Age and Gender Determination using Maxillary Sinus and Sella Turcica on Lateral Cephalogram: A Retrospective Digital Radiographic Study

Authors

  • Pooja Devindrappa Naduvinkeri Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital.
  • Syeda Arshiya Ara Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital
  • Manasi Yashwant Nandedkar Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital.
  • Vaishali Chuniyani Department of Prosthodontics, Al-Badar Rural Dental College and Hospital.
  • Manjunath R D Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital

DOI:

https://doi.org/10.37506/b7pewx63

Keywords:

Maxillary sinus; height; width; index, Sella turcica; depth; diameter; length.

Abstract

Background: Anthropometry is of immense importance in human identification and plays a major role 
in medico legal investigation of demise. Lateral cephalogram provides architectural, morphological 
details of skull and multiple points for comparison also presents various anatomical landmarks. The 
study aimed to evaluate morphometric analysis of Maxillary sinus& Sella turcica parameters in gender 
determination& age estimation.
Methodology: The study included 300 digital Lateral cephalograms of age range 10-40 years divided 
in to 3 groups &50 males and 50 females in each age group. Linear measurement was performed for 
Maxillary Sinus Height, Width and Index & Sella turcica (ST) Length, Depth and Diameter. Results 
indicated that all the study parameters were found to be statistically significant in determination 
of age except Sella turcica depth. Maxillary sinus parameters & Sella turcica diameter, length 
showed significant corelation between age group Group-1 and Group-
II. Maxillary sinus width, height& Sella turcica length was found to be statistically significant 
in determination of gender. Discriminant equation of MS width had highest accuracy of 63.7% in 
determination of gender.
Conclusion: Lateral Cephalogram can be used to determine age and gender using linear measurements 
of maxillary sinus and Sella turcica.

Author Biographies

  • Pooja Devindrappa Naduvinkeri, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital.

    Postgraduate, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital.

  • Syeda Arshiya Ara, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital

    Professor & HOD, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and
    Hospital

  • Manasi Yashwant Nandedkar, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital.

    Postgraduate, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and
    Hospital.

  • Vaishali Chuniyani, Department of Prosthodontics, Al-Badar Rural Dental College and Hospital.

    Senior lecturer, Department of Prosthodontics, Al-Badar Rural Dental College and Hospital.

  • Manjunath R D, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital

    Postgraduate, Department of Oral Medicine and Radiology, Al-Badar Rural Dental College and Hospital

References

Divakar KP. Forensic odontology: the new dimension in dental analysis. International journal of biomedical science: IJBS. 2017 Mar;13(1):1.https://www.ncbi.nlm. nih.gov/ pmc/articles/PMC5422639/

Mohammed F, Fairozekhan AT, Bhat S, Menezes RG. Forensic Odontology.Book (https://www.ncbi.nlm. nih. gov/books/NBK540984).

Missier MS, Samuel SG, George AM. Facial indices in lateral cephalogram for sex prediction in Chennai population–A semi-novel study. Journal of Forensic Dental Sciences. 2018 Sep;10(3):151.https://www. ncbi.nlm.nih.gov/ pmc/articles/PMC6528543/

Rani SU, Rao GV, Kumar DR, Sravya T, Sivaranjani Y, Kumar MP. Age and gender assessment through three- dimensional morphometric analysis of maxillary sinus using magnetic resonance imaging. Journal of forensic dental sciences. 2017 Jan;9(1):46https://pubmed.ncbi. nlm.nih.gov/28584482/

Najem SS, Safwat WM, ELAziz RA, Gaweesh YS. Maxillary sinus assessment for gender and age determination using cone beam computed tomography in an Egyptian sample. Alexandria Dental Journal. 2021 Aug 1;46(2):63-9.https://adjalexu.journals.ekb. eg/ article_88457.html

Khaitan T, Kabiraj A, Ginjupally U, Jain R. Cephalometric analysis for gender determination using maxillary sinus index: a novel dimension in personal identification. International journal of dentistry. 2017 Mar 8;2017.https://www.hindawi.com/journals/ ijd/2017/7026796/

Usman Z, Yunusa GH, Bello A, Usman JD, Aliu A, Bello SS, Ahmad IM, Musa MA, Ammani T, Marwan GB, Bello R. Cephalometric Analysis of Sella Turcica for Age Determination from Sokoto, Nigeria: A Radiological Study. Journal of Advances in Medical and Pharmaceutical Sciences 2019;21(4): 1-7https:// journaljamps.com/index.php/JAMPS/article/ view/411

Velpula N, Ramesh A, Tejavath S, Zardi FT, Sam DM, Tandon R. Gender determination using maxillary sinus index on lateral cephalograms–a retrospective study. International Journal of

Scientific Research. 2020;9(3):33-5.https://www.worldwidejournals.com/

international-journal-of-scientific-research-(IJSR)/ article/gender-

determination-using-maxillary- sinus-index-on-lateral-cephalograms-a-retrospective -study/MjM3MTI=/?is=1&b1=945&k=237

Subasree S, Dharman S. Age and Gender Determination Using Maxillary Sinus and Sella Turcica in Forensics-A Lateral Cephalometric Study. Indian Journal of Forensic Medicine & Toxicology. 2019;13(4):151-57https:// www.researchgate.net/publication/ 337593443_ Age_and_Gender_ Determination_Using_Maxillary_ Sinus_and_Sella_Turcica_in_ Forensics-A_Lateral_ Cephalometric_Study

Teixeira LC, Walewski LÂ, de Souza Tolentino E, Iwaki LC, Silva MC. Three-dimensional analysis of the maxillary sinus for determining sex and age in human identification. Forensic Imaging.2020Sep;22:200395:16 (https://doi.org/10.1016/j.fri.2020.200395)

Muhammed FK, Abdullah AO, Liu Y. A morphometric study of the sella turcica: race, age, and gender effect. Folia Morphologica. 2020;79(2):318-26.https:// pubmed.ncbi.nlm.nih.gov/31448402/

Chaurasia A, Katheriya G. Morphometric Evaluation of Sell Turcica in Indian Ethinicity: A Cone Beam Computed Tomography Study. Indian Journal of

Forensic Odontology. 2017 Jan;10(1):11 19.https://www.rfppl.co.in/subscription/upload_pdf/Akhilanand%20Chaurasia,_5020.pdf

Kumar TS, Govindraju P. Relationship between the morphological variation of sella turcica with age and gender: A digital radiographic study. Journal of Indian Academy of Oral Medicine and Radiology. 2017;29(3):164 69https://www.researchgate.net/publication/321392113_Relationship_between_the_morphological_variation_of_sella_turcica_with_ age_

and_gender_A_digital_radiographic_study

Nagaraj T, Shruthi R, James L, Keerthi I, Balraj L, Goswami RD. The size and morphology of sell a turcica: A lateral cephalometric study. Journal of Medicine, Radiology, Pathology and Surgery. 2015 May1;1(3):3-7.https://www.researchgate.net/ publication/307742193_ The_size_and_morphology_ of_sella_turcica_A_lateral_cephalometric_study

Sathyanarayana HP, Kailasam V, Chitharanjan AB. The size and morphology of sella turcica in different skeletal patterns among South Indian population: A lateral cephalometric study. Journal of Indian Orthodontic Society. 2013 Oct;47(4_suppl1):266-71. https://www.semanticscholar.org/paper/The- Size-and-Morphology-of-Sella- Turcica-in-among- A-Sathyanarayana-Kailasam/a034458eeae25b7b5 feedcba39b9a38e589618b1

Urooge A, Patil BA. Sexual dimorphism of maxillary sinus: A morphometric analysis using cone beam computed tomography. Journal of clinical and diagnostic research: JCDR. 2017 Mar;11(3):67-70. https://www.ncbi.nlm.nih.gov/ pmc/articles/ PMC5427439/

Sathawane SR, Sukhadeve AV, Chandak MR, Lanjekar AB, Moon GV. Sex determination by maxillary sinus dimensions using cone-beam computed tomography and discriminant function: An analytical

study. International Journal of Forensic Odontology. 2020 Jan

;5(1):19-22.https://www.ijofo.org/article. asp?issn=2542-

Kiran C, Ramaswamy P, Smitha B, AS. Radio- morphometric Analysis of Sella Turcica in the South Indian Population-A Digital Cephalometric Study. Arab Journal of Forensic Sciences & Forensic Medicine 2017;1(5):517-23 https://www.academia. edu/41121452/Radio_ morphometric_Analysis_of_

Sella_Turcica_in_ the_South_Indian_Population_A_ Digital_Cephalometric_Study

Badri MK, Alhojaily AA, Qutub AS, Alshanqeeti FK, Jarallah RA, Kassim S. Retrospective analysis of size and morphology of sella turcica in different skeletal patterns in Madinah, Saudi Arabia. IP Indian J. Orthod. Dentofac. Res. 2019; 5:137-42.https:// www.researchgate.net/publication/338230950_Retrospective_analysis_of_size_and_morphology_ of_sella_turcica_in_different_skeletal_patterns_in_ Madinah_Saudi_Arabia

Arthisri AS, Dhanapriya S, Niranjana A, Mehazabin S, Massillamani F, Kailasam S. Evaluation of anatomical variations of sella turcica with age and gender using digital lateral cephalogram in Chennai city. Journal of Indian Academy of Oral Medicine and Radiology. 2021 Jul 1;33(3):280.https://journals.lww.com/aomr/ pages/ articleviewer.aspx?year=2021&issue=33030&article= 00011&type=Fulltext.

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Published

2024-04-27

How to Cite

Age and Gender Determination using Maxillary Sinus and Sella Turcica on Lateral Cephalogram: A Retrospective Digital Radiographic Study. (2024). Indian Journal of Forensic Medicine & Toxicology, 18(2), 103-111. https://doi.org/10.37506/b7pewx63