This study aimed to evaluate the effect of climate and altitude differences on the volume of paranasal sinuses and on the frequency of anatomic variations by comparing the paranasal sinus computerized tomography (PNSCT) of patients who were born and living in a cold, dry climate at high altitude with those of patients who were born and living on the coast at sea level in a temperate climate. We also aimed to determine differences relating to gender. A total of 914 individuals, 402 (44%) in Adana, and 512 (56%) in Sivas were evaluated and compared prospectively. Axial and coronal CT sections were used for volume measurements in the paranasal sinuses. For measurements, the widest view of the sinuses was used. The findings of this study have shown that age groups and genders compared measurements between the two cities. When the age groups are examined, there is no significant difference between the regions between 0-20 years of age (p> 0.05), whereas 21-40,41-60,61 and above individuals have a significant difference between the frontal and sphenoid sinuses (p <0.05) . Maxillary sinus volume was similar between the two cities, and no significance was found (p> 0.05). Considering the difference between paranasal sinus volumes between males, males were larger than females (p <0.05). Besides, when the diameter of the paranasal sinuses between regions is examined; It was found that individuals in Adana were longer than Sivas (p <0.05). The percentage of aplasia and hypoplasia observed in individuals participating in the study is similar in both cities. In conclusion, there have been many studies of nasal cavity changes due to climatic conditions, but this is one of the first studies to measure the difference in paranasal sinus volumes. The present study demonstrated that the climate has a unique effect on the respiratory system, including paranasal sinuses. One should consider the paranasal sinus anatomy and surgery by taking the region and the climate count into the decision processes.
Primary Language | English |
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Subjects | Health Care Administration |
Journal Section | Medical Science Research Articles |
Authors | |
Publication Date | December 31, 2022 |
Acceptance Date | December 29, 2022 |
Published in Issue | Year 2022 |