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Czasopismo

2019 | 78 | 4 |

Tytuł artykułu

Evaluation of apertura piriformis and related cranial anatomical structures through computed tomography: golden ratio

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The purpose of study was to evaluate normal morphometric measurements of piriform aperture (PA) by limiting the age range in genders to show the morphometry of the relevant and close proximal cranial structures; and also to investigate whether these are in compliance with the golden ratio. Materials and methods: Our study was performed on 83 (42 female, 41 male) multidetector computed tomography images obtained from patients. A total of 14 morphological measurements were performed including the height of PA, the width of PA and 12 cranial structures; and these measurements were evaluated for compliance with the golden ratio. The differences of 14 parameters between the genders and age groups, and also the interaction of these two factors were analysed. Results: In our morphometric study, significant difference between the genders was found in all measurements except for the distance between vertex and rhinion (V~Rh), between rhinion and right foramen supraorbitalis (Rh~FSOR), between rhinion and left FSO (Rh~FSOL), and the width of PA on the level between the right and left foramen infraorbitalis (PAW~FIO) with the difference valid for both age subgroups (p < 0.05). When the differences between the age subgroups were evaluated, there was significant difference only at the widest distance of cranium (CW; p = 0.008); and it was observed that the average has increased with age in both genders. When the golden ratio was examined, the ratio of the distance between anterior nasal spine and nasion to the height of piriform aperture (NSA~N:PAH) was found to be within the limits of the golden ratio in males (p = 0.074). No golden ratio has been found in females. Conclusions: In our study, significant differences were detected between genders in all parameters of PA and in some parameters of the close cranial structures in the age group we examined. The effect of age was detected only in the CW parameter, and the PA and close cranial structures were not affected. In our study, the averages of the morphometric measurements of 13 parameters of young adults were determined. The PA and surrounding cranial structures are important for the area and related surgical procedures; however, gender differences must be considered in this respect. In addition to this, in the PA, which is the anterior limit of the skeletal nose in males, the NSA~N:PAH ratio having the ideal golden ratio limits is valuable in aesthetical terms and due to its position of the PA in the face. (Folia Morphol 2019; 78, 4: 839–846)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

78

Numer

4

Opis fizyczny

p.839-846,fig.,ref.

Twórcy

  • Department of Anatomy, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
autor
  • Department of Radiology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey
autor
  • Department of Biostatistics and Medical Informatics, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey

Bibliografia

  • 1. Abdelaleem S, Younis R, Kader M. Sex determination from the piriform aperture using multi slice computed tomography: Discriminant function analysis of Egyptian population in Minia Governorate. Egypt J Forensic Sci. 2016; 6(4): 429–434, doi: 10.1016/j.ejfs.2016.11.003.
  • 2. Akansel G, Inan N, Kurtas O, et al. Gender and the lateral angle of the internal acoustic canal meatus as measured on computerized tomography of the temporal bone. Forensic Sci Int. 2008; 178(2-3): 93–95, doi: 10.1016/j.forsciint.2008.02.006, indexed in Pubmed: 18378102.
  • 3. Aksu F, Mas NG, Kahveci O, et al. Apertura piriformis ve choana çapları: anatomik bir çalışma. Dokuz Eylül Üniveritesi Tıp Fakültesi Dergisi. 2013; 27(1): 1–6.
  • 4. Asghar A, Dixit A, Rani M. Morphometric study of nasal bone and piriform aperture in human dry skull of indian origin. J Clin Diagn Res. 2016; 10(1): AC05–AC07, doi: 10.7860/JCDR/2016/15677.7148, indexed in Pubmed: 26894050.
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  • 8. Jeon A, Sung KiH, Kim SD, et al. Anatomical changes in the East Asian midface skeleton with aging. Folia Morphol. 2017 [Epub ahead of print]; 76(4): 730–735, doi: 10.5603/FM.a2017.0027, indexed in Pubmed: 28353305.
  • 9. Karadag D, Ozdol NC, Beriat K, et al. CT evaluation of the bony nasal pyramid dimensions in Anatolian people. Dentomaxillofac Radiol. 2011; 40(3): 160–164, doi: 10.1259/dmfr/35578628, indexed in Pubmed: 21346082.
  • 10. Lee SHo, Yang TY, Han GS, et al. Analysis of the nasal bone and nasal pyramid by three-dimensional computed tomography. Eur Arch Otorhinolaryngol. 2008; 265(4): 421–424, doi: 10.1007/s00405-007-0476-9, indexed in Pubmed: 17929046.
  • 11. López MC, Galdames IS, Matamala DZ, et al. Sexual dimorphism determination by piriform aperture morphometric analysis in brazilian human skulls. Int J Morphol. 2009; 27(2), doi: 10.4067/s0717-95022009000200007.
  • 12. McDowell JL, L’Abbé EN, Kenyhercz MW. Nasal aperture shape evaluation between black and white South Africans. Forensic Sci Int. 2012; 222(1-3): 397.e1–397. e6, doi: 10.1016/j.forsciint.2012.06.007, indexed in Pubmed: 22727267.
  • 13. Moreddu E, Puymerail L, Michel J, et al. Morphometric measurements and sexual dimorphism of the piriform aperture in adults. Surg Radiol Anat. 2013; 35(10): 917–924, doi: 10.1007/s00276-013-1116-2, indexed in Pubmed: 23625070.
  • 14. Ofodile FA. Nasal bones and pyriform apertures in blacks. Ann Plast Surg. 1994; 32(1): 21–26, doi: 10.1097/00000637-199401000-00005 , i n d e x e d i n Pubmed: 8141532.
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  • 16. Prado F, Caldas R, Rossi A, et al. Piriform aperture morphometry and nasal bones morphology in Brazilian population by postero-anterior caldwell radiographys. Int J Morphol. 2011; 29(2): 393–398, doi: 10.4067/s0717-95022011000200014.
  • 17. Schultz A. Relation of the external nose to the bony nose and nasal cartilages in whites and negroes. Am J Phys Anthropol. 1918; 1(3): 329–338, doi: 10.1002/ajpa.1330010304.
  • 18. Turhan-Haktanir N, Ayçiçek A, Haktanir A, et al. Variations of supraorbital foramina in living subjects evaluated with multidetector computed tomography. Head Neck. 2008; 30(9): 1211–1215, doi: 10.1002/hed.20866, indexed in Pubmed: 18642294.
  • 19. Uygur M, Ertürk M, Akcan A, et al. Morphometric features of the piriform aperture and nasal bones. Medeniyet Med J. 2006; 21(4): 174–177.
  • 20. Yüzbaşioğlu N, Yilmaz MT, Çicekcibasi AE, et al. The evaluation of morphometry of nasal bone and pyriform aperture using multidetector computed tomography. J Craniofac Surg. 2014; 25(6): 2214–2219, doi: 10.1097/SCS.0000000000001063, indexed in Pubmed: 25377975.
  • 21. Zamani Naser A, Panahi Boroujeni M. CBCT evaluation of bony nasal pyramid dimensions in iranian population: a comparative study with ethnic groups. Int Sch Res Notices. 2014; 2014: 819378, doi: 10.1155/2014/819378, indexed in Pubmed: 27437462.

Typ dokumentu

Bibliografia

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