Yataco-Wilcas Christian Alexander, Diaz-Llanes Bruno Eduardo, Coasaca-Tito Yosimar Salomon, Lengua-Vega Luis Alberto, Salazar-Campos Cristian Eugenio
Department of Neurosurgery, Neurozone 3D Research Center, Lima, Peru.
Surg Neurol Int. 2024 May 10;15:156. doi: 10.25259/SNI_239_2024. eCollection 2024.
Transsphenoidal surgery has become a key element in the approach to skull base pathologies. The objective of the study was to explore the morphometry of the sphenoidal region in the Peruvian population, with an emphasis on understanding its specific anatomical characteristics and providing quantitative data for the planning of transsphenoidal surgery.
A cross-sectional study included a random sample of 81 cases of healthy individuals who presented to the Radiology Department of a Private Hospital Center in Peru over 1 year. Skull computed tomography scans without contrast were performed, and a detailed morphometric analysis was conducted by an expert neurosurgeon, including measurements of four parameters to evaluate the anatomy of the craniofacial region.
Most participants exhibited complete sellar pneumatization, followed by incomplete sellar pneumatization, while conchal pneumatization was rare. Significant differences were found between men and women in the distance from the nasal opening to the dorsum of the sella turcica. No significant gender differences were observed in other anatomical measurements or significant changes with age in anatomical measurements.
Morphometric analysis provides crucial data for the precise customization of surgical interventions in the Peruvian population, especially in transsphenoidal surgery. The results highlight the importance of considering individual anatomical differences and gender variability during surgical planning. Morphometry emerges as a valuable tool to enhance the quality and safety of transsphenoidal surgery by adapting surgical strategies to the specific anatomical dimensions of each patient.
经蝶窦手术已成为治疗颅底病变的关键手段。本研究的目的是探索秘鲁人群蝶窦区域的形态学特征，重点是了解其特定的解剖学特征，并为经蝶窦手术的规划提供定量数据。
一项横断面研究纳入了在秘鲁一家私立医院中心放射科就诊的81例健康个体的随机样本，这些个体均在1年时间内入组。对其进行了无造影剂的头颅计算机断层扫描，并由一名神经外科专家进行了详细的形态学分析，包括测量四个参数以评估颅面部区域的解剖结构。
大多数参与者表现为蝶鞍完全气化，其次是蝶鞍不完全气化，而鼻甲气化则较为罕见。在从鼻孔到蝶鞍背侧的距离方面，男性和女性之间存在显著差异。在其他解剖学测量中未观察到显著的性别差异，且解剖学测量结果也未随年龄出现显著变化。
形态学分析为秘鲁人群手术干预的精确定制提供了关键数据，尤其是在经蝶窦手术中。结果强调了在手术规划过程中考虑个体解剖差异和性别变异性的重要性。形态学测量成为一种有价值的工具，通过使手术策略适应每个患者的特定解剖尺寸，提高经蝶窦手术的质量和安全性。
