Department of Oral Medicine, College of Dentistry, Al-Mustansiriyah University, Baghdad, Iraq.
Department of Otorhinolaryngology, Ministry of Health, Iraq.
J Int Med Res. 2024 Oct;52(10):3000605241287021. doi: 10.1177/03000605241287021.
This study was performed to determine the dimensions of the sella turcica (ST) in relation to sex, age groups, and sphenoid sinus (SS) pneumatization patterns in a cohort of Iraqi individuals.
This cross-sectional study analyzed computed tomography images of 99 individuals (53 men, 46 women) aged 24 to 59 years to measure ST dimensions, including length, width, height, depth, and surface area. SS pneumatization was classified by sex and age. We also examined the relationship between ST size and SS pneumatization patterns.
Women exhibited a significantly greater mean ST depth (9.37 mm) than men (8.19 mm). The ST diameter was significantly larger in the middle-aged group (13.1 mm) than in the young adult group (11.83 mm). The ST area showed a highly significant difference between sexes. The sellar pneumatization pattern was the most common, whereas the conchal pattern had the lowest prevalence. A significant correlation was observed between ST size and SS pneumatization.
The ST depth and diameter showed statistically significant differences across sex and age groups, respectively. The variability in SS pneumatization patterns underscores the importance of considering pneumatization types during surgical planning to minimize the risk of iatrogenic injury and improve treatment outcomes.
本研究旨在确定在伊拉克人群中，蝶鞍（ST）的尺寸与性别、年龄组和蝶窦（SS）气化模式的关系。
这项横断面研究分析了 99 名 24 至 59 岁个体的计算机断层扫描图像，以测量 ST 的长度、宽度、高度、深度和表面积等尺寸。SS 的气化按性别和年龄进行分类。我们还检查了 ST 大小与 SS 气化模式之间的关系。
女性的平均 ST 深度（9.37mm）显著大于男性（8.19mm）。中年组的 ST 直径（13.1mm）明显大于年轻成年组（11.83mm）。ST 面积在性别之间存在显著差异。鞍内型气化最为常见，而乳突型气化则最为少见。ST 大小与 SS 气化之间存在显著相关性。
ST 的深度和直径在性别和年龄组之间存在统计学显著差异。SS 气化模式的变异性强调了在手术计划中考虑气化类型的重要性，以最大程度地降低医源性损伤的风险并改善治疗结果。
