成年人面部颅骨前后侧向尺寸的个体解剖学变异性。

Q4 Medicine Georgian medical news Pub Date : 2024-06-01
L Sosonna, O Boiagina, N Yurevych, O Schevtsov, O Avilova, N Konoval, I Sukhina
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引用次数: 0

摘要

尽管解剖变异性在各专业中都很重要,但目前专门针对这一主题的研究却很有限。大多数研究侧重于大脑,只有少数研究了人类头骨,主要与儿童时期的解剖变异性有关。目的:因此,我们的工作旨在确定成人头骨面部横向尺寸的个体解剖变异性:研究包括 115 个成熟个体的头骨,其中 35 个是解剖博物馆收藏的干骨标本,80 个是无骨组织病变的人体头部 CT 扫描结果。为了详细了解头骨面部侧表面的颅测量特征,将头骨面部分为眶额部、鼻部和上颌部,并构建了多边形(polygons)。颅骨的面部轮廓图是由面部轮廓点之间的一组预定尺寸组成的,呈现出一条连续的线,经过gl-n-rhi-ns-pr-id-pg点,反映了成熟成年人颅骨轮廓的形状、尺寸和位置,而与性别或颅骨类型无关:结果:结果表明,成熟个体的面部颅骨纵向前后尺寸因性别不同而表现出一定的变化范围。例如,在腕颅型个体中,gl-po(盂-porion)点之间的距离达到最大值,男性从 107 毫米到 130 毫米不等,女性从 104 毫米到 128 毫米不等。在中颅头骨形状的个体中,该参数会逐渐下降,男性为 109-126 毫米,女性为 107-124 毫米。头骨形状为多颅骨的人也有类似的下降,男性为 109-121 毫米,女性为 109-120 毫米。腕颅型和中颅型个体的 n-po(nasion-porion)之间的距离,无论性别如何,都保持在 96-123 毫米和 102-123 毫米之间,表明这一参数相对稳定。然而,在双顶颅个体中,这一距离会减小到 104-115 毫米:结论:已经确定了成熟个体面部骨骼前后侧向尺寸的个体解剖学变异性。使用矢状多边形对面部颅骨轮廓配置的现有个体差异范围进行了更深入的分析。研究发现,多边形 gl-po-n、n-po-rhi 和 rhi-po-ns 与面部颅骨眶颞部和鼻部的骨性轮廓结构有关,反映了头部上部的眶鼻结合部。
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INDIVIDUAL ANATOMICAL VARIABILITY OF THE ANTEROPOSTERIOR LATERAL DIMENSIONS OF THE FACIAL SKULL IN MATURE ADULTS.

Despite the significance of anatomical variability in various specialties, there is currently limited research dedicated to this topic. Most studies focus on the brain, with only a small number examining the human skull, primarily in relation to anatomical variability in childhood.

Aim: Therefore, the aim of our work is to determine the individual anatomical variability of the lateral dimensions of the facial section of the adult human skull.

Materials and methods: The study included 115 skulls of mature individuals, comprising 35 dry bone specimens from the anatomy museum collection and 80 results from human head CT scans without bone tissue pathologies. To detail the craniometric characteristics of the lateral surface of the facial section of the skull, polygons (polygons) were constructed with dividing of the facial section of the skull is into the orbital-frontal, nasal, and maxillary. The facial profilegram of the skull was formed as a set of predetermined dimensions between facial profile points, presenting a continuous line passing through points gl-n-rhi-ns-pr-id-pg, reflecting the shape, dimensions, and position of the cranial profile of mature adults regardless of sex or cranial type.

Results: It was established that the longitudinal anteroposterior dimensions of the facial skull exhibit a certain range of variability in mature individuals depending on gender. For instance, the distance between the points gl-po (glabella-porion) reaches its maximum values in individuals with a brachycranial skull shape, ranging from 107 mm to 130 mm in men and from 104 mm to 128 mm in women. In individuals with a mesocranial skull shape, this parameter gradually decreases to 109-126 mm in men and 107-124 mm in women. A similar decrease is observed in those with a dolichocranial skull shape, where the range is 109-121 mm in men and 109-120 mm in women. The distance between n-po (nasion-porion) in brachycranial and mesocranial individuals remains within 96-123 mm and 102-123 mm, regardless of gender, indicating that this parameter is relatively stable. However, in dolichocranial individuals, this distance decreases to 104-115 mm.

Conclusions: Individual anatomical variability of the anteroposterior lateral dimensions of the facial skeleton in mature individuals has been determined. A more in-depth analysis of the existing range of individual variability in the profile configuration of the facial skull was conducted using sagittal polygons. It was found that the polygons gl-po-n, n-po-rhi, and rhi-po-ns relate to the structure of the bony profile of the orbital-temporal and nasal regions of the facial skull, reflecting the upper, combined orbital-nasal section of the head.

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Georgian medical news
Georgian medical news Medicine-Medicine (all)
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207
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