Paranasal Pneumatization Research Articles

The Relationship Between Nasal Septal Deviation and Paranasal Pneumatization.

To investigate the impact of the presence and the severity of the nasal septal deviation (NSD) on the paranasal pneumatization. Initially, the deviated and contralateral sides was compared to evaluate the impact of the presence of NSD on pneumatization. Then, NSD classification groups were categorized according to the severity of deviation degree; 1: mild (<9°), 2: moderate (9°-15°), and 3: severe (>15°). Pneumatization of all paranasal sinuses, osteomeatal complex (OMC), frontoethmoid recess (FER) and variant structures were compared according to the NSD classification groups separately both for the deviated and the contralateral sides. Although there was no statistically significant difference in pneumatization of the paranasal sinuses between the deviated and contralateral sides, a significant difference was observed in OMC and FER diameters. In the deviated side, there was statistically significant difference in ethmoid sinus volume, in FER and OMC diameters between NSD classification groups. In the contralateral side, FER and OMC diameters were found to be significantly different between group 1 and group 2 and between group 1 and group 3, respectively (P = 0.04 and 0.06, respectively). Both the presence and severity of the NSD did not statistically significant influence the pneumatization of variant structures, air cells and vital structures. The severity of NSD effects the ethmoid sinus volume. The relationship of FER and OMC with NSD is evident, however this may not always be in a proportional pattern. The paranasal pneumatization did not affect Keros type, bone integrity of carotid canal and optic canal.

Presence of the Maxillary Sinus in Fossil Colobinae (Cercopithecoides williamsi) from South Africa

Extant cercopithecoid monkeys, except macaques, are distinguished among primates by their lack of paranasal pneumatization, including the maxillary sinus (MS). Analysis of this structure, widespread among Eutheria, suggests that its loss occurred in the cercopithecoid common ancestor; thus, the presence of the MS in macaques is not strictly homologous to that in other primates. CT analysis of the fossil species Victoriapithecus macinnesi supports this view, demonstrating the lack of the MS in this stem cercopithecoid. Recent evidence, however, has documented the presence of the MS in extinct cercopithecoids from the late Miocene and Pliocene. This study reports on CT examination of two fossil crania attributed to Cercopithecoides williamsi from South Africa, dated in the range, 3.0-1.5 Ma. BF 42a is a complete cranium from Bolts Farm; MP113 is an intact facial skeleton, including the anterior cranial vault, from the Makapansgat Limeworks. Both demonstrate MS presence, unknown in extant colobines and unexpected in most cercopithecoid monkeys. The relative size of the MS of BF 42a is similar to that of extant tropical and subtropical macaques. The presence of sinuses in several extinct colobines suggests that our understanding of the evolutionary history of these primates, and of the MS, is incomplete, and that other fossil cercopithecoids should be examined for this feature. The developmental plasticity exhibited in this feature, indicated by multiple loss and reemergence, provides further evidence that paranasal pneumatization has undergone a complex history of suppression and expression.

Independence of Biomechanical Forces and Craniofacial Pneumatization in Cebus

Several different factors have been hypothesized as explanations of variation in primate paranasal sinus size. Biomechanical forces, particularly those associated with mastication, are frequently evoked to account for differences in primate craniofacial pneumatization. To test whether masticatory stresses are responsible for maxillary sinus volume diversity, two platyrrhine species of the genus Cebus (C. apella and C. albifrons) were examined. The former has been identified as a hard object feeder, and many morphological differences between the two species are attributable to differences in the mechanical properties of their respective diets. Sinus volumes were derived from serial coronal CT scans of the crania of adults. Several external cranial measurements were used to scale sinus volume relative to the size of the face. Relative measures of maxillary sinus volume were compared using standard statistical techniques. In all comparisons, the two capuchin species do not differ from one another significantly at P < 0.05. Thus, this "natural experiment" fails to support the interpretation that biomechanical forces acting on the facial skeleton substantially affect the degree of paranasal pneumatization in primates. This result suggests that it is unlikely that the maxillary sinus performs any function in relation to masticatory stress; other factors must be responsible for the variation in sinus volume among primates.

The nasal capsule of platyrrhine primates in relation to paranasal pneumatization

Recent work posits that “true” paranasal sinuses form by an invasive process that is distinct from general bone remodeling. One hypothesis holds that breakdown of the cartilaginous nasal capsule that surrounds recesses is a necessary prelude to secondary pneumatization. To test this hypothesis, we examined heads of perinatal New World primates (n = 9) that were serially sectioned in the coronal plane. In two species that form frontal sinuses that derive from the frontal recess, the lateral wall of the nasal capsule (paries nasi) is relatively less extensive compared to three species in which no frontal sinus forms from this recess. A single species in our sample (Saimiri sciureus) does not form a maxillary sinus. This species is distinguished by the presence of extensive remnants of the inferior margin of the paries nasi. More generally, in species with postnatal maxillary or frontal sinuses, the nasal capsule along the wall of the maxillary or frontal recesses is more fragmented. These findings support the hypothesis that nasal capsule breakdown is a crucial event preceding sinus formation. These findings also suggest that absence of “true” sinuses may correlate with protracted perinatal presence of capsular cartilage surrounding the natal recess.

Paranasal pneumatization in extant and fossil Cercopithecoidea

Unlike most primates, extant cercopithecoids lack maxillary sinuses, which are pneumatic spaces in the facial skeleton lateral of the nasal cavity proper. Character state analysis of living cercopithecoids across well-supported topologies suggests that the sinus was lost at the origin of the superfamily, only to have evolved again convergently in extant macaques. Recent work has shown that a) the ‘early loss’ hypothesis is supported by the lack of any pneumatization in Victoriapithecus, a stem cercopithecoid, b) like extant macaques, the fossil cercopithecine Paradolichopithecus shows evidence of presence of the maxillary sinus (MS), and c) unlike extant colobines, the fossil colobine Libypithecus also possesses a maxillary sinus. To more fully assess the pattern of cercopithecoid sinus evolution, fossil taxa from both subfamilies (Colobinae, Cercopithecinae) were examined both visually and by computed tomography (CT). The observations were evaluated according to standard anatomical criteria for defining sinus spaces, and compared with data from all extant Old World monkey genera. Most taxa examined conformed to the pattern already discerned from extant cercopithecoids. Maxillary sinus absence in Theropithecus oswaldi, Mesopithecus, and Rhinocolobus is typical for all extant cercopithecids except Macaca. The fossil macaque Macaca majori possesses a well-developed maxillary sinus, as do all living species of the genus. Cercopithecoides, on the other hand, differs from all extant colobines in possessing a maxillary sinus. Thus, paranasal pneumatization has reemerged a minimum of two and possibly three times in cercopithecoids. The results suggest that maxillary sinus absence in cercopithecoids is due to suppression, rather than complete loss.