Spinelli Casey P, Iwanaga Joe, Hur Mi-Sun, Dumont Aaron S, Tubbs R Shane
Tulane University & Ochsner Clinic Neurosurgery Program, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA.
Anat Cell Biol. 2022 Jun 30;55(2):124-129. doi: 10.5115/acb.21.255. Epub 2022 May 23.
The vasculature of the pituitary gland is discussed briefly and the details of an anatomical discovery of the vessels supplying the pituitary gland provided. Twenty latex injected cadaveric heads were dissected. Any vessels that were found to penetrate the sella turcica and travel to the pituitary gland were documented and measured. Additionally, 25 adult skulls were evaluated for the presence, size, and sites of bony foramina in the floor of sella turcica. Trans-sellar vessels were identified in 65% of specimens. There was a mean of 1.5 vessels per specimen consisting usually of a mixture of veins and arteries. The mean diameter of these vessels was 0.3 mm and the mean length from the sella turcica to the pituitary gland was 2.3 mm. These vessels were concentrated in the most concave part of the sella turcica. In bony specimens, the mean number of trans-sellar foramina was four. The diameter of these foramina ranged from 0.3 to 0.6 mm in size. The trans-sellar foramina were concentrated near the center part of the sella turcica and had no regular pattern. The pituitary gland receives at least some blood supply and drainage via vessels traveling along the septum of the sphenoidal sinuses and through the sella turcica. Knowledge of such vessels might lead to a better understanding of the vascular supply and drainage of the pituitary gland and would be useful during skull base approaches such as trans-nasal approaches to the pituitary gland.
简要讨论了垂体的脉管系统,并提供了供应垂体血管的解剖学发现细节。解剖了20个注射乳胶的尸体头部。记录并测量了任何发现穿透蝶鞍并通向垂体的血管。此外,对25个成人颅骨的蝶鞍底部骨孔的存在、大小和位置进行了评估。在65%的标本中发现了经蝶血管。每个标本平均有1.5条血管,通常由静脉和动脉混合组成。这些血管的平均直径为0.3毫米,从蝶鞍到垂体的平均长度为2.3毫米。这些血管集中在蝶鞍最凹陷的部分。在骨性标本中,经蝶骨孔的平均数量为4个。这些骨孔的直径在0.3至0.6毫米之间。经蝶骨孔集中在蝶鞍中央部分附近,且无规律模式。垂体至少通过沿蝶窦隔并穿过蝶鞍的血管接受一些血液供应和引流。了解这些血管可能有助于更好地理解垂体的血管供应和引流,并且在诸如经鼻垂体手术等颅底手术中会很有用。