Avci Suat, Ergun Tarkan, Aydin Erdinc, Kansu Leyla
Department of Otolaryngology-Head and Neck Surgery, Baskent University, Saray Mah. Yunusemre Cad. No. 1, Alanya, 07400, Antalya, Turkey.
Department of Radiology, Baskent University, Ankara, Turkey.
Surg Radiol Anat. 2015 Nov;37(9):1069-78. doi: 10.1007/s00276-015-1477-9. Epub 2015 May 3.
To compare normal male and female craniofacial parameters in adults and evaluate associations of sex and intercochlear distance with other craniofacial parameters.
In 60 normal adults (30 men and 30 women) who had no otitis media, craniofacial parameters were measured retrospectively on two-dimensional reformatted computed tomography scans.
Compared with women, men had significantly greater mean osseous auditory tube length, cartilaginous auditory tube length, mastoid length, intercochlear distance, sella to posterior nasal spine distance, sella to basion distance, and nasopharynx sagittal area. The intercochlear distance was significantly correlated with mastoid depth, midpoint of the pharyngeal opening distance, sella to nasion distance, and nasopharynx sagittal area and inversely with angle of the auditory tube. Most men and women had Körner septum present, and mean thickness of Körner septum was significantly greater in men than women.
Some craniofacial parameters, especially vertical parameters, differ with sex. These differences begin in childhood and continue in adulthood. Sex must be considered when planning a craniofacial morphologic study, and results of a craniofacial morphologic study should be evaluated with caution when there is no sex matching of the patient and control groups.
比较成年男性和女性的正常颅面参数，并评估性别及耳蜗间距离与其他颅面参数之间的关联。
对60名无中耳炎的正常成年人（30名男性和30名女性）进行回顾性研究，在二维重建计算机断层扫描上测量颅面参数。
与女性相比，男性的骨性咽鼓管长度、软骨性咽鼓管长度、乳突长度、耳蜗间距离、蝶鞍至后鼻棘距离、蝶鞍至颅底点距离及鼻咽矢状面积的平均值显著更大。耳蜗间距离与乳突深度、咽口中点距离、蝶鞍至鼻根点距离及鼻咽矢状面积显著相关，与咽鼓管角度呈负相关。大多数男性和女性存在克氏隔，男性克氏隔的平均厚度显著大于女性。
一些颅面参数，尤其是垂直参数，存在性别差异。这些差异始于儿童期并持续至成年期。在规划颅面形态学研究时必须考虑性别因素，当患者组和对照组未进行性别匹配时，颅面形态学研究结果应谨慎评估。
