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Maxillary sinus development and sinusitis in patients with cleft lip and palate
H Suzuki1, T Yamaguchi, M Furukawa
1Department of Otolaryngology, Sendai National Hospital, 2-8-8 Miyagino, Miyagino-ku, Sendai, Japan. suzuhyde@mb.infoweb.or.jp
Auris, Nasus, Larynx
|May 16, 2000
Summary
Children with cleft lip and palate have smaller maxillary sinuses and are more prone to developing sinusitis. This study highlights the link between sinus development and sinusitis in these patients.
Area of Science:
- Craniofacial development
- Pediatric otolaryngology
- Medical imaging
Background:
- Sinusitis is a common complication in patients with cleft lip and palate.
- Maxillary sinus development is crucial for overall craniofacial structure.
Purpose of the Study:
- To investigate maxillary sinus development in relation to sinusitis occurrence in cleft patients.
- To analyze the correlation between sinus size, age, and sinusitis severity.
Main Methods:
- Computed tomographic (CT) scans of the maxilla were performed on 47 patients with cleft lip and alveolus (with or without cleft palate).
- Maxillary sinus cross-sectional area was measured, and soft tissue density was scored.
- Patients were grouped by age: children (≤10 years), adolescents (11-20 years), and adults (>20 years).
Main Results:
- Maxillary sinus cross-sectional area was significantly smaller in children compared to adolescents and adults.
- Sinus area increased with age in children, slowed in adolescents, and decreased in adults.
- Sinusitis was present in 32% of patients, with severe sinusitis more common in children.
Conclusions:
- Maxillary sinusitis in cleft lip and palate patients predominantly affects developing sinuses in children.
- Early detection and management of sinusitis are crucial in pediatric cleft patients.