Axelsson Stefan, Storhaug Kari, Kjaer Inger
Department of Orthodontics, Faculty of Dentistry, University of Oslo, Norway.
Eur J Orthod. 2004 Dec;26(6):597-604. doi: 10.1093/ejo/26.6.597.
The purpose of this study was to establish normative longitudinal cephalometric standards of size and to describe the morphology of the sella turcica in Norwegian males and females between 6 and 21 years of age using standardized lateral radiographic cephalograms. The subjects comprised 35 males and 37 females from the Oslo University Craniofacial Growth Archive. All were healthy Caucasians, with an Angle Class I molar and canine relationship with no apparent facial disharmony. None had undergone orthodontic therapy. The length, depth, and diameter of the sella turcica was measured and the mean values were analysed longitudinally. Comparisons between the dimensions of the sella turcica of males and females in each age group were performed using a Student's t-test. The length of the sella turcica was almost constant throughout the observation period and the depth and diameter increased with age. No differences between males and females were detected for the depth and diameter of the sella turcica, but the length was larger in males throughout the observation period. The morphology of the sella turcica was assessed and five different morphological aberration types were identified: oblique anterior wall, sella turcica bridging, double contour of the floor, irregularity (notching) in the posterior part of the dorsum sellae, and pyramidal shape of the dorsum sellae. The female subjects had slightly more sella turcicas with aberrant morphology. These reference standards for the dimensions of the sella turcica can be used in the study of growth and development of individuals with craniofacial aberrations and syndromes.
本研究的目的是建立头颅大小的规范性纵向头影测量标准,并使用标准化的侧位头颅X线片描述6至21岁挪威男性和女性蝶鞍的形态。研究对象包括来自奥斯陆大学颅面生长档案库的35名男性和37名女性。所有受试者均为健康的白种人,磨牙和尖牙关系为安氏I类,面部无明显不协调。均未接受过正畸治疗。测量了蝶鞍的长度、深度和直径,并对平均值进行纵向分析。各年龄组男性和女性蝶鞍尺寸的比较采用学生t检验。在整个观察期内,蝶鞍的长度几乎保持不变,深度和直径随年龄增加而增大。蝶鞍深度和直径在男性和女性之间未检测到差异,但在整个观察期内男性的长度更大。对蝶鞍的形态进行了评估,确定了五种不同的形态异常类型:前壁倾斜、蝶鞍桥接、底部双重轮廓、蝶鞍背后部不规则(切迹)和蝶鞍背呈金字塔形。女性受试者中形态异常的蝶鞍略多。这些蝶鞍尺寸的参考标准可用于颅面畸形和综合征个体的生长发育研究。