Anatomik ve Radyolojik Açıdan Sella Turcica Morfolojisi ve Morfometrisinin Cinsiyet ve Yaşa Bağlı Dağılımının Değerlendirilmesi


Thesis Type: Postgraduate

Institution Of The Thesis: Cukurova University, Sağlık Bilimleri Enstitüsü, Temel Tıp Bilimleri, Turkey

Approval Date: 2022

Thesis Language: Turkish

Student: ELİF İPEK ÇAY

Supervisor: Pınar Göker

Abstract:

Sella Turcica (ST), located in os sphenoidale, is a very important anatomical structure used in radiological evaluation of neurocranial and craniofacial structure and orthodontic treatment forces, due to the glandula (gl.) pituitaria.

The aim of this study is to examine the morphology and morphometry of Sella Turcica in detail and to establish reference values for the healthy Turkish population. In addition, ST morphology and morphometry have been measured in relation to Diabetes Mellitus(DM). Furthermore, Sella Turcica's length (STU), Sella Turcica's height (STY), Sella Turcica's diameter (STÇ), Processus Clinoideus Anterior Dextra-Sinistra Distance (PCAM) and Proccessus Clinoideus Posterior Dextra-Sinistra Distance (PCPM) were investigated by evaluating age-related changes and the limits of the characteristics of the relationship between the cells obtained and body mass index (BMI).

Our study included people who did not have any pathology containing these residues on Computed Tomography (CT) scans of 524 individuals, including 266 women and 258 men between the ages 1-80, among the visitations from January 2018 to February 2021, at the Radiology Department of Adana Medline Hospital. 48 of the individuals in our study group (24 women and 24 men) have a DM record. Mean±standard deviation, maximum (max) and minimum (min) values were obtained by using the IBM SPSS Statistics 22.0 program for the measurement results of the results included in the study. Significance level was accepted as p<0.05. Changes in the measurements depending on age and gender were determined.

When we examine the results of the study, STU, STÇ, STY, PCAM and PCPM do not show the evaluation in individuals with DM and healthy individuals. Furthermore, when studies of Mayer Marcotti et al. and also Axellson et al. have been examined respectively showed no significant statistical differences (p>0.05). It has been observed that there was a difference in the variables between male and female individuals in STU and STÇ values in healthy individuals (p<0.05). Moreover, when STY, PCAM and PCPM values have been considered no significant differences have been observed. While the distance between STU, STC and PCAM significant differences between decads in all groups, STY and PCPM  made by Mayer Marcotti et al. and Axellson et al. of ST shape classification showed no significant differences. STU, STC and PCAM showed significant differences between the groups, once the measurements have been compared to BMI.

The knowledge of ST morphometry and morphology will be helpful in early diagnosis to relatable pathology and show guidance in surgeries. The anatomical and radiological data of ST region in Turkish population will be highly beneficial reference in planning of both clinical and surgical approaches in the future.