Computed tomography based evaluation of the association between sphenoid sinus pneumatization patterns and variations of adjacent bony structures in relation to age and gender

dc.authorid0000-0001-7643-5084
dc.authorid0000-0001-9352-875X
dc.authorid0000-0002-9524-5056
dc.contributor.authorAçar, Gülay
dc.contributor.authorGökşan, Ahmet Safa
dc.contributor.authorAydoğdu, Demet
dc.date.accessioned2024-08-01T06:51:28Z
dc.date.available2024-08-01T06:51:28Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractMany studies revealed that the sphenoid sinus pneumatization (SSP) affects the protrusion/dehiscence of adjacent structures including optic canal (OC), foramen rotundum (FR), vidian canal (VC), and carotid canal (CC). Knowledge of this relationship bears vital importance to identify the safest surgical route during transsphenoidal procedures. Therefore, we aimed to determine the individualized prevalence of the protrusion/dehiscence of adjacent structures based on sagittal and coronal SSP (SSSP and CSSP) patterns. Computed tomography images of 300 patients were analysed to identify the SSSP and CSSP types, and the protrusion/dehiscence of adjacent structures was determined. The relationship between the variables was examined using statistical analysis in terms of age, gender, and laterality. The most prevalent SSSP type was postsellar (62.7%), followed by sellar (30%), presellar (6.6%), and conchal (0.7%). In 71.3% of patients, five types of CSSP were observed, with 23.6% and 21.7% exhibiting Type IV and V, respectively. Our results indicated that postsellar type, Type IV and V CSSP associated with the highest likelihood of protrusion/dehiscence of OC, FR, VC, and CC. Furthermore, no significant correlation was observed between these qualitative variables and gender, with the exception of the VC dehiscence, the protrusion of OC and CC. No notable differences were identified with respect to laterality. Also, the probability of having postsellar type, Type IV and V CSSP, as well as the protrusion of OC, VC, and CC, decreased with increasing age. Further detailed analysis of this association is required to predict the size of the surgical window and to prevent neurovascular injury.
dc.identifier.doi10.1007/s10143-024-02594-8
dc.identifier.issn0344-5607
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ1
dc.identifier.urihttps:/dx.doi.org/10.1007/s10143-024-02594-8
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12271
dc.identifier.volume47en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofNeurosurgical Review
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSphenoid Sinus Pneumatization
dc.subjectOptic Canal
dc.subjectForamen Rotundum
dc.subjectVidian Canal
dc.subjectCarotid Canal
dc.subjectComputed Tomography
dc.titleComputed tomography based evaluation of the association between sphenoid sinus pneumatization patterns and variations of adjacent bony structures in relation to age and gender
dc.typeArticle

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