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2018 | 77 | 3 |
Tytuł artykułu

Assessment of dimensions of pneumatisation of the anterior clinoid process in middle Anatolian population by computed tomography

Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Background: The anterior clinoid process (ACP) is usually removed during surgical procedures of the cellar region. The ACP may be different length and width in people; it may be also pneumatic. Therefore, we aimed to determine dimensions and rates of pneumatisation of the ACP in the large study group with clinically importance. Materials and methods: One thousand and thirty-one (592 female, 439 male) cranial computed tomography (CT) of the middle Anatolian population was used in this study. The length and basal width of the ACP were measured on the cranial CT. Also; incidence and degree of ACP pneumatisation were identified. Results: The width of the right and left ACPs in females were 10.80 ± 2.27 mm and 10.53 ± 2.07 mm, respectively. The width of the right and left ACPs in males were 11.08 ± 2.39 mm and 10.98 ± 2.35 mm, respectively. The length of the right and left ACPs in females were 8.32 ± 2.40 mm and 8.34 ± 2.35 mm, respectively. The length of the right and left ACPs in males were 8.87 ± 2.62 mm and 8.93 ± 2.64 mm, respectively. There was statistically significant difference between males and females in ACP dimensions, except for the width of the right ACP. Pneumatisation of the ACP was observed on the right side in 46 (9.3%) cases, on the left side in 53 (10.6%) cases, and bilaterally in 32 (6.5%) cases. Incidence of pneumatisation of the ACP was decreased in the age group of 1 month to 20 years. While the incidence of bilateral pneumatisation of the ACP was higher in individuals aged 21–40. Conclusions: Radiologically recognising pneumatisation and anatomical variations of the ACP may be helpful in decreasing the incidence of surgical complications during anterior clinoidectomy. (Folia Morphol 2018; 77, 3: 558–563)
Słowa kluczowe
EN
Wydawca
-
Czasopismo
Rocznik
Tom
77
Numer
3
Opis fizyczny
p.558–563,fig.,ref.
Twórcy
  • Department of Anatomy, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey
autor
  • Department of Anatomy, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey
autor
  • Department of Radiology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
autor
  • Department of Anatomy, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey
autor
  • Department of Anatomy, Cumhuriyet University School of Medicine, 58140 Sivas, Turkey
Bibliografia
  • 1. Abuzayed B, Tanriover N, Biceroglu H, et al. Pneumatization degree of the anterior clinoid process: a new classification. Neurosurg Rev. 2010; 33(3): 367–73; discussion 374, doi: 10.1007/s10143-010-0255-8, indexed in Pubmed: 20333429.
  • 2. Andaluz N, Beretta F, Bernucci C, et al. Evidence for the improved exposure of the ophthalmic segment of the internal carotid artery after anterior clinoidectomy: morphometric analysis. Acta Neurochir (Wien). 2006; 148(9): 971–5; discussion 975, doi: 10.1007/s00701-006-0862-x, indexed in Pubmed: 16917665.
  • 3. Arslan H, Aydinlioğlu A, Bozkurt M, et al. Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery. Auris Nasus Larynx. 1999; 26(1): 39–48, indexed in Pubmed: 10077255.
  • 4. Bolger WE, Butzin CA, Parsons DS. Paranasal sinus bony anatomic variations and mucosal abnormalities: CT analysis for endoscopic sinus surgery. Laryngoscope. 1991; 101(1 Pt 1): 56–64, doi: 10.1288/00005537-199101000-00010, indexed in Pubmed: 1984551.
  • 5. Bozkurt MC, Tağıl SM. Processus clinoideus anterior ve optik strut’un morfometrisi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2000; 53(4): 227–230.
  • 6. Inoue T, Rhoton AL, Theele D, et al. Surgical approaches to the cavernous sinus: a microsurgical study. Neurosurgery. 1990; 26(6): 903–932, indexed in Pubmed: 2362670.
  • 7. Lee HW, Park HS, Yoo KS, et al. Measurement of critical structures around paraclinoidal area: a cadaveric morphometric study. J Korean Neurosurg Soc. 2013; 54(1): 14–18, doi: 10.3340/jkns.2013.54.1.14, indexed in Pubmed: 24044074.
  • 8. Lee HY, Chung IH, Choi BY, et al. Anterior clinoid process and optic strut in Koreans. Yonsei Med J. 1997; 38(3): 151–154, doi: 10.3349/ymj.1997.38.3.151, indexed in Pubmed: 9259614.
  • 9. Mikami T, Minamida Y, Koyanagi I, et al. Anatomical variations in pneumatization of the anterior clinoid process. J Neurosurg. 2007; 106(1): 170–174, doi: 10.3171/jns.2007.106.1.170, indexed in Pubmed: 17236504.
  • 10. Moore KL, Dalley AF. Clinically Oriented Anatomy, 4th Edition. Lippincott Williams &Wilkins, Philadelphia, New York. 1999: 280–289.
  • 11. Sapçi T, Derin E, Almaç S, et al. The relationship between the sphenoid and the posterior ethmoid sinuses and the optic nerves in Turkish patients. Rhinology. 2004; 42(1): 30–34, indexed in Pubmed: 15072031.
  • 12. Sirikci A, Bayazit YA, Bayram M, et al. Variations of sphenoid and related structures. Eur Radiol. 2000; 10(5): 844–848, doi: 10.1007/s003300051016, indexed in Pubmed: 10823645.
  • 13. Williams PL, Bannister LM, Berry MM. Gray’s anatomy 39th ed. Churchill Livingstone, London. 2005; 467.
Typ dokumentu
Bibliografia
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