枕骨大孔 - 南印度人形态测量研究

Monica Diana, Nuveen Ak, Panamparambil Remith, Bini Markose
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摘要

目的:枕骨大孔是枕骨后颅窝正中区域的一个椭圆形开口。髓质下端、脑膜、脊髓动脉和附属神经的脊髓根均通过该孔。对枕骨大孔形态的研究是为了更好地了解其结构,但这一研究有助于规划头颈部的安全手术和探查。对枕骨大孔的各种手术方法都能进入颅底的枕骨大孔,并防止穿过枕骨大孔的神经血管结构广泛回缩,因此形态测量研究在经髁入路中起着重要作用:方法:研究了阿马拉医学院和医院解剖学系以及特里苏尔朱比利医学院和医院的 50 个干燥人类头骨,并对结果进行了统计分析:结果:最常见的枕骨大孔形状为椭圆形,前后径的平均值大于横径的平均值,直径的 p 值显著,枕骨大孔指数的平均值的 p 值显著:这项研究将帮助外科医生有效地制定头颈部手术计划。
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FORAMEN MAGNUM – A STUDY ON ITS MORPHOMETRY AMONG THE SOUTH INDIAN POPULATION
Objective: Foramen magnum is an oval opening present in the median region of the posterior cranial fossa of the occipital bone. The lower end of the medulla, meninges, spinal arteries, and spinal roots of accessory nerve pass through the foramen. Morphometry of the foramen magnum is studied for better learning of the structure, but this study helps in planning a safe surgery and exploration in the head-and-neck region. Various surgical approaches of the foramen provide access to the foramina on the base of the skull and prevent broad retraction of the neurovascular structures passing through them, so the morphometric study plays an important role in transcondylar approach. Methods: Fifty dry human skulls available in the Department of Anatomy, Amala Medical College and Hospital, and also at Jubilee Medical College and Hospital, Thrissur were studied for this research work, and results were statistically analyzed. Results: The most common shape of the foramen magnum was oval, the mean of anteroposterior diameter was greater than the mean of transverse diameter, p-value of the diameters was found to be significant, p-value of the mean of foramen magnum index was significant. Conclusion: This study will help the surgeons to effectively plan a surgery at the head and neck site
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