Sphenoid sinus anatomy and diameters of the pituitary fossa in adults in skull tomography
DOI:
https://doi.org/10.29076/issn.2602-8360vol8iss14.2024pp105-113pKeywords:
pituitary fossa, morphology, sphenoid sinusAbstract
Technological advances in imaging tests have allowed accurate morphological assessment of the anatomical variants of the structures found inside the skull, sphenoid sinus and pituitary fossa, which is useful for planning transsphenoidal surgery or adjacent structures. The objective of this study is to determine the morphometry and dimensions by computed tomography of the sphenoid sinus and pituitary fossa. A retrospective search was carried out for adult patients without adjacent pathologies who have skull tomography at the Armed Forces Specialty Hospital, during the period January-December 2020, in adults who underwent cranial tomography, the images will be evaluated in a work station that has a software for reading images in bone window in MPR multiplanar reconstruction, length, width, depth and volume of the sphenoidal sinus and hypophyseal fossa will be measured, the information will be collected and processed using SPSS/Windows, version 23, the qualitative variables will be expressed as absolute and relative frequencies, inferential statistics will use the chi-square tests, with a level of statistical significance p<0. 05. The results obtained show that there is no statistical significance or correlation between the variables of dimension and volume of the sphenoid sinus and sella turcica. Likewise, there is no relationship between these variables and sex and age range. The type of sphenoid sinus pneumatization is not associated with the sex and age of the patients. The shape of the sella turcica has a relationship with the sex of the participants. The relationship between the volume of the sphenoid sinus and the volume of the sella turcica values did not present statistical significance, and presented a very low Spearman correlation.
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Gibelli DM, Cellina M, Gibelli S, Schiavo P, Oliva AG, Termine G, et al. Can volumetric and morphological variants of sphenoid sinuses influence sinuses opacification? J Craniofac Surg. 2018;29(8):2344–7.
Anusha B, Baharudin A, Philip R, Harvinder S, Shaffie BM, Ramiza RR. Anatomical variants of surgically important landmarks in the sphenoid sinus: a radiologic study in Southeast Asian patients. Surg Radiol Anat. 2015;37(10):1183–90.
Regina Ruíz C, Wafae N. Estudio de las diferentes formas de la silla turca por medio de la tomografía computada. Rev Chil Radiol. 2006;12(4):161–3.
Şirikci A, Bayazit YA, Bayram M, Mumbuç S, Güngör K, Kanlikama M. Variations of sphenoid and related structures. Eur Radiol. 2000;10(5):844–8.
Sobuti F, Dadgar S, Seifi A, Musavi SJ, Hadian H. Relationship between bridging and dimensions of sella turcica with classification of craniofacial skeleton. Polish J Radiol. 2018;83:e120–6.
Anusha B, Baharudin A, Philip R, Harvinder S, Shaffie BM. Anatomical variations of the sphenoid sinus and its adjacent structures: A review of existing literature. Surg Radiol Anat. 2014;36(5):419–27.
Hajaghazadeh M, Marvi-Milan H, Khalkhali H, Mohebbi I. Assessing the ergonomic exposure for construction workers during construction of residential buildings. Work. 2019;62(3):411–9.
Taner L, Deniz Uzuner F, Demirel O, Güngor K. Volumetric and three-dimensional examination of sella turcica by cone-beam computed tomography: Reference data for guidance to pathologic pituitary morphology. Folia Morphol. 2019;78(3):517–23.
Alkofide EA. The shape and size of the sella turcica in skeletal Class I, Class II, and Class III Saudi subjects. Eur J Orthod. 2007;29(5):457–63.
Özer CM, Atalar K, Ilker I, Toprak S, Barut Ç. Sphenoid sinus in relation to age, gender, and cephalometric indices. J Craniofac Surg. 2018;29(8):2319–26.
Roomaney IA, Chetty M. Sella turcica morphology in patients with genetic syndromes: Protocol for a systematic review. JMIR Res Protoc. 2020;9(11):1–6.
Gibelli D, Cellina M, Gibelli S, Cappella A, Oliva AG, Termine G, et al. Relationship between sphenoid sinus volume and accessory septations: A 3D assessment of risky anatomical variants for endoscopic surgery. Anat Rec. 2020;303(5):1300–4. Available from: https://doi.org/10.1007/s00405-019-05549-8
Movahhedian N, Paknahad M, Abbasinia F, Khojatepour L. Cone Beam Computed Tomography Analysis of Sphenoid Sinus Pneumatization and Relationship with Neurovascular Structures. J Maxillofac Oral Surg. 2021;20(1):105–14. https://doi.org/10.1007/s12663-020-01326-x
Sathyanarayana HP, Kailasam V, Chitharanjan AB. Sella turcica-Its importance in orthodontics and craniofacial morphology. Dent Res J (Isfahan). 2013;10(5):571–5.
Pérez Vicente S. Estadística básica. Aplicación con SPSS. 2015;67.
Hewaidi G, Omami G. Anatomic Variation of Sphenoid Sinus and Related Structures in Libyan Population: CT Scan Study. Libyan J Med. 2008;3(3):128–33.
Oliveira JMM, Alonso MBCC, de Sousa e Tucunduva MJAP, Fuziy A, Scocate ACRN, Costa ALF. Volumetric study of sphenoid sinuses: anatomical analysis in helical computed tomography. Surg Radiol Anat. 2017;39(4):367–74.
Štoković N, Trkulja V, Dumić-Čule I, Čuković-Bagić I, Lauc T, Vukičević S, et al. Sphenoid sinus types, dimensions and relationship with surrounding structures. Ann Anat. 2016; 203:69–76.
Siddiqui MA, Amin M, Firdous A, Saqib HA, Nighat S, Islam ZU, et al. Frequency of Anatomical Variants of Paranasal Sinuses (PNS) on Computed Tomography (CT). Pakistan J Med Heal Sci. 2021;15(6):1443–5.
Karpishchenko S, Arustamyan I, Stancheva O, Sharko K, Kaplun D, Bogachev MI. Intraoperative sphenoid sinus volume measurement as an alternative technique to intraoperative computer tomography. Diagnostics. 2020;10(6).
Ruiz-Aburto A A, Valenzuela C S, Yáñez L A, Lemp M M, Sanhueza Z A, Olivares S P. Anatomía radiológica del seno esfenoidal: análisis en 120 pacientes intervenidos TT - Radiologic anatomy of sphenoidal sinus, analysis of 120 surgically intervened patients. Rev chil neurocir. 2015;41(1):54–8.
Karaskas S, Kavakli A. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med. 2005;25(1):41–5.
Gibelli D, Cellina M, Gibelli S, Oliva AG, Codari M, Termine G, et al. Volumetric assessment of sphenoid sinuses through segmentation on CT scan. Surg Radiol Anat. 2018;40(2):193–8.
Ortega-Balderas JA, Acosta-Flores AB, Barrera FJ, Lugo-Guillen RA, Sada-Trevino MA, Pinales-Razo RA, et al. Volumetric assessment of the sella turcica: a reevaluation. Folia Morphol (Warsz). 2022; 81(4):1014-1021. doi: 10.5603/FM.a2021.0112
Chou ST, Chen CM, Chen PH, Chen YK, Chen SC, Tseng YC. Morphology of sella turcica and bridging prevalence correlated with sex and craniofacial skeletal pattern in Eastern Asia population: CBCT study. Biomed Res Int. 2021;2021.
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