Radiological anatomy of sella turcica in children: a retrospective study with CT.

IF 1.2 4区医学 Q2 Medicine Surgical and Radiologic Anatomy Pub Date : 2025-04-03 DOI:10.1007/s00276-025-03624-w

Zehra Ağolday, Emek Öykü Yıldızoğlu, Erdal Özdemir, Rıdvan Çetin, Orhan Beger

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Abstract

Purpose: To assess the sella turcica (ST) morphology on pediatric computed tomography views.

Methods: Radiologic images of 113 children (47 females / 66 males, mean age: 9.24 ± 6.07 years) were included in the study. The diameter (STD), width (STW), length (STL), anterior height (STA), middle height (STM), and posterior height (STP) of ST were measured. ST shape was noted.

Results: STL, STD, STA, STM, STP and STW were measured as 6.81 ± 1.57 mm, 8.52 ± 2.05 mm, 5.30 ± 1.57 mm, 6.06 ± 1.49 mm, 5.71 ± 1.64 mm, and 6.38 ± 1.91 mm, respectively. STL (p = 0.012) and STD (p < 0.001) did not show significant change after the late childhood period, while STA, STM, STP and STW did not display significant change after the early childhood period (p < 0.001). According to Axelsson classification, ST shape was identified as Type 1 (normal ST) in 34 cases (30.10%), Type 2 (oblique anterior wall) in 17 cases (15%), Type 3 (double contour of the floor) in four cases (3.60%), Type 4 (irregularity) in eight cases (7.10%), and Type 5 (pyramidal shape of the dorsum sellae) in 50 cases (44.20%). According to Camp classification, ST shape was identified as oval in 39 cases (34.50%), round in 62 cases (54.90%), and flattened in 12 cases (10.60%). Dispersion ratios of ST shape types in in the first and second decades showed that Axelsson (p < 0.001) and Camp (p = 0.043) classifications correlated with age.

Conclusion: ST size does not show significant change after the late childhood period. Its shape correlates with age, but not gender.

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儿童耳廓的放射学解剖：一项使用 CT 进行的回顾性研究。

目的：探讨小儿ct图像对蝶鞍形态学的影响。方法：纳入113例儿童（女47例，男66例，平均年龄：9.24±6.07岁）的影像学资料。测量ST的直径（STD）、宽度（STW）、长度（STL）、前高度（STA）、中高度（STM）、后高度（STP）。ST形状被注意到。结果：STL、STD、STA、STM、STP、STW分别为6.81±1.57 mm、8.52±2.05 mm、5.30±1.57 mm、6.06±1.49 mm、5.71±1.64 mm、6.38±1.91 mm。STL （p = 0.012）和STD (p)的差异无统计学意义。它的形状与年龄有关，但与性别无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine

CiteScore

2.40

自引率

14.30%

发文量

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.