-60. DOI: 10.1016/j.otc.2016.08.005.
[16]朱财明, 刘红兵, 吴文霞, 等. CT扫描鼻窦骨炎在预诊断嗜酸性粒细胞性慢性鼻-鼻窦炎中的作用探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(12): 944-948. DOI: 10.13201/j.issn.1001-1781.2018.12.015.
Zhu CM, Liu HB, Wu WX, et al. To explore the role of CT scan in the diagmosis of eosinophilic chronic rhinosinusitis [J]. J Clin Otorhinolaryngol Head Neck Surg, 2018, 32(12): 944-948. DOI: 10.13201/j.issn.1001-1781.2018.12.015.
[17] 张正强, 杜军, 单智慧. 慢性鼻-鼻窦炎手术预后相关因素分析[J]. 中国耳鼻咽喉颅底外科杂志, 2016, 22(6): 510-512. DOI: 10.11798/j.issn.1007-1520.201606024.
Zhang ZQ, Du J, Shan ZH. Analysis of factors related to the prognosis of chronic rhinosinusitis surgery[J]. Chinese Journal of Otorhinolaryngology-Skull Base Surgery, 2016, 22(6): 510-512. DOI: 10.11798/j.issn.1007-1520.201606024.
[18]Dong Y, Zhou B, Wang X, et al. Computed tomography and histopathological evaluation of osteitis in rabbit models with rhinosinusitis[J]. Acta OtoLaryngol, 2017, 137(5): 534-540. DOI: 10.1080/00016489.2016.1252060.