Sains Malaysiana 48(8)(2019): 1713–1719
http://dx.doi.org/10.17576/jsm-2019-4808-17
The Sella Turcica
Dimensions in 12-Year-Old Southern Chinese: A Cross-Sectional Study
(Dimensi Sella Turcica
pada Populasi Berusia 12 tahun di Selatan China: Suatu Kajian Keratan
Rentas)
MOHD ZAMBRI MOHAMED MAKHBUL1*, WAN NURAZREENA WAN HASSAN2 & RICKY WING KIT WONG3
1Orthodontic Unit, Klinik
Pergigian Cahaya Suria, Banguan Pudu Sentral, Jalan Pudu, Kuala Lumpur, Federal
Territory, Malaysia
2Department of Paediatric
Dentistry and Orthodontics & Clinical Craniofacial Dentistry Research Group,
Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Federal
Territory, Malaysia
3Department of Dentistry
and Maxillofacial Surgery, United Christian Hospital, Hong Kong SAR, China
Received: 9 February 2019/Accepted: 16 May 2019
ABSTRACT
The objective
of the study was to measure the dimensions of the sella
turcica in southern
Chinese population. This retrospective study measured dimensions
of sella
turcica from
lateral cephalometric radiographs obtained from the University of
Hong Kong research database with a total of 582 (277 females and
305 males) 12-year-old southern Chinese children, who were randomly
selected from schools in Hong Kong. Measurements were made using
ImageJ (V1.45s) software for Windows with Frankfurt plane as the
horizontal reference direction. Dimensions between genders were
compared using Student’s t-tests. The current study found
the antero-posterior length and width were 9.13 mm (SD
2.05) and 9.76 mm (SD 1.54), respectively. The sella was highest posteriorly
(7.97 mm; SD 1.75 mm) and shortest anteriorly (7.56 mm; SD
1.42). Sella height anterior, sella height median
and sella area were greater (p<0.05) in females by 0.53 mm, 0.24 mm and 3.48 mm2,
respectively. In conclusion, this study provides the reference parameters
for the dimensions of sella turcica for the Southern Chinese
population.
Keywords: Children; Chinese;
radiographic film; sella turcica
ABSTRAK
Objektif penyelidikan
ini adalah untuk mengukur dimensi sella turcica bagi penduduk di selatan
China. Kajian retrospektif ini mengukur dimensi sella turcica melalui radiografi sefalometrik
lateral yang diperoleh daripada data penyelidikan Universiti Hong
Kong iaitu sebanyak 582 (277 perempuan dan 305 lelaki) kanak-kanak
12 tahun, telah dipilih secara rawak dari sekolah-sekolah di Hong
Kong. Pengukuran dibuat dengan menggunakan perisian ImageJ (V1.45s)
untuk sistem operasi Windows serta menggunakan planar Frankfurt
sebagai rujukan mendatar. Dimensi antara jantina dibandingkan dengan
menggunakan ujian t berpasangan. Kajian ini mendapati panjang dan
lebar antero-posterior masing-masing adalah 9.13 mm (SD
2.05) dan 9.76 mm (SD 1.54). Sella adalah paling tinggi di posterior (7.97
mm; SD 1.75 mm) dan paling pendek di anterior (7.56 mm; SD
1.42). Ketinggian anterior Sella, ketinggian median
sella dan kawasan sella adalah lebih besar (p <0.05) dalam kalangan perempuan,
iaitu masing-masing adalah 0.53 mm, 0.24 mm dan 3.48 mm2. Kesimpulannya,
kajian ini menyediakan parameter rujukan bagi dimensi sella
turcica untuk penduduk di selatan China.
Kata kunci: China; filem
radiografik; kanak-kanak; sella turcica
REFERENCES
Abu Ghaida, J.H., Mistareehi, A.J., Mustafa, A.G., Mistarihi, S.M.
& Ghozlan, H.H. 2017. The normal dimensions of the sella turcica in
Jordanians: A study on lateral cephalograms. Folia Morphol. (Warsz) 76(1):
1-9.
Adams, G.L., Gansky, S.A., Miller, A.J., Harrell Jr., W.E. &
Hatcher, D.C. 2004. Comparison between traditional 2-dimensional cephalometry
and a 3-dimensional approach on human dry skulls. Am. J. Orthod. Dentofacial
Orthop. 126(4): 397-409.
Ali, B., Shaikh, A. & Fida, M. 2014. Association between sella
turcica bridging and palatal canine impaction. Am. J. Orthod. Dentofacial
Orthop. 146(4): 437-441.
Alkofide, E.A. 2007. The shape and size of the sella turcica in
skeletal Class I, Class II, and Class III Saudi subjects. Eur. J. Orthod. 29(5):
457-463.
Andredaki, M., Koumantanou, A., Dorotheou, D. & Halazonetis,
D.J. 2007. A cephalometric morphometric study of the sella turcica. Eur. J.
Orthod. 29(5): 449-456.
Axelsson,
S., Storhaug, K. & Kjaer, I. 2004. Post-natal size and morphology of the
sella turcica. Longitudinal cephalometric standards for Norwegians between 6
and 21 years of age. Eur.
J. Orthod.
26(6): 597-604.
Becktor, J.P., Einersen,
S. & Kjaer, I. 2000. A sella turcica bridge in subjects with severe
craniofacial deviations. Eur. J. Orthod. 22(1): 69-74.
Berco, M., Rigali Jr.,
P.H., Miner, R.M., DeLuca, S., Anderson, N.K. & Will, L.A. 2009. Accuracy
and reliability of linear cephalometric measurements from cone-beam computed
tomography scans of a dry human skull. Am. J. Orthod. Dentofacial Orthop. 136(1): 17.e1-17.e9.
Chaitanya, B., Pai, K.M.
& Chhaparwal, Y. 2018. Evaluation of the effect of age, gender, and
skeletal class on the dimensions of sella turcica using lateral cephalogram. Contemp.
Clin. Dent. 9(2):195-199.
Cooke, M.S. & Wei,
S.H. 1988. Cephalometric standards for the Southern Chinese. Eur. J. Orthod. 10(3): 264-272.
Elster, A.D. 1993a.
Imaging of the sella: Anatomy and pathology. Semin. Ultrasound CT MR 14(3):
182-194.
Elster, A.D. 1993b.
Modern imaging of the pituitary. Radiology 187(1): 1-14.
Feldkamp, J., Santen,
R., Harms, E., Aulich, A., Modder, U. & Scherbaum, W.A. 1999. Incidentally
discovered pituitary lesions: High frequency of macroadenomas and
hormone-secreting adenomas - Results of a prospective study. Clin.
Endocrinol. (Oxf) 51(1): 109-113.
Friedland, B. &
Meazzini, M.C. 1996. Incidental finding of an enlarged sella turcica on a
lateral cephalogram. Am. J. Orthod. Dentofacial Orthop. 110(5): 508-512.
Gargi, V., Ravi Prakash,
S.M., Nagaraju, K., Malik, S., Goel, S. & Gupta, S. 2019. Radiological
analysis of the sella turcica and its correlations with body mass index in a
North Indian population. Oral Radiol. 35(2): 184-188.
Granados, A.,
Gebremariam, A. & Lee, J.M. 2015. Relationship between timing of peak
height velocity and pubertal staging in boys and girls. J. Clin. Res.
Pediatr. Endocrinol. 7(3): 235-237.
Heil, A., Lazo Gonzalez,
E., Hilgenfeld, T., Kickingereder, P., Bendszus, M., Heiland, S., Ozga, A.K.,
Sommer, A., Lux, C.J. & Zingler, S. 2017. Lateral cephalometric analysis for
treatment planning in orthodontics based on MRI compared with radiographs: A
feasibility study in children and adolescents. PLoS ONE 12(3): e0174524.
Houston, W.J. 1983. The
analysis of errors in orthodontic measurements. Am. J. Orthod. 83(5):
382-390.
Inoue, T., Rhoton Jr.,
A.L., Theele, D. & Barry, M.E. 1990. Surgical approaches to the cavernous
sinus: A microsurgical study. Neurosurgery 26(6): 903-932.
Israel, H. 1970.
Continuing growth in sella turcica with age. Am. J. Roentgenol. Radium Ther.
Nucl. Med. 108(3): 516-527.
Jones, R.M., Faqir, A.,
Millett, D.T., Moos, K.F. & McHugh, S. 2005. Bridging and dimensions of
sella turcica in subjects treated by surgical-orthodontic means or orthodontics
only. Angle Orthod. 75(5): 714-718.
Kjaer, I., Becktor,
K.B., Lisson, J., Gormsen, C. & Russell, B.G. 2001. Face, palate, and
craniofacial morphology in patients with a solitary median maxillary central
incisor. Eur. J. Orthod. 23(1): 63-73.
Kjaer, K.W., Hansen,
B.F., Keeling, J.W., Nolting, D. & Kjaer, I. 1999. Malformations of cranial
base structures and pituitary gland in prenatal Meckel syndrome. APMIS 107(10):
937- 944.
Leonardi, R., Farella,
M. & Cobourne, M.T. 2011. An association between sella turcica bridging and
dental transposition. Eur. J. Orthod. 33(4): 461-465.
Magat, G. & Ozcan
Sener, S. 2018. Morphometric analysis of the sella turcica in Turkish
individuals with different dentofacial skeletal patterns. Folia Morphol.
(Warsz) 77(3): 543-550.
Meyer-Marcotty, P.,
Reuther, T. & Stellzig-Eisenhauer, A. 2010. Bridging of the sella turcica
in skeletal Class III subjects. Eur. J. Orthod. 32(2): 148-153.
Navarro Rde, L.,
Oltramari-Navarro, P.V., Fernandes, T.M., Oliveira, G.F., Conti, A.C., Almeida,
M.R. & de Almeida, R.R. 2013. Comparison of manual, digital and
lateral CBCT cephalometric analyses. J. Appl. Oral Sci. 21(2): 167-176.
Ouaknine, G.E. &
Hardy, J. 1987. Microsurgical anatomy of the pituitary gland and the sellar
region. 1. The pituitary gland. Am. Surg. 53(5): 285-290.
Pisaneschi, M. &
Kapoor, G. 2005. Imaging the sella and parasellar region. Neuroimaging Clin.
N. Am. 15(1): 203-219.
Renn, W.H. & Rhoton
Jr., A.L. 1975. Microsurgical anatomy of the sellar region. J. Neurosurg. 43(3):
288-298.
Russell, B.G. &
Kjaer, I. 1999. Postnatal structure of the sella turcica in Down Syndrome. Am.
J. Med. Genet. 87(2): 183- 188.
Scribante, A.,
Sfondrini, M.F., Cassani, M., Fraticelli, D., Beccari, S. & Gandini, P.
2017. Sella turcica bridging and dental anomalies: Is there an association? Int.
J. Paediatr. Dent. 27(6): 568-573.
Shah, A.M., Bashir, U.
& Ilyas, T. 2011. The shape and size of the sella turcica in skeletal class
I, II and III patients presenting at Islamic International Dental Hospital,
Islamabad. Pakistan Oral & Dental Journal 31(1): 104-110.
Shrestha, G.K.,
Pokharel, P.R., Gyawali, R., Bhattarai, B. & Giri, J. 2018. The morphology
and bridging of the sella turcica in adult orthodontic patients. BMC Oral
Health 18(1): 45.
Silverman, F.N. 1957.
Roentgen standards fo-size of the pituitary fossa from infancy through
adolescence. Am. J. Roentgenol Radium Ther. Nucl. Med. 78(3): 451-460.
Smektala, T.,
Jedrzejewski, M., Szyndel, J., Sporniak-Tutak, K. & Olszewski, R. 2014.
Experimental and clinical assessment of three-dimensional cephalometry: A
systematic review. J. Craniomaxillofac. Surg. 42(8): 1795-1801.
Yasa, Y., Ocak, A.,
Bayrakdar, I.S., Duman, S.B. & Gumussoy, I. 2017. Morphometric analysis of
sella turcica using cone beam computed tomography. J. Craniofac. Surg. 28(1):
e70-e74.
*Corresponding author; email: zambrimakhbul@gmail.com
|