Zawiślak Alicja, Jankowska Agnieszka, Grocholewicz Katarzyna, Janiszewska-Olszowska Joanna
Department of Maxillofacial Orthopaedics and Orthodontics, Institute of Mother and Child, 01-211 Warsaw, Poland.
Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
Diagnostics (Basel). 2023 Jul 27;13(15):2510. doi: 10.3390/diagnostics13152510.
Sella turcica abnormalities were reported in malocclusions and clefts. No studies were found on sella turcica abnormalities in CPO patients. This study aimed to compare the prevalence of sella turcica abnormalities on cephalometric radiographs in CPO versus non-cleft orthodontic patients. Cephalograms of CPO patients ( = 89) and controls ( = 89) were analyzed for normal sella turcicae and sella turcica abnormalities. Then, cephalometric analysis was performed using specialized software. Statistical analysis was performed using the Rv.4.1.1 package. No variation in or anomaly of the sella turcica was more frequent in CPO compared to non-cleft individuals. Patients with hypertrophic posterior clinoid process had higher interincisal and 1+:Nasion-A angles. Subjects with hypertrophic posterior clinoid process and double contour of the floor had higher Sella-Nasion-A, Sella-Nasion-B and Sella-Nasion-Pogonion and lower ANB. A pyramidal shape of the dorsum sellae was more prevalent in males, as was double contour of the floor in females. Subjects with an oblique anterior wall had lower SNB, GntgoAr and NLA. Subjects with a normal sella had higher SNPg, ML-NSL and 1+:NAmm. A normal sella was more prevalent in younger patients. CPO is not associated with sella turcica abnormalities compared to non-cleft orthodontic patients.
文献报道错牙合畸形和腭裂患者存在蝶鞍异常。但未发现关于腭裂-牙槽突裂（CPO）患者蝶鞍异常的研究。本研究旨在比较CPO患者与非腭裂正畸患者头颅侧位片上蝶鞍异常的发生率。对89例CPO患者和89例对照者的头颅侧位片进行分析，观察蝶鞍形态是否正常及有无蝶鞍异常。然后，使用专业软件进行头影测量分析。采用Rv.4.1.1软件包进行统计分析。与非腭裂个体相比，CPO患者蝶鞍形态改变或异常的发生率并无增加。后床突肥大的患者切牙间角和1+:鼻根点-A角更大。后床突肥大且蝶鞍底呈双轮廓的患者，蝶鞍-鼻根点-A角、蝶鞍-鼻根点-B角和蝶鞍-鼻根点-颏前点角更大，ANB角更小。男性蝶鞍背呈金字塔形更为常见，女性蝶鞍底呈双轮廓更为常见。前壁倾斜的患者SNB角、下颌角和鼻唇角更小。蝶鞍形态正常的患者SNPg角、ML-NSL和1+:NAmm更大。蝶鞍形态正常在年轻患者中更为常见。与非腭裂正畸患者相比，CPO与蝶鞍异常无关。
