Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience

Objective: Morphometry of frontal sinuses has been studied extensively in many countries. However, these findings cannot be generalized due to genetic and environmental factors affecting the skeletal structure. The main aim of this study was to morphometrically analyze the frontal sinuses in patient...

Full description

Bibliographic Details
Main Authors: Chathula Wickramasinghe, Amal Nishantha Vadysinghe, Sarathchandra Kodikara, Jeevani Udupihilla
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121221143628
_version_ 1811197678053228544
author Chathula Wickramasinghe
Amal Nishantha Vadysinghe
Sarathchandra Kodikara
Jeevani Udupihilla
author_facet Chathula Wickramasinghe
Amal Nishantha Vadysinghe
Sarathchandra Kodikara
Jeevani Udupihilla
author_sort Chathula Wickramasinghe
collection DOAJ
description Objective: Morphometry of frontal sinuses has been studied extensively in many countries. However, these findings cannot be generalized due to genetic and environmental factors affecting the skeletal structure. The main aim of this study was to morphometrically analyze the frontal sinuses in patients who underwent non-contrast computed tomography (NCCT) skull imaging at Teaching Hospital Peradeniya and to assess its association with age and sex. Methods: This retrospective study included 300 NCCT skull images obtained by a multi-slice computed tomography(MSCT) scanner at the Teaching Hospital Peradeniya. This age- and sex-matched sample was selected using consecutive sampling and consists of seven age groups (20–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80–89). Right and left frontal sinus values (length, height, width of each sinus, and total width) were measured using the RadiaAnt DICOM Viewer 2020.2.3 software, and age and sex were obtained from the CT images. The association among the variables was analyzed using the t-test and binary logistic regression model. Results: In our study sample, 59% ( n  = 177) were male and the mean age was 57.94 years. The means of left side sinus values were larger than right sinus values, which was statistically significant. A statistically significant association was seen between frontal sinus parameters and sex; those of males were higher than that of females. No significant association between the sinus size and age was observed. Conclusion: Morphometric analysis of frontal sinuses using NCCT images is useful for the sex differentiation of unknown bodies for medico-legal purposes. Furthermore, the mean sinus values specific to the current study population will also be helpful in ethnic differentiation.
first_indexed 2024-04-12T01:19:10Z
format Article
id doaj.art-dbf17ecbe4cb45eda19b469c46ba7fe8
institution Directory Open Access Journal
issn 2050-3121
language English
last_indexed 2024-04-12T01:19:10Z
publishDate 2022-12-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj.art-dbf17ecbe4cb45eda19b469c46ba7fe82022-12-22T03:53:52ZengSAGE PublishingSAGE Open Medicine2050-31212022-12-011010.1177/20503121221143628Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experienceChathula Wickramasinghe0Amal Nishantha Vadysinghe1Sarathchandra Kodikara2Jeevani Udupihilla3Department of Forensic Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Forensic Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Forensic Medicine, University of Peradeniya, Peradeniya, Sri LankaDepartment of Radiology, University of Peradeniya, Peradeniya, Sri LankaObjective: Morphometry of frontal sinuses has been studied extensively in many countries. However, these findings cannot be generalized due to genetic and environmental factors affecting the skeletal structure. The main aim of this study was to morphometrically analyze the frontal sinuses in patients who underwent non-contrast computed tomography (NCCT) skull imaging at Teaching Hospital Peradeniya and to assess its association with age and sex. Methods: This retrospective study included 300 NCCT skull images obtained by a multi-slice computed tomography(MSCT) scanner at the Teaching Hospital Peradeniya. This age- and sex-matched sample was selected using consecutive sampling and consists of seven age groups (20–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80–89). Right and left frontal sinus values (length, height, width of each sinus, and total width) were measured using the RadiaAnt DICOM Viewer 2020.2.3 software, and age and sex were obtained from the CT images. The association among the variables was analyzed using the t-test and binary logistic regression model. Results: In our study sample, 59% ( n  = 177) were male and the mean age was 57.94 years. The means of left side sinus values were larger than right sinus values, which was statistically significant. A statistically significant association was seen between frontal sinus parameters and sex; those of males were higher than that of females. No significant association between the sinus size and age was observed. Conclusion: Morphometric analysis of frontal sinuses using NCCT images is useful for the sex differentiation of unknown bodies for medico-legal purposes. Furthermore, the mean sinus values specific to the current study population will also be helpful in ethnic differentiation.https://doi.org/10.1177/20503121221143628
spellingShingle Chathula Wickramasinghe
Amal Nishantha Vadysinghe
Sarathchandra Kodikara
Jeevani Udupihilla
Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
SAGE Open Medicine
title Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
title_full Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
title_fullStr Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
title_full_unstemmed Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
title_short Frontal sinus pattern analysis for human identification using non-contrast computed tomography images: A Sri Lankan experience
title_sort frontal sinus pattern analysis for human identification using non contrast computed tomography images a sri lankan experience
url https://doi.org/10.1177/20503121221143628
work_keys_str_mv AT chathulawickramasinghe frontalsinuspatternanalysisforhumanidentificationusingnoncontrastcomputedtomographyimagesasrilankanexperience
AT amalnishanthavadysinghe frontalsinuspatternanalysisforhumanidentificationusingnoncontrastcomputedtomographyimagesasrilankanexperience
AT sarathchandrakodikara frontalsinuspatternanalysisforhumanidentificationusingnoncontrastcomputedtomographyimagesasrilankanexperience
AT jeevaniudupihilla frontalsinuspatternanalysisforhumanidentificationusingnoncontrastcomputedtomographyimagesasrilankanexperience