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成人颅骨中缝间骨与额缝早闭的共存,反之亦然。

Coexistence of Wormian Bones With Metopism, and Vice Versa, in Adult Skulls.

作者信息

Cirpan Sibel, Aksu Funda, Mas Nuket, Magden Abdurrahman Orhan

机构信息

Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

出版信息

J Craniofac Surg. 2016 Mar;27(2):493-5. doi: 10.1097/SCS.0000000000002370.

Abstract

OBJECTIVE

The aim of the study is to investigate coexistence of Wormian bones with metopism, and vice versa, in adult skulls.

MATERIALS AND METHODS

A total of 160 dry adult human skulls of unknown sex and ages were randomly selected from the Gross Anatomy Laboratory of Medical School of Dokuz Eylul University. The skulls were examined for presence of metopism, Wormian bones (WB), and coexistence of WBs with metopism and vice versa. Topographic distribution of the WBs was macroscopically evaluated within the skulls including metopism. The photographs were being taken with Canon 400B (55 mm objective).

RESULTS

The frequency of metopism and WBs in 160 skulls is 7.50% (12/160) and 59.3% (95/160), respectively, P < 0.05 (). The incidence of coexistence of WBs with metopism was found as 11 of 12 skulls (91.66%), whereas the incidence of coexistence of metopism with WBs was found as 11 of 95 skulls (11.58%), P < 0.05 (). There were totally 23 sutures including WBs in 11 skulls, which had metopism (). The number (%) of metopic skulls for each specific suture including WBs were found as: 11 lamdoid sutures in 7/11 (63.63%) skulls, 4 lambda in 4/11 (36.36%) skulls, 2 asterion in 2/11 (18.18%) skulls, 1 squamous in 1/11 (9.09%) skull, 2 sagittal in 2/11 (18.18%) skulls, and 3 parieromsatoid sutures in 2/11 (18.18%) skulls (). The distribution of these 23 WBs in sutures of 11 skulls including metopisms is determined as follows: 11/23 (47.82%) WBs at lambdoid sutures [5/23 (21.74%) at the right lambdoid sutures and 6/23 (26.08%) at the left lambdoid sutures, and 4 pair of 11 WBs bilaterally located]; 4 (17.39%) WBs at lambda; 2/23 (8.69%) WBs at asterion [1/23 (4.34%) at the right asterion and 1/23 (4.34%) at the left asterion of 2 diverse skulls]; 2/23 (8.69%) WBs at sagittal sutures; 1/23 (4.34%) WBs at the left squamous suture; 3/23 (13.04%) WBs at parietomastoid sutures [2/23 (8.69%) at the right parietomastoid sutures and 1/23 (4.34%) at the left parietomastoid suture and 1 pair of them bilaterally located; , ].(Figure is included in full-text article.)(Table is included in full-text article.)(Table is included in full-text article.)

CONCLUSIONS

: There was a significant difference in rates between coexistence of WBs with metopism (11/12, 91.66%) and coexistence of metopism with WBs (11/95, 11.58%). The factors leading to metopism may also lead to WBs, whereas that the factors leading to WBs may not lead to metopism.

摘要

目的

本研究旨在调查成人颅骨中缝间骨与正中矢状缝早闭的共存情况,反之亦然。

材料与方法

从多库兹艾吕尔大学医学院大体解剖实验室随机选取160具性别和年龄未知的成人干燥颅骨。检查颅骨是否存在正中矢状缝早闭、缝间骨(WB)以及缝间骨与正中矢状缝早闭的共存情况,反之亦然。在包括正中矢状缝早闭的颅骨内,宏观评估缝间骨的地形分布。使用佳能400B(55毫米物镜)拍摄照片。

结果

160具颅骨中正中矢状缝早闭和缝间骨的发生率分别为7.50%(12/160)和59.3%(95/160),P<0.05()。发现12具颅骨中有11具(91.66%)缝间骨与正中矢状缝早闭共存,而95具颅骨中有11具(11.58%)正中矢状缝早闭与缝间骨共存,P<0.05()。11具存在正中矢状缝早闭的颅骨中共有23条包含缝间骨的缝线()。发现每一条包含缝间骨的特定缝线的正中矢状缝早闭颅骨数量(%)如下:7/11(63.63%)具颅骨中有11条人字缝,4/11(36.36%)具颅骨中有4个枕外隆凸,2/11(18.18%)具颅骨中有2个星点,1/11(9.09%)具颅骨中有1条鳞状缝,2/11(18.18%)具颅骨中有2条矢状缝,2/11(18.18%)具颅骨中有3条顶乳突缝()。这23条缝间骨在11具包含正中矢状缝早闭的颅骨缝线中的分布如下:人字缝处有11/23(47.82%)条缝间骨[右侧人字缝处有5/23(21.74%)条,左侧人字缝处有6/23(2

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