Aydin Mennan Ece, Kopuz Cem, Demir Mehmet Tevfik, Corumlu Ufuk, Kaya Ahmet Hilmi
Department of Anatomy, Medical Faculty of Ondokuz Mayis University, Kurupelit, Samsun, Turkey.
Surg Radiol Anat. 2010 Jul;32(6):545-50. doi: 10.1007/s00276-009-0615-7. Epub 2010 Jan 3.
Pterion is defined as a junction of temporal, frontal, parietal, and sphenoid bones. In newborns, pterion may be defined as a region that shows variability in the exact location because of the lack of complete bony structure. The aim of this study is to define the topographic anatomy of this important surgical point, pterion, and the variability of its localization on craniums of newborn cadavers.
Our study was performed using 35 term neonatal cadaver specimens. We measured the distances between the pterion and other critical points and used a scale diagram for the definition of pterional area.
Our scale diagram showed that pterion is mostly localized in regions c, d, e, and f on the length and regions 2, 3, 4, and 5 on the width. Localization was not observed in regions a, b, g, and h, and in areas of squares 1 and 6. The most observed localization of pterion was the e4 (24.28%) area.
This study provides a detailed knowledge on localization of this important point, pterion, which will be useful for the clinicians at operation planning and treatment stages, serving for the success in surgery in the presence of this variable topographic cranial anatomy.
翼点被定义为颞骨、额骨、顶骨和蝶骨的交界处。在新生儿中,由于缺乏完整的骨性结构,翼点可能被定义为一个确切位置存在变异性的区域。本研究的目的是明确这个重要手术部位——翼点的局部解剖结构,以及其在新生儿尸体颅骨上定位的变异性。
我们使用35例足月新生儿尸体标本进行了研究。我们测量了翼点与其他关键点之间的距离,并使用比例图来定义翼点区域。
我们的比例图显示,翼点大多位于长度上的c、d、e和f区域以及宽度上的2、3、4和5区域。在a、b、g和h区域以及1和6号方块区域未观察到定位情况。翼点最常观察到的定位是e4(24.28%)区域。
本研究提供了关于这个重要部位——翼点定位的详细知识,这将对临床医生在手术规划和治疗阶段有所帮助,有助于在这种颅骨局部解剖结构多变的情况下手术取得成功。