Department of Anatomy, Faculty of Medicine, Niğde Ömer Halisdemir University, Niğde, TR-51240, Türkiye.
Department of Brain and Nerve Surgery, Faculty of Medicine, Niğde Ömer Halisdemir University, Niğde, TR-51240, Türkiye.
Surg Radiol Anat. 2024 Jul;46(7):977-984. doi: 10.1007/s00276-024-03392-z. Epub 2024 May 31.
The anatomical position of the sphenoidal sinus (SS) is very important for neurosurgeons because of the transsphenoidal approach to the pituitary gland. Therefore, the aim of this study was to determine the volume and shape of the SS and its relationship with the morphometry of the sella turcica.
This study included CT images of 282 males and 258 females with a mean age of 50.52 years (range 18-75) who underwent head CT. The morphometric values of the sella turcica and the volume of the SS were measured on the included radiologic images. Measurements were made on the sagittal slice closest to the midline in T1 sequence. Morphometric measurements were made with Micro Dicom Viewers software program and volume measurements were made with ITK SNAP software program.
In this study, 4 types of SS shapes were obtained in the whole population: amorphous, pentagonal, triangular and quadrilateral. The mean SS volume was 7055.88 mm in males and 5694.48 mm in females and a statistically significant difference was observed (p < 0.001). In addition, a statistically significant difference was found between the sexes in the width and surface area parameters of the sella turcica (p < 0.05).
In this study, the morphometric relationship between the shape of the sinus sphenoidale and sella turcica was demonstrated between men and women. In particular, the shape of the sinus sphenoidale was found to be anthropometrically different between men and women in the Turkish population. It is hypothesised that the data obtained in our study will guide surgeons performing transsphenoidal approach.
由于经蝶窦入路到达垂体，蝶窦的解剖位置对于神经外科医生非常重要。因此，本研究旨在确定蝶窦的体积和形状及其与鞍窝形态计量学的关系。
本研究纳入了 282 名男性和 258 名女性的 CT 图像，平均年龄为 50.52 岁（范围 18-75 岁），均行头部 CT 检查。在纳入的影像学图像上测量鞍窝的形态计量值和蝶窦的体积。测量在 T1 序列中最接近中线的矢状位切片上进行。形态计量测量使用 Micro Dicom Viewer 软件程序进行，体积测量使用 ITK SNAP 软件程序进行。
在本研究中，在整个人群中获得了 4 种蝶窦形状：无定形、五边形、三角形和四边形。男性的平均蝶窦体积为 7055.88mm，女性为 5694.48mm，差异具有统计学意义（p<0.001）。此外，男女之间在鞍窝的宽度和表面积参数方面存在统计学差异（p<0.05）。
在这项研究中，男性和女性之间证明了蝶窦形态与鞍窝之间的形态计量关系。特别是，在土耳其人群中，发现蝶窦的形状在男女之间存在体格差异。假设我们的研究中获得的数据将指导进行经蝶窦入路的外科医生。
