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缝间骨及其临床相关性:持续存在的缝。

Metopism and Its Clinical Relevance: A Persistent Suture.

作者信息

Sharma Suyashi, Krishna Hare, Dixit Shilpi G, Ghatak Surajit

机构信息

Department of Anatomy, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

Ann Afr Med. 2024 Oct 23;24(1):19-21. doi: 10.4103/aam.aam_85_23.

DOI:10.4103/aam.aam_85_23
PMID:39440539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11837825/
Abstract

BACKGROUND

Metopic suture is a dense fibrous joint extending from nasion to bregma. Normally, closure of this suture takes place between 1-8 years of age. Failure of this closure beyond 8 years leads to persistent metopic suture. Persistent metopic suture may mimic skull fracture.

AIM AND OBJECTIVE

To differentiate metopism from frontal bone fracture.

MATERIAL AND METHOD

54 dry skull of adult humans in were studied. These skulls were observed for the presence (complete or incomplete suture) or absence of metopic suture.

RESULT

Metopic suture was found in 3.7% skulls. Both complete and incomplete metopic suture were found in 1.85% of the dry skulls.

CONCLUSION

Neurosurgeons, radiologists, otorhinolaryngologists, physicians, anatomists, forensic specialists, anthropologists and evolutionary biologists should have knowledge of this anatomical variation. This case series focusses on the importance of metopism. Metopism is a topic, which has not been much studied.

摘要

背景

额缝是一条从鼻根延伸至前囟的致密纤维性关节。通常,这条缝在1至8岁之间闭合。8岁以后这条缝仍未闭合会导致额缝持续存在。持续存在的额缝可能会被误诊为颅骨骨折。

目的

鉴别额缝未闭与额骨骨折。

材料与方法

研究了54个成人干燥颅骨。观察这些颅骨是否存在(完全或不完全缝)额缝。

结果

在3.7%的颅骨中发现了额缝。在1.85%的干燥颅骨中发现了完全和不完全额缝。

结论

神经外科医生、放射科医生、耳鼻喉科医生、内科医生、解剖学家、法医专家、人类学家和进化生物学家都应该了解这种解剖变异。本病例系列关注额缝未闭的重要性。额缝未闭是一个研究较少的课题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a7/11837825/078eef5c2ffe/AAM-24-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a7/11837825/078eef5c2ffe/AAM-24-19-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10a7/11837825/078eef5c2ffe/AAM-24-19-g001.jpg

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本文引用的文献

1
Prevalence of agenesis of frontal sinus in human skulls with metopism.有额缝的人类颅骨中额窦发育不全的患病率。
J Forensic Odontostomatol. 2017 Dec 1;35(2):20-27.
2
Occurrence of metopism in dry crania of adult brazilians.成年巴西人干燥颅骨中缝间骨的出现情况。
ISRN Anat. 2013 Aug 4;2013:158341. doi: 10.5402/2013/158341. eCollection 2013.
3
Metopic suture of Taung (Australopithecus africanus) and its implications for hominin brain evolution.图恩顶骨的矢状缝及其对人属脑进化的意义。
Proc Natl Acad Sci U S A. 2012 May 29;109(22):8467-70. doi: 10.1073/pnas.1119752109. Epub 2012 May 7.
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A spectacle frame classification for rare craniofacial clefts.一种针对罕见颅面裂的眼镜架分类法。
Plast Reconstr Surg. 2012 Jan;129(1):195e-197e. doi: 10.1097/PRS.0b013e3182365ec3.
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Developmental anatomy of craniofacial sutures.颅面骨缝的发育解剖学
Front Oral Biol. 2008;12:1-21. doi: 10.1159/000115028.
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Persistent metopic suture can mimic the skull fractures in the emergency setting?在急诊情况下,持续性额缝可模仿颅骨骨折?
Neurocirugia (Astur). 2007 Jun;18(3):238-40.
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Anatomical observations on os inca and associated cranial deformities.印加骨及相关颅骨畸形的解剖学观察
Folia Morphol (Warsz). 2005 May;64(2):118-21.
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Metopic synostosis: Defining the temporal sequence of normal suture fusion and differentiating it from synostosis on the basis of computed tomography images.额缝早闭:确定正常缝线融合的时间顺序,并基于计算机断层扫描图像将其与缝早闭区分开来。
Plast Reconstr Surg. 2003 Oct;112(5):1211-8. doi: 10.1097/01.PRS.0000080729.28749.A3.
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Role of TGF-beta signaling in the regulation of programmed cranial suture fusion.转化生长因子-β信号在程序性颅骨缝融合调控中的作用
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