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鼻中隔:解剖学研究。

Sinus septi nasi: Anatomical study.

作者信息

Mladina Ranko, Antunović Romano, Cingi Cemal, Bayar Muluk Nuray, Skitarelić Neven

机构信息

Department of ENT Head and Neck Surgery, Clinical Hospital Center Zagreb, Kišpatićeva 12, Zagreb, 10000, Croatia.

Institute of Anatomy, School of Medicine, University of Zagreb, Šalata 11, Zagreb, 10000, Croatia.

出版信息

Clin Anat. 2017 Apr;30(3):312-317. doi: 10.1002/ca.22850. Epub 2017 Mar 9.

Abstract

The aim of this study was to perform a pioneering investigation into the incidence of pneumatization in human skulls. A total of 93 human skulls (≥20 years of age, 69 males, 24 females) were included in the study. The skulls were scanned in a fixed position using cone beam computed tomography (CBCT). The pneumatized space parameters within the nasal septum-width, length, and height-were measured. Two types of finding were identified: (a) Pneumatization, named "sinus septi nasi" (SSN), and (b) "spongy bone" (SB). The results showed SSN in 32 of the 93 skulls (34.4%). The SSN formations were from 0.5 to 4.2 mm wide, 3.5 to 18.8 mm long, and 3.8 to 17.7 mm high. Tumefactions filled with SB were found in 61 of the 93 skulls (65.59%). These were not suitable for precise measurements since the outer borders were not strictly and well defined on CT scans (perhaps because of the preparation process). In conclusion, the perpendicular plate of the ethmoidal bone is not always compact bone; in 34.4% of cases, it shows a degree of pneumatization. In contrast, an enlarged formation filled with SB is present in 65.59% of cases. The possible sources of pneumatization of this little-investigated region are discussed: sphenoid sinus, frontal sinus, and vomeronasal organ. Clin. Anat. 30:312-317, 2017. © 2017 Wiley Periodicals, Inc.

摘要

本研究的目的是对人类颅骨气化发生率进行开创性调查。共有93个年龄≥20岁的人类颅骨纳入研究,其中男性69例,女性24例。使用锥形束计算机断层扫描(CBCT)对颅骨进行固定位置扫描。测量鼻中隔内的气化空间参数,即宽度、长度和高度。识别出两种类型的发现:(a)气化,命名为“鼻中隔窦”(SSN),以及(b)“海绵骨”(SB)。结果显示,93个颅骨中有32个(34.4%)存在SSN。SSN结构的宽度为0.5至4.2毫米,长度为3.5至18.8毫米,高度为3.8至17.7毫米。在93个颅骨中有61个(65.59%)发现充满SB的肿胀。由于在CT扫描上其外边界不严格且定义不清(可能是由于制备过程),这些不适合进行精确测量。总之,筛骨垂直板并不总是致密骨;在34.4%的病例中,它显示出一定程度的气化。相比之下,65.59%的病例中存在充满SB的增大结构。讨论了这个研究较少区域气化的可能来源:蝶窦、额窦和犁鼻器。《临床解剖学》30:312 - 317,2017年。© 2017威利期刊公司

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