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Ince R, Cihan ÖF, Bahşi İ, Yalçin ED. Morphometric Analysis of the Sella Turcica on Cone-Beam Computed Tomography Images. J Craniofac Surg 2024:00001665-990000000-01495. [PMID: 38709033 DOI: 10.1097/scs.0000000000010208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 03/09/2024] [Indexed: 05/07/2024] Open
Abstract
INTRODUCTION Sella turcica is an important anatomic formation that contains the pituitary gland and is in a close neighborhood with many vital structures. It is important to know the morphometry of the sella turcica, as it is a transition point during surgical interventions such as the endoscopic endonasal transsphenoidal approach to the region. The findings obtained are thought to be useful in the examination of sella turcica and surrounding structures and will contribute to the literature by knowing the morphometry of the region for the surgical method. METHOD In this study, cone-beam computed tomography images of 400 individuals, 200 females and 200 males, aged between 18 and 65 years, who did not have craniofacial pathology, who applied to Gaziantep University, Faculty of Dentistry between 2015 and 2020 for any reason, were evaluated retrospectively. In the sagittal section, 8 parameters were examined, 6 of which were transverse. RESULTS The length () of the sella turcica in the sagittal plane is 10.19±1.77 mm, the diameter of the sella turcica is 11.6±1.69 mm, the anterior height of the sella turcica is 7.88±1.56 mm, the median height of the sella turcica 8.18±1.42 mm, posterior height of sella turcica 6.98±1.31 mm, width of sella turcica 11.10±1.6 mm. The distance between anterior clinoid processes in the transverse plane was 24.93±2.57 mm, and the distance between posterior clinoid processes was 14.92±2.46 mm. CONCLUSION It was determined that there was an increase in many parameters with age, and length of the sella turcica and anterior clinoid processes were statistically significantly higher in males.
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Affiliation(s)
- Rümeysa Ince
- Vocational School of Health Services, Medical Imaging Techniques Program, Osmaniye Korkut Ata University, Osmaniye
| | - Ömer F Cihan
- Department of Anatomy, Faculty of Medicine, Gaziantep University, Gaziantep
| | - İlhan Bahşi
- Department of Anatomy, Faculty of Medicine, Gaziantep University, Gaziantep
| | - Eda D Yalçin
- Department of Dental and Jaw Radiology Radiology, Faculty of Dentistry, Istanbul Health and Technology University, Istanbul, Turkey
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Sönmez Eİ, Polat S, Öksüzler M, Göker P. Evaluation of Sella Turcica Morphology and Morphometry Based on Gender and Age in Our Population Using Computed Tomography. J Craniofac Surg 2023:00001665-990000000-01179. [PMID: 37948625 DOI: 10.1097/scs.0000000000009806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 08/26/2023] [Indexed: 11/12/2023] Open
Abstract
In this study, it was aimed to determine the reference values for the healthy Turkish population by evaluating the age-related changes in the morphology and morphometry of Sella Turcica (ST) and the relationship with the body mass index. In addition, it has been investigated whether the morphology and morphometry of this structure vary in diabetes mellitus (DM) patients. The study group was consisted of a total of 524 individuals (266 females and 258 males) (426 healthy and 48 with DM) between the ages of 1 and 80, who applied to the Department of Radiology between January 2018 and February 2021. Axial brain computed tomography scans which have no pathology in ST were retrospectively examined. The ST length (STL), height (STH), diameter (STD), processus clinoideus anterior right-left (PCAR_L), processus clinoideus posterior right-left (PCPR_L) did not differ significantly in healthy individuals and individuals with DM (P>0.05). When the ST morphology according to the ST shape classification performed by Meyer Marcotti and colleagues and Axellson and colleagues was evaluated, it was observed that there was no statistically significant difference between the 2 groups (P>0.05). There was a significant difference in STL, STD values (P<0.05), however, there was no difference in STH, PCAR_L, PCPR_L values between genders (P>0.05). While the distance between STL, STD, PCAR_L showed a significant difference between the decades in all groups, there was no significant difference in the STH, PCPR_L in both classifications (P>0.05). When the relationship between the parameters and body mass index was evaluated, STL, STD, PCAR_L showed a significant difference between the groups (P<0.05). Detailed knowledge of the ST anatomy will be helpful in terms of early diagnosis of diseases that may be related and guiding surgical interventions in this region.
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Affiliation(s)
- Elif İpek Sönmez
- Department of Anatomy, Faculty of Medicine, Çukurova University, Adana
| | - Sema Polat
- Department of Anatomy, Faculty of Medicine, Çukurova University, Adana
| | - Mahmut Öksüzler
- Department of Radiology, Bozkaya Training and Research Hospital, Izmir, Turkey
| | - Pinar Göker
- Department of Anatomy, Faculty of Medicine, Çukurova University, Adana
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Iskra T, Stachera B, Możdżeń K, Murawska A, Ostrowski P, Bonczar M, Gregorczyk-Maga I, Walocha J, Koziej M, Wysiadecki G, Balawender K, Żytkowski A. Morphology of the Sella Turcica: A Meta-Analysis Based on the Results of 18,364 Patients. Brain Sci 2023; 13:1208. [PMID: 37626564 PMCID: PMC10452851 DOI: 10.3390/brainsci13081208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/04/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND This meta-analysis aimed to present data on the sella turcica (ST) morphology and variations. Furthermore, a detailed morphometric analysis of the ST was conducted. METHODS Major online databases such as PubMed, Scopus, Embase, Web of Science, and the Cochrane Library were searched through. The overall search process was conducted in three stages. RESULTS This meta-analysis was based on the results of 18,364 patients and demonstrates the most up-to-date and relevant data regarding the morphology of the ST in the available literature. Four classification methods of the ST shape can be distinguished, in which the most commonly occurring variants are the normal ST (55.56%), the U-shaped ST (73.58%), the circular type of ST (42.29%), and non-bridging ST (55.64%). The overall midpoint height of the ST was 6.59 mm (SE = 0.13). The overall length of the ST was 9.06 mm (SE = 0.15). The overall volume of the ST was 845.80 mm3 (SE = 288.92). Four main classification methods of ST morphology can be distinguished in the available literature. Various morphometric characteristics of the ST may be applied in clinical practice to evaluate its shape, dimensions, and normal or pathological variants.
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Affiliation(s)
- Tomasz Iskra
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
| | - Bartłomiej Stachera
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
- Youthoria—Youth Research Organization, 33-332 Kraków, Poland
| | - Kamil Możdżeń
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
| | - Agnieszka Murawska
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
| | - Patryk Ostrowski
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
- Youthoria—Youth Research Organization, 33-332 Kraków, Poland
| | - Michał Bonczar
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
- Youthoria—Youth Research Organization, 33-332 Kraków, Poland
| | - Iwona Gregorczyk-Maga
- Faculty of Medicine, Institute of Dentistry, Jagiellonian University Medical College, 31-155 Krakow, Poland;
| | - Jerzy Walocha
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
- Youthoria—Youth Research Organization, 33-332 Kraków, Poland
| | - Mateusz Koziej
- Department of Anatomy, Jagiellonian University Medical College Cracow, 33-332 Kraków, Poland; (T.I.); (B.S.); (K.M.); (A.M.); (P.O.); (M.B.); (J.W.); (M.K.)
- Youthoria—Youth Research Organization, 33-332 Kraków, Poland
| | - Grzegorz Wysiadecki
- Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, 90-752 Łódź, Poland
| | - Krzysztof Balawender
- Department of Normal and Clinical Anatomy, Institute of Medical Sciences, Medical College, Rzeszow University, 35-315 Rzeszów, Poland;
| | - Andrzej Żytkowski
- Norbert Barlicki Memorial Teaching Hospital No. 1, Medical University of Lodz, 90-001 Łódź, Poland;
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Canigur Bavbek N, Akay G, Kar İ, Tuncer C, Güngör K, Baloş Tuncer B. Relationship between palatally impacted canines and dimensions and morphology of sella turcica: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2022; 162:626-635. [PMID: 35953339 DOI: 10.1016/j.ajodo.2021.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 05/01/2021] [Accepted: 05/01/2021] [Indexed: 11/01/2022]
Abstract
INTRODUCTION This study aimed to analyze the association of unilateral and bilateral palatal canine impaction with the dimensions and morphology of sella turcica from 3-dimensional cone-beam computed tomography (CBCT) images. METHODS CBCT images of patients with bilateral (BPI) (n = 12; 9 female 3 male; 20.75 ± 5.88 years) and unilateral (UPI) (n = 35; 22 female 13 male; 19.28 ± 5.57 years) palatally impacted canines were compared with a control group (n = 56; 34 female 22 male; 20.82 ± 4.88 years). Linear measurements regarding sella turcica were made, and its morphologic variations were categorized. Two group comparisons were made with the Student t test or Mann-Whitney U-test, whereas one-way analysis of variance or Kruskal-Wallis tests were used for multiple group comparisons. Categorical variables were compared using the chi-square or Fisher exact test as appropriate. The binary logistic regression analyses and correlations using Spearman or Pearson correlation analyses were used to determine associations between variables (P <0.05). RESULTS Sella diameter was significantly smaller in the BPI group compared to UPI and control groups. There was a significant association between sella diameter and BPI when compared with the control group (χ2[1] = 9.150; P = 0.008). There were no significant differences between groups in the distribution of sella turcica morphology. CONCLUSIONS Despite the similar genetic origin of the sella turcica region and teeth, the association of palatal canine impaction with dimensions and morphology of sella turcica was weak. Both local and genetic factors might contribute to the ectopic position of the canine.
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Affiliation(s)
- Nehir Canigur Bavbek
- Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
| | - Gülsün Akay
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - İrem Kar
- Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Cumhur Tuncer
- Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Kahraman Güngör
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Gazi University, Ankara, Turkey
| | - Burcu Baloş Tuncer
- Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey
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Akay G, Eren I, Karadag O, Gungor K. Three-dimensional assessment of the sella turcica: comparison between cleft lip and palate patients and skeletal malocclusion classes. Surg Radiol Anat 2020; 42:977-983. [PMID: 32356044 DOI: 10.1007/s00276-020-02481-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Accepted: 04/23/2020] [Indexed: 12/14/2022]
Abstract
PURPOSE The main aim of the present study was to investigate the dimensions and morphological appearance of the sella turcica in cleft lip and palate patients using cone-beam computed tomography (CBCT) images, compared to non-cleft individuals. METHODS CBCT images of 40 (20 females and 20 males) cleft lip and palate patients and 60 (27 males and 33 females) non-cleft individuals were assessed, retrospectively. The linear dimensions (depth, diameter and length) of the sella turcica and inter-clinoid distance were measured. Sella turcica shapes were examined in the cleft lip and palate patients and non-cleft individuals. Non-cleft individuals were divided into skeletal malocclusion classes. All variables were analyzed using the Kruskal-Wallis test, Mann-Whitney U tests and Chi-square test. RESULTS No significant difference was observed between individuals with and without cleft in the linear dimensions (depth, diameter and length) of the sella turcica (p > 0.05). However, a significant difference was found in the inter-clinoid distance between patients with cleft and non-cleft individuals (p < 0.05). Comparison of the sella turcica shape between skeletal malocclusion classes and patients with cleft showed significant differences (p < 0.05). CONCLUSIONS No significant difference was determined in the depth, diameter, or length of the sella turcica in cleft patients when compared with non-cleft individuals. The inter-clinoid distance was lower in cleft patients than in non-cleft individuals, and this difference was statistically significant.
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Affiliation(s)
- Gulsun Akay
- Department of Oral and Dentomaxillofacial Radiology, Faculty of Dentistry, Gazi University, Ankara, Turkey.
| | - Ilkay Eren
- Ministry of Health, Osmanlı Oral and Dental Health Center, Ankara, Turkey
| | - Ozge Karadag
- Department of Statistics, Graduate School of Science and Engineering, Hacettepe University, Ankara, Turkey
| | - Kahraman Gungor
- Department of Oral and Dentomaxillofacial Radiology, Faculty of Dentistry, Gazi University, Ankara, Turkey
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