The relationship between the dimensions of frontal air sinus and skeletal malocclusions: A systematic review and meta-analysis
Ahmed Lotf Algahefi,
Mohammed Sultan Al-Ak’hali,
Esam Halboub,
Fei Tong,
Abeer A. Almashraqi,
Labib Hazaa Ghaleb,
Li Zhihua,
Maged S. Alhammadi
Affiliations
Ahmed Lotf Algahefi
School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China; Faculty of Dentistry, Ibb University, Ibb, Republic of Yemen
Mohammed Sultan Al-Ak’hali
Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
Esam Halboub
Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
Fei Tong
School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China
Abeer A. Almashraqi
Department of Clinical Oral Health Sciences, College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
Labib Hazaa Ghaleb
Faculty of Dentistry, Ibb University, Ibb, Republic of Yemen
Li Zhihua
School of Stomatology, Nanchang University, The Key Laboratory of Oral Biomedicine, Jiangxi Province, Jiangxi Province Clinical Research Center for Oral Diseases, China; Corresponding author.
Maged S. Alhammadi
Orthodontics and Dentofacial Orthopedics, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Saudi Arabia
Objective: The goal of this systematic review and meta-analysis was to assess whether the dimensions of the frontal air sinus correlate with skeletal malocclusion. Study selection: PubMed, Scopus, Embase, and Google Scholar were searched for relevant studies published up to May 23, 2023. The review included observational studies that compared the dimensions of the frontal air sinus between different skeletal malocclusions. The PECOS method was used in this study (“Population, Exposure, Comparator, Outcome, and Study design”). The search was done using the following English keywords: “frontal sinus” AND “lateral cephalometric” AND “malocclusion” AND “surface area”. Results: Seven studies were included, which involved 1101 participants, of whom 403 were class I, 375 were class II, and 323 were class III. These studies had a moderate risk of bias. The surface area of the frontal sinus in class III was significantly larger than in class I (standardized difference in means (SDM) = −0.971; 95 % CI = −1.147− −0.796; P < 0.001) and in class II (SDM = −1.535; 95 % CI = −1.732− −1.337; P < 0.001). Conclusion: Class III malocclusion is associated with a larger surface area of the frontal sinus compared to classes I and II.
