Gupta Nirupima, Ray Biswabina, Ghosh Supriya
Department of Anatomy, Manipal College of Medical Sciences, Pokhara, Nepal.
Nepal Med Coll J. 2005 Dec;7(2):141-4.
This study presents the incidence of carotico-clinoid foramen, dimensions of the anterior clinoid process and optic strut in dry skulls to provide a guide to neurosurgeons in surgical approach especially to anterior part of cavernous sinus. Thirty-five dry skulls were used. Basal width, length, thickness of anterior clinoid process and thickness of optic strut was measured. Morphology of carotico-clinoid foramen was also studied. The average length, basal width and thickness of the anterior clinoid process on right side were 10.74 +/- 2.37 mm, 10.83 +/- 1.20 mm, 5.13 +/- 1.03 mm and left side were 9.91 +/- 1.50 mm, 11.0 +/- 1.12, 5.33 +/- 0.96 mm. Average thickness of optic strut was 3.79 +/- 0.88 mm on right side and 3.61 +/- 0.78 mm on left side. Out of 70 sides in thirty five skulls examined, carotico-clinoid foramen was observed in 14 (20.0%) cases. Out of which complete foramen was in 3 (right side, 4.3%), partial in 8 (6 right, 2 left, 11.4%) and contact in 3 (left side, 4.3%) respectively. Comparison with other races and differences between right and left sides were also discussed. The present study was done to obtain dimensions of anterior clinoid, optic strut, their anatomical variants and incidence of caroticoclinoid foramen in location population. This study will help the surgeons to plan their approach to this area and thus will make the surgical procedure safer
本研究呈现了干燥颅骨中颈动脉床突孔的发生率、前床突及视神经管的尺寸,为神经外科医生的手术入路,尤其是海绵窦前部的手术入路提供指导。使用了35个干燥颅骨。测量了前床突的基底宽度、长度、厚度以及视神经管的厚度。还研究了颈动脉床突孔的形态。右侧前床突的平均长度、基底宽度和厚度分别为10.74±2.37毫米、10.83±1.20毫米、5.13±1.03毫米,左侧分别为9.91±1.50毫米、11.0±1.12、5.33±0.96毫米。右侧视神经管的平均厚度为3.79±0.88毫米,左侧为3.61±0.78毫米。在检查的35个颅骨的70侧中,观察到颈动脉床突孔的有14例(20.0%)。其中完整孔有3例(右侧,4.3%),部分孔有8例(右侧6例,左侧2例,11.4%),接触型有3例(左侧,4.3%)。还讨论了与其他种族的比较以及左右侧之间的差异。本研究旨在获取当地人群前床突、视神经管的尺寸、其解剖变异以及颈动脉床突孔的发生率。本研究将有助于外科医生规划该区域的手术入路,从而使手术过程更安全。