Morphometric measurements of anterior clinoid process in relation to parasellar osseous structures and their clinical significance
Keywords:
morphometry, anterior clinoid process (ACP), optic strut (OS), posterior clinoid process (PCP)Abstract
This study is to analyze the morphometry of anterior clinoid process (ACP) and the surrounding parasellar structures which is important for the surgeries related to cavernous sinus, ICA, and basilar artery. A cross-sectional study has been done on 77 adult human dry skulls among North Indian population. The length, width, thickness of ACP and distance between ACP to OS, distance between two ACPs, distance between PCPs, distance between ACP to PCP were measured using digital vernier caliper. The mean and standard deviation was calculated and paired t-test was applied for the comparison. The mean length and width and thickness of ACP was 8.72±0.94 mm, 8.13±1.16 mm and 1.10±0.44 mm on right and 8.57±0.91mm, 8.05±1.24 mm and 1.40±0.41mm on left side. The average distance between the ACP tip to OS and ACP and PCP tip was 6.01±1.11mm and 8.79±1.49mm on the right and 5.90±0.99mm and 8.47±1.49mm left side. The mean distance between the ACP tip and PCP tip was 20.10±2.36 mm and 12.63±2.03 mm respectively. We did not find any significant difference of morphometric parameters between the right and the left side. The anatomical knowledge of these structures and its variation will help surgeons to plan surgery around the parasellar region.
Downloads
References
Avci E, Bademci G, Ozturk A. Microsurgical landmarks for safe removal of anterior clinoid process. Minim Invasive Neurosurg. 2005 Oct;48(5):268-72.
Boyan Neslihan, Ozsahin Esin, Kizilkanat Emine, Tekdemir Ibrahim, Soames Roger, Oğuz Özkan. Surgical Importance of the Morphometry of the Anterior Clinoid Process, Optic Strut, Caroticoclinoid Foramen, and Interclinoid Osseous Bridge. Neurosurgery Quarterly.2011; 21: 133-136.
Cecen, A.; Celikoglu, E.; Is, M.; Cetiner Kale, A. & Torum Eroglu, B. Pre-operative measurement of the morphometry and angles of the anterior clinoid process (ACP) for aneurysm surgery. Int. J. Morphol.2016;34(4):1333-1338.
Dagtekin A, Avci E, Uzmansel D, Kurtoglu Z, Kara E, Uluc K, Akture E, Baskaya MK. Microsurgical anatomy and variations of the anterior clinoid process. Turk Neurosurg. 2014; 24(4):484-93.
Darmadi, N. M., Edi, D. G. S., Kawan, I. M., Semariyani, A. A. M., & Sudiarta, I. W. (2018). The changes in protein content, moisture content, and organoleptic pindang of auxis thazard due to re-boiling stored in cold temperatures. International Journal of Life Sciences, 2(3), 75–85. https://doi.org/10.29332/ijls.v2n3.210
De Jesus O. The clinoidal space: anatomical review and surgical implications. Acta Neurochir (Wien). 1997; 139:361–365. 13.
Dhakal A, Mehta U, Chaudhary R, Sah S. Morphological Variaton of Anterior Clinoid Process in Dry Human Skulls. BJHS 2019;4 (3)10: 813-817
Gonzalez LF, Walker MT, Zabramski JM, et al. Distinction between paraclinoid and cavernous sinus aneurysms with computed tomographic angiography. Neurosurgery. 2003;52:1131–1139.
Govsa F, Erturk M, Kayalioglu G, et al. Neuro-arterial relations in the region of the optic canal. Surg Radiol Anat. 1999; 21:329–335. 12.
Hayashi N, Masuoka T, Tomita T, Sato H, Ohtani O, Endo S. Surgical anatomy and efficient modification of procedures for selective extradural anterior clinoidectomy. Minim Invasive Neurosurg. 2004 Dec;47(6):355-8.
Huynh-Le P, Natori Y, Sasaki T. Surgical anatomy of the anterior clinoid process. J Clin Neurosci. 2004;11:283–287.
Huynh-Le P, Natori Y, Sasaki T. Surgical anatomy of the opthalmic artery: its origin and proximal course. Neurosurgery. 2005;57: 236–241. 11.
Inoue T, Rhoton AL Jr, Theele D, Barry ME. Surgical approaches to the cavernous sinus: a microsurgical study. Neurosurgery. 1990 Jun;26(6):903-32. doi: 10.1097/00006123-199006000-00001. PMID: 2362670.
Lee HW, Park HS, Yoo KS, Kim KU, Song YJ. Measurement of Critical Structures around Paraclinoidal Area : A Cadaveric Morphometric Study. J Korean Neurosurg Soc. 2013 Jul;54(1):14-8.
Lee HY, Chung IH, Choi BY, et al. Anterior clinoid process and optic strut in Koreans. Yonsei Med J. 1997;38:151–154.
Mangesh Lone, Lakshmi Rajgopal, Anjali Telang. Morphometry of anterior clinoid process: a cadaveric study. Int J Anat Res 2016; 4(4):3237-3241.
Narolewski R. Significance of anatomic variants of bony surroundings of the internal carotid artery and their significance for lateral surgical approaches to the cavernous sinus. Ann Acad Med Stetin. 2003;49:205-29.
Natsis K, Piagkou M, Lazaridis N, Totlis T, Anastasopoulos N, Constantinidis J. Incidence and morphometry of sellar bridges and related foramina in dry skulls: Their significance in middle cranial fossa surgery. J Craniomaxillofac Surg. 2018 Apr; 46(4):635-644.
Noguchi A, Balasingam V, Shiokawa Y, et al. Extradural anterior clinoidectomy: technical note. J Neurosurg. 2005;102:945–950.
Rhoton AL Jr. The cavernous sinus, the cavernous venous plexus, and the carotid collar. Neurosurgery. 2002 Oct;51(4 Suppl):S375-410. PMID: 12234454.
Riyanti, R. (2022). Legal status of artificial intelligence-based health insurance services: Challenges, opportunities for customer protection. International Journal of Health Sciences, 6(2), 1023–1034. https://doi.org/10.53730/ijhs.v6n2.10600
Sibuor W, Cheruiyot I, Munguti J, Kigera J, Gikenye G. Morphology of the anterior clinoid process in a select Kenyan population. Anatomy Journal of Africa. 2018; 7: 1132 – 1137
Souza AD, Ankolekar VH, Nayak N, Hosapatna M, Souza AS. Morphometric Study of Anterior Clinoid Process and Optic Strut and the Ossification of Carotico-Clinoid Ligament with their Clinical Importance. J Clin Diagn Res. 2016 Apr;10(4):AC05-7.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937
Takahashi JA, Kawarazaki A, Hashimoto N. Intradural en-bloc removal of the anterior clinoid process. Acta Neurochir (Wien). 2004;146:505–509.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
