MORFOMETRIJSKA ANALIZA VEĆIH OTVORA VELIKOG KRILA KLINASTE KOSTI ČOVEKA

  • Miljana Pavlović Medicinski fakultet Niš
  • Miljana Pavlović Medicinski fakultet Niš
  • Ivan Jovanović Medicinski fakultet Niš
  • Milena Trandafilović Medicinski fakultet Niš
  • Vesna Stojanović Medicinski fakultet Niš
  • Milorad Antić Medicinski fakultet Niš
  • Jovana Čukuranović Kokoris Medicinski fakultet Niš
  • Milica Stanković Institut za patologiju, Klinički centar Niš
Ključne reči: okrugli otvor, ovalni otvor, spinozni otvor, veliko krilo klinaste kosti

Sažetak


U korenu velikog krila klinaste kosti nalaze se otvori za prolaz krvnih sudova i živaca (okrugli - FR, ovalni – FO i spinozni – FS otvor). Analiza anatomskih karakteristika i dimenzija ovih otvora ima klinički značaj zbog njihove pozicije između intrakranijalnih i ekstrakranijalnih struktura i hirurških i dijagnostičkih procedura. Cilj istraživanja bio je da se ispitaju morfološke i morfometrijske karakteristike okruglog, ovalnog i spinoznog otvora na humanim lobanjama. Istraživanje je sprovedeno na 20 lobanja Instituta za anatomiju Medicinskog fakulteta u Nišu. Lobanje su numerisane, a otvori fotografisani pored lenjira fotoaparatom marke Canon model A470. Obrada fotografija i morfometrijska analiza (merenje dužine i širine okruglog, ovalnog i spinoznog otvora) izvršene su u programu “ImageJ“. Prosečna dužina okruglog otvora desno iznosila je 3,14±0,77 mm, levo 3,44±0,65 mm, širina desno 2,38±0,58 mm, levo 2,61±0,55 mm; dužina ovalnog otvora desno 5,88±0,88 mm, levo 5,50±1.06 mm, širina desno 2,70±0,58 mm, levo 2,82±0,68 mm; dužina spinoznog otvora desno 1,65±0,27 mm, levo 1,73±0,49 mm, širina desno 1,32±0,32 mm, levo 1,20±0,39 mm. T-testom nezavisnih uzoraka utvrđeno je da ne postoji statistički značajna razlika među parametrima na desnoj i levoj strani, ni između merenih parametara na istim otvorima. Srednja pozitivna korelacija postoji između dužine i širine FS na levoj, dužine i širine FR na desnoj strani i između širina FS na desnoj i levoj strani; zanemarljiva pozitivna korelacija između dužine i širine FO na desnoj strani i između dužina FS na desnoj i levoj strani, dok između ostalih merenih parametara postoji slaba korelacija.

Biografija autora

Miljana Pavlović, Medicinski fakultet Niš

Katedra za Anatomiju, docent

Reference

Čukuranović R, Antić S, Arsić S, Bakić V, Daković Bjelaković M, Jovanović I, et al. Anatomija čoveka. 1. izdanje. Niš: Galaksijanis; 2019.

Ginsberg LE, Pruett SW, Chen MY, Elster AD. Skull-base foramina of the middle cranial fossa: Reasse-ssment of normal variation with high-resolution CT. Am J Neuroradiol 1994;15(2):283-91. [PubMed]

Gupta N, Rai AL. Foramen ovale-Morphometry and its surgical importance. IJMHS 2013;3(1):4-6.

Karan BK, Prashant AB. An anatomical study on the foramen ovale and the foramen spinosum. J Clin Diagn Res 2013;7(3):427-9. [CrossRef] [PubMed]

Karan BK, Surekha DJ, Umarji BN, Patil RJ, Ambali MP. Foramen ovale and foramen spinosum: a morpho-metric study. Anatomica Karnataka 2012;6(3):68-72.

Khan AA, Asari MA, Hassan A. Anatomic variants of foramen ovale and spinosum in human skulls. Int J Morphol 2012;30(2):445-9. [CrossRef]

Kocaogullar Y, Avci E, Fossett D, Caputy A. The extra-dural subtemporal keyhole approach to the spheno-cavernous region: anatomic considerations. Minim Invasive Neurosurg 2003;46(2):100-5. [CrossRef] [PubMed]

Krmpotić-Nemanić J, Marušić A. Anatomija čoveka. Drugo izdanje. Zagreb: Medicinska naklada; 2001.

Kumar A, Sehgal R, Roz TS. A morphometric analysis and study of variations of foramina in the middle cranial fossa. J Anat Soc India 2016;65:143-7. [CrossRef]

Kuppasad GP, Kundadukkam S, Thittamaranahalli MH, Haradi SR, Amit N. Morphometric and anatomic varia-tions of foramen ovale in human skull and its clinical importance. Asian J Neurosurg 2019;14(4):1134-7. [CrossRef] [PubMed]

Lazarus L, Naidoo N, Satyapal KS. An osteometric evaluation of the foramen spinosum and venosum. Int J Morphol 2015;33(2):452-8. [CrossRef]

Murugan M, Saheb SH. Morphometric and morpholo-gical study on foramen ovale. Int J Anat Res 2014; 2(4):664-7. [CrossRef]

Nirupma G, Anju LR. Foramen ovale - Morphometry and its surgical importance. IJMHS 2013;3:4-6.

Osunwoke EA, Mbadugha CC, Orish CN, Oghenmavwe EL, Ukah CJ. A morphometric study of foramen ovale and foramen spinosum of the human sphenoid bone in the southern Nigerian population. J Appl Biosci 2010;26:1631-5.

Patil GV, Shishirkumar AD, Apoorva D, Thejeswari JS, Sharif J, Sheshgiri C, et al. Morphometry of the fora-men ovale of sphenoid bone in human dry skulls in Kerala. IJHSR 2014;4(10):90-3.

Patil J, Kumar N, Rao K G M, Ravindra S S, S N S, Nayak B S, et al. The foramen ovale morphometry of sphenoid bone in South Indian population. J Clin Diagn Res 2013;7(12):2668-70. [CrossRef] [PubMed]

Ray B, Gupta N, Ghose S. Anatomic variations of foramen ovale. Kathmandu Univ Med J 2005;3(1):64-8. [CrossRef]

Reymond J, Charuta A, Wysocki J. The morphology and morphometry of the foramina of the greater wing of the human sphenoid bone. Folia Morphol (Warsz) 2005;64(3):188-93. [PubMed]

Rosse C, Gaddum-Rosse P. Textbook of anatomy. Fifth ed. Philadelphia: Lippincott - Raven; 1997.

Rusu MC. Doubled foramen rotundum and maxillary nerve fenestration. Surg Radiol Anat 2011;33(8):723-6. [CrossRef] [PubMed]

Saheb SH, Khaleel N, Havalder PP, Shruthi BN. Morphological and morphometric study of foramen spinosum. Int J Anat Res 2017;5(4.1):4523-6. [CrossRef]

Saheb SH, Shepur MP, Desai SD, Thomas ST, Maavishettar GF, Haseena S. Study of foramen Vesalius in South Indian skulls. Indian J Med Healthc 2012;1(1):22-4.

Sepahdari AR, Mong S. Skull base CT: normative values for size and symmetry of the facial nerve canal, foramen ovale, pterygoid canal, and foramen rotun-dum. Surg Radiol Anat 2013;35(1):19-24. [CrossRef] [PubMed]

Shapiro R, Robinson F. The foramina of the middle fossa: a phylogenetic,anatomic and pathologic study. Am J Roentgenol Radium Ther Nucl Med 1967;101(4): 779-94. [CrossRef] [PubMed]

Sharma NA, Garud RS. Morphometric evaluation and a report on the aberrations of the foramina in the intermediate region of the human cranial base: A study of an Indian population. Eur J Anat 2011;15(3): 140-9.

Snell RS. Clinical anatomy for medical students. Sixth ed. Philadelphia: Lippincott Williams&Wilkins; 2000.

Srimani P, Mukherjee P, Sarkar M, Roy H, Sengupta SK, Sarkar AN, et al. Foramina in alisphenoid – An observational study on their osseous-morphology and morphometry. Int J Anat Radiol Surg 2014;3(1):1-6.

Teul I, Czerwinski F, Gawlikowska A, Konstanty-Kurkiewicz V, Slawinski G. Asymmetry of the ovale and spinous foramina in mediaeval and contemporary skulls in radiological examinations. Folia Morphol (Warsz) 2002;61(3):147-52. [PubMed]

Williams PL. Gray’s Anatomy: The anatomical basis of clinical practice. 42nd international ed. Edinburgh: Churchill Livingstone/Elsevier imprints; 2020.

Yanagi S. Developmental studies on the foramen rotundum, foramen ovale and foramen spinosum of the human sphenoid bone. Hokkaido Igaku Zasshi 1987;62(3):485-96. [PubMed]

Zdilla MJ, Hatfield SA, McLean KA, Cyrus LM, Laslo JM, Lambert HW. Circularity, Solidity, Axes of a Best Fit Ellipse, Aspect Ratio, and Roundness of the Foramen Ovale: A Morphometric Analysis With Neurosurgical Considerations. J Craniofac Surg 2016;27(1):222-8. [CrossRef] [PubMed]

Objavljeno
2021/06/15
Rubrika
Originalni rad