Clinical And Radiological Significance of Sella Turcica: A Literature Review

Taşsöker, Melek; Özcan, Sevgi

doi:10.9790/0853-150810108113

Cited by 6 publications

(18 citation statements)

References 43 publications

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“…In this study, the sella turcica types in Turkish healthy individuals were analyzed according to age and gender and sella turcica types and variations were determined. Variations in the shape of sella turcica have long been reported by many researchers 2,3,6,7,12,[14][15][16]21,22 . Also, many classifications were performed for sella turcica types.…”

Section: Discussionmentioning

confidence: 99%

“…It is bordered by the anterior and posterior clinoid processes. The sella turcica is formed of three parts known as tuberculum sellae (saddle horn), hypophysial fossa (pituitary fossa) covered by diaphragma sellae, and dorsum sellae (back of the saddle) 1,2,[6][7][8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

“…In embryological development of the sella turcica is a key point for the migration of the neural crest cells to the frontonasal and maxillary developmental fields 1,2,6,7 . The greater part of the sphenoid bone develops using the endochondral method of ossification.…”

Section: Introductionmentioning

confidence: 99%

“…Until the seventh or eight month of foetal life, the body of the sphenoid consists of two parts named the presphenoid (in front of the tuberculum sellae) and the postsphenoid (consisted the sellae turcica and dorsum sellae). While the anterior part of the sellae turcica in the early embryonic period develops mostly from neural crest cells, the posterior part of the sella turcica develops from parachordal mesoderm in direct relation to the notochord 2,7 . It has been stated that the structural deviations in the anterior wall may be related to specific deviations in the facial skeleton 7 .…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, an abnormality in sella turcica may happen for some reasons such as intrasellar pituitary primary tumors, hypopituitarism, spina bifida, Trisomy 18-21, Williams syndrome and Down syndrome. However, the morphology of the sella turcica may vary between individuals and according to ethnicity 2,4,13,14 . The lateral cephalogram determines the craniofacial anomalies.…”

Section: Introductionmentioning

confidence: 99%

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Determination of sella turcica types in healthy Turkish population

Polat

Kabakçı

Öksüzler

et al. 2020

Cukurova Medical Journal

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The aim of this study was to determine the age and gender differences of sella turcica types in healthy Turkish individuals using lateral cephalometric radiographs and make an analysis of sella turcica types. Material and Methods: A total of 222 patients of which 93 females and 129 males in the age group of 1-46 years who applying to the Department of Radiology with various reasons were included in our study and the classification of sella turcica types was assessed. Measurements were classified both in terms of gender, and age groups. Sella turcica types were analysed according to the two classification methods performed by Meyer Marcotti et al., and Axelsson et al. Results: Significant differences were found between gender and sella turcica types according to Axelsson et al's classification method. Furthermore, the sella turcica bridging type in males and variation combination type in females were no found. On the other hand, there were no considerable differences between sella turcica types and age groups according to Axelsson et al's classification; whereas, the significant difference was found between age groups and sella turcica types according to Meyer Marcotti et al's classification. Conclusion: The data obtained in our study will shed light on monitorize of growth of individual by enabling determination of the sella turcica types in various diseases and different age groups, and the knowledge of the anatomic variations for sella turcica typology of Turkish population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Determination of sella turcica types in healthy Turkish population

Polat

Kabakçı

Öksüzler

et al. 2020

Cukurova Medical Journal

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Evaluation of Sella Turcica Morphology and Morphometry Based on Gender and Age in Our Population Using Computed Tomography

Sönmez,

Polat,

Öksüzler

et al. 2023

Journal of Craniofacial Surgery

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In this study, it was aimed to determine the reference values for the healthy Turkish population by evaluating the age-related changes in the morphology and morphometry of Sella Turcica (ST) and the relationship with the body mass index. In addition, it has been investigated whether the morphology and morphometry of this structure vary in diabetes mellitus (DM) patients. The study group was consisted of a total of 524 individuals (266 females and 258 males) (426 healthy and 48 with DM) between the ages of 1 and 80, who applied to the Department of Radiology between January 2018 and February 2021. Axial brain computed tomography scans which have no pathology in ST were retrospectively examined. The ST length (STL), height (STH), diameter (STD), processus clinoideus anterior right-left (PCAR_L), processus clinoideus posterior right-left (PCPR_L) did not differ significantly in healthy individuals and individuals with DM (P>0.05). When the ST morphology according to the ST shape classification performed by Meyer Marcotti and colleagues and Axellson and colleagues was evaluated, it was observed that there was no statistically significant difference between the 2 groups (P>0.05). There was a significant difference in STL, STD values (P<0.05), however, there was no difference in STH, PCAR_L, PCPR_L values between genders (P>0.05). While the distance between STL, STD, PCAR_L showed a significant difference between the decades in all groups, there was no significant difference in the STH, PCPR_L in both classifications (P>0.05). When the relationship between the parameters and body mass index was evaluated, STL, STD, PCAR_L showed a significant difference between the groups (P<0.05). Detailed knowledge of the ST anatomy will be helpful in terms of early diagnosis of diseases that may be related and guiding surgical interventions in this region.

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Sella turcica morphology in patients with genetic syndromes: A systematic review

Roomaney

2020

Orthod Craniofacial Res

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The sella turcica is an important anatomical reference used in orthodontics for the evaluation of craniofacial growth. Studies have found variations in the sella turcica morphology in patients with syndromes affecting the craniofacial complex. This review aims to determine whether genetic syndromes involving the craniofacial complex are associated with abnormal radiographic sella turcica morphology and whether there is a pattern of malformation which is consistent within each syndrome. An electronic database search was conducted to identify relevant studies. We included primary studies describing the morphology of the sella turcica on lateral radiographs in human subjects with genetic syndromes involving the craniofacial complex. No restrictions were placed on language or timeframe. PROSPERO registration CRD42019148060. Thirty‐eight studies were included in this review. A ‘J’‐shaped sella was found in patients with Hutchinson‐Gilford‐Progeria syndrome and other syndromes. A bulbous dorsum sellae was highly prevalent Cleidocranial dysplasia, and a bulbous dorsum sellae and uneven contours of the clivus was found in Cri du chat syndrome. A steep clivus was described in patients with Axenfeld‐Rieger syndrome. An oblique anterior wall was the most frequent malformation found in Down’s syndrome. Genetic syndromes affecting the craniofacial complex are associated with abnormal morphology of the radiographic sella turcica. Clinicians should be observant of abnormal sella turcica morphology which can be a sign of undiagnosed or subclinical syndromes. More high‐quality studies are needed which use standardized and objective methods of determining the morphology of the sella turcica.

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Clinical And Radiological Significance of Sella Turcica: A Literature Review

Cited by 6 publications

References 43 publications

Determination of sella turcica types in healthy Turkish population

Determination of sella turcica types in healthy Turkish population

Evaluation of Sella Turcica Morphology and Morphometry Based on Gender and Age in Our Population Using Computed Tomography

Sella turcica morphology in patients with genetic syndromes: A systematic review

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