Y
 


  
Y

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Authors :
Anju choudhary
Dr. D.S. chowdhary
Abhilasha dadhich
Pushpa potaliya

S.N. medical college, Jodhpur

 

 
y {he frontal sinus is a cavity present inside the
frontal bone; among the paranasal sinuses, it is
the one that is of most interest and significance
in forensic identification. {his is due to its
irregular shape and because of individual
characteristics which make the frontal bone
unique for every individual, just as with
fingerprints (KULLMAN, EKLUND and
GRUNDIN, 1990; REICHS, 1993)
y ^uckerkandl, in 1895, was the first scientist
to call attention to the asymmetry of the
frontal sinus. [1] His finding was confirmed
by many others who performed anatomy
studies by dissection and radiography.

y Sieur and Jacob & many other authors

agreed that the frontal sinus stops growing
near the age of 20 years and remains stable
throughout the remainder of life.
y Some factors like fractures, neoplasias,
severe infections, and mucoceles can modify
the normal anatomy of the frontal sinus, but
such occurrences are rare.

y Schuller was the first author to note that no

two persons have identical frontal sinuses,
including identical twins. Schuller was the
first who suggested the possibility of
identifying persons by comparing sinus
radiographs.
y {he first studies of the frontal sinus revealed
important information about its shape,
complexity and individuality, as well as its
contribution to human identification, including
post mortem cases (SCHULLER, 1921). Since
then, complementary studies have been
conducted examining the anatomic
characteristics and variations of the frontal
sinus among the most distinct ethnic groups, for
forensic purposes (LIBERSA and FABER, 1958;
REVSKOI, 1964).
Objective
y {o study details of incidence , shape and
various measurements of frontal sinus
separately for the right and left frontal
sinus.
J   
 

y {he sample comprised: 100 male with age

group 19-25 yrs.
Radiographs of 100 individuals, taken by
the Caldwell technique with fronto-nasal
support were evaluated.
y In each case radiograph were taken in
following positions :
y postero-anterior view and lateral view
y Only individuals in perfect health were
selected to participate in the present
study. {hose with a history of orthodontic
treatment or orthognathic surgery,
trauma, or any surgery of the skull,
history or clinical characteristics of
endocrine disturbances, nutritional
diseases or hereditary facial asymmetries
were excluded from the study.
y In all the radiographs, the lines that
bordered the area of the frontal sinus
were determined with the help of a
radiograph viewer and tracing paper,
y {he following measurements were taken
on radiographs with a scale :
y vertical dimensions
y transverse dimensions
y antero - posterior dimensions.
 observations
Y      



x  · S.D.
x  · S.D.

{ 
 3.88 · 1.56 4.08 · 1.08

  
 1.93 · 0.95 2.33 · 1.02

   1.60 · 0.51 1.71 · 0.38


Conclusion and Result
y {he identification of unidentified human remains
through the comparison of antemortem and
post mortem radiographs has found wide
acceptance in recent years.
y {he frontal sinus was observed in all of the
skulls analysed and compared with other
workers.
y {he present study shows the mean values :
trns dia. Ver. Dia. Ap. Dia.
Rt. side 3.88 1.93 1.60
Lt. Side 4.08 2.33 1.71
 Dr. solanki observed the mean values as follows:
trns dia. Ver. Dia. Ap. Dia.
Rt. Side 2.60 2.64 0.90
Lt. Side 2.65 2.79 0.89

Camargo et al observed the following mean values

in brazilian subjects:
trns dia. Ver. Dia.
Rt. Side 2.65 1.90
Lt. Side 3.19 2.08
y An arched sinus was seen in 70% of the cases, a
pyramidal sinus in 18% and no definite shape in
12%. Most of the sinuses had small, incomplete
septa, especially
y In 12 % cases frontal sinus was totally absent.
y Right sinus was absent in 6%
y Left sinus was absent in 3%
y Midline septum was incomplete in 15%
y {he largest sinus sizes were found at the age of 22
year.
y Racial difference was also observed.
{hank You