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An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos

Received: 19 May 2016    Accepted: 2 June 2016    Published: 20 June 2016
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Abstract

One of the clinical significance of the sella turcica is the empty sella syndrome which is the condition of a shrunken or flattened pituitary gland; hence a familiarity with the sella turcica anatomy and radiological appearance is of great importance. The present study investigated the normal dimensions of the sella turcica and the relationship with gender and age in adult Nigerians resident in Lagos, using computed tomographs of patients who underwent CT head examination. This was carried out to determine if the dimensions of sella turcica vary with age, gender and race; this is with a view to providing normal, standard reference for the indigenous population in Nigeria. This study assessed: the length, the depth and the antero-posterior diameter of the sella turcica; 297 samples were obtained and analyzed using SPSS Windows Version 14.0. T- test was used for the statistical analysis and values obtained were expressed as mean±S.E.M. and P value ˂ 0.05 was considered statistically significant. The results showed the mean length of 9.81±0.094mm; the mean antero-posterior diameter of 11.37±0.090mm and the mean depth of 8.49±0.08mm. It was also observed that neither the age group nor the gender of the patients is a determinant of the sella turcica dimensions. Furthermore, the males tend to have slightly larger sella turcica dimensions than the females and the values from the present study are lower than those reported in Caucasian studies. The size of pituitary gland can be roughly estimated from the dimensions of sella turcica obtained from radiological methods in pathological conditions since disease conditions of the “master gland” ultimately affect the size of the sella turcica.

Published in International Journal of Medical Imaging (Volume 4, Issue 3)
DOI 10.11648/j.ijmi.20160403.11
Page(s) 12-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sella Turcica, Tuberculm Sellae, Dorsum Sellae, Base of Pituitary Fossa

References
[1] Meschan Isadore (1975). An Atlas of Anatomy Basic to Radiology. Published by Saunders (W. B.) Co Ltd, p 342-349.
[2] Tekiner, Halil; Acer, Niyazi; Kelestimur, Fahrettin (2014). "Sella turcica: an anatomical, endocrinological, and historical perspective". Pituitary 18 (4): 575–578.
[3] Agrawal JK, Sahay RK, Bhutada SK, Reddy VS, Agrawal NK. (2001) Empty sella syndrome. Indian Academy of Clinical Medicine; 2 (3): 198-202.
[4] Saokar, C. (2014). Assessment of Sella Turcica Morphology and Dimensions In An Indian Population. Indian Journal of Applied Research. 4 (10): 54-59.
[5] Mancall, Elliott L.; Brock, David G., eds. (2011). "Cranial Fossae". Gray's Clinical Anatomy. Elsevier Health Sciences. p. 154.
[6] Saokar, P. C., Sudhir, N. (2014). The Comparative Study of Size of Sella Turcica in Different Skeletal Types In Local Population –An In Vitro Study. Indian Journal of Applied (4) (10): 160-161.
[7] Eman, A. A. (2007). The Shape and Size of Sella Turcica In Skeletal Class II and Class III Saudi Objects. Eur Jour. Orthod. Vol 29. 457-463.
[8] Bruneton, J. N., Drouillard, J. P., Sabatier, J. C., Elie, G. P., & Travenir, J. F. (1979). Normal Variants of The Sella Turcica. Comparison of Plain Radiographs and Tomograms in 200 cases. Radiology. 131 (1): 99-104.
[9] Romans G. J. (1982). Cunningham’s Manual of Practical Anatomy, Volume Three Head and Neck and Brain 14th Ed. Oxford University Press.
[10] Camp, J. D. (2005). Normal and Pathological Anatomy of the Sella Turcica as Revealed by Roentgenograms. America Journal of Roentgenology. 12: 143-155.
[11] Russell, B. G., & Kjaer, I. (2008). Postnatal Structure of Sella Turcica in Down Syndrome. American Journal of Medical Genetics. 87: 183-188.
[12] De Marinis. (2005). Imaging of Sella and Parasellar Disease. Seminars in Ultrasound, CT, and MRI. Radiology. 19: 257-271.
[13] Pisaneschi, M., & Kapoor, G. (2005). Imaging the Sella and Parasellar Region. Neuroimaging Clin N Am. 15 (1): 203-19.
[14] Haritha, P. S., Vignesh, K., & Arun, C. (2013). The Size and Morphology of Sella Turcica in Different Skeletal Patterns among South Indian Population: A Lateral Cephalometric Study. JP Journals. 47 (4): 266-271.
[15] Silverman, F. N. (1957). Roentgen Standards for Size of the Pituitary Fossa from Infancy through Adolescence. American Journal of Roentgenology. 78 (3): 451 – 60.
[16] Silverman, F. N. (2000). Roentgen Standards for Size of Pituitary Fossa from Infancy Through Adolescence. American Journal of Roentgenology. 28: 451-460.
[17] Kisling, E., & Copenhagen. (1966). Cranial Morphology in Down’s Syndrome. A Comparative Roentgen Cephalometric Study in Adult Males. 6th edition.
[18] Zegga, A. D., Ahmed, D., Tadros, A. A., Saidu, S. A. (1990). Description of The Normal Variants of The Anatomical Shapes of Sella Turcica. Radiology. 899 (7): 187-192.
[19] Asad, S., & Hamid, W. (2005). Assessment and Comparisons of Dimensions of Sella TurcicaIn Skeletal Class I and Skeletal Class II Cases. Pak Oral Dental Journal. 25: 59-64.
[20] Axelsson S, Kjær I, Storhaug K (2004). Post-natal size and morphology of the sella turcica, Longitudinal cephalometric standards for Norwegians between 6 and 21 years of age. European Journal of Orthodontics 26: 597–604
[21] Chaurasia’s B D. (2010). Human Anatomy: Regional and Applied, Dissection and Clinical. vol. 2, 5th edition CBS Publishers, Thomas Press, New Delhi, India, p 1-466.
[22] Stefan Axelsson and Kari Storhaug (2004). Post-natal size and morphology of the sella turcica in Williams syndrome. European Journal of Orthdontics. Vol 26. 597-604.
[23] Melson, B. (1999). The Cranial Base: The Postnatal Development of The Cranial Base Studied Historical on Human Autopsy Material. Acra Odonto logica Scandi navica. 32 (62): 57-71.
[24] Choi, W. J., Hwang, E. H., & Lee S. R. (2001). The Study of Shape and Size of Normal Sella Turcica in Cephalometric Radiographs. Korean Jour. Oral Maxillofacial Radiology. 31 (1): 43-49.
[25] Elster, A. D., Chen, M. Y., Williams, D. W., & Key, L. L. (2006). Pituitary Gland. MR Imaging of Physiology Hypertrophy in Adolescence Radiology. 72: 754-761.
[26] Valizadeh, S., Shahrzad, S., Mohseni, S., Azimi, F., & Bakhshandeh, H. (2015). Correlation of Shape and Size of Sella Turcica With the Type of Facial Skeleton Class in an Iranian Group. Iran J Radiol. 12 (3): e 16059.
[27] Ize-Iyamu, I. (2014). Sella Turcica Shape, Linear Dimensions, and Cervical Vertebrae Staging in Preorthodontic Patients in Benin City, Nigeria. Sahel Medical Journal. 17 (4): 151–158.
[28] Meador, C., & Worrell, J. (1996). The Sella Turcica in Postpartum Pituitary Necrosis (Sheehan's Syndrome). Ann Intern Med. 65 (2): 259-264.
[29] Kucharczyk, W., & Hazewinkel, M. (2008). Sella Turcica and Parasellar Region. Retrieved from Radiology Assistant. nl on 10/04/16.
[30] Melson, B. (1999). The Cranial Base: The Postnatal Development of The Cranial Base Studied Historical on Human Autopsy Material. Acra Odontologica Scandinavica. 32 (62): 57-71.
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    Ogunnaike Philip Olubunmi, Olatunji Sunday Yinka, Owolabi Joshua Oladele, Ginigeme Anita Adimchukwunaka, Olanrewaju John Afees. (2016). An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos. International Journal of Medical Imaging, 4(3), 12-16. https://doi.org/10.11648/j.ijmi.20160403.11

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    ACS Style

    Ogunnaike Philip Olubunmi; Olatunji Sunday Yinka; Owolabi Joshua Oladele; Ginigeme Anita Adimchukwunaka; Olanrewaju John Afees. An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos. Int. J. Med. Imaging 2016, 4(3), 12-16. doi: 10.11648/j.ijmi.20160403.11

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    AMA Style

    Ogunnaike Philip Olubunmi, Olatunji Sunday Yinka, Owolabi Joshua Oladele, Ginigeme Anita Adimchukwunaka, Olanrewaju John Afees. An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos. Int J Med Imaging. 2016;4(3):12-16. doi: 10.11648/j.ijmi.20160403.11

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  • @article{10.11648/j.ijmi.20160403.11,
      author = {Ogunnaike Philip Olubunmi and Olatunji Sunday Yinka and Owolabi Joshua Oladele and Ginigeme Anita Adimchukwunaka and Olanrewaju John Afees},
      title = {An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos},
      journal = {International Journal of Medical Imaging},
      volume = {4},
      number = {3},
      pages = {12-16},
      doi = {10.11648/j.ijmi.20160403.11},
      url = {https://doi.org/10.11648/j.ijmi.20160403.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20160403.11},
      abstract = {One of the clinical significance of the sella turcica is the empty sella syndrome which is the condition of a shrunken or flattened pituitary gland; hence a familiarity with the sella turcica anatomy and radiological appearance is of great importance. The present study investigated the normal dimensions of the sella turcica and the relationship with gender and age in adult Nigerians resident in Lagos, using computed tomographs of patients who underwent CT head examination. This was carried out to determine if the dimensions of sella turcica vary with age, gender and race; this is with a view to providing normal, standard reference for the indigenous population in Nigeria. This study assessed: the length, the depth and the antero-posterior diameter of the sella turcica; 297 samples were obtained and analyzed using SPSS Windows Version 14.0. T- test was used for the statistical analysis and values obtained were expressed as mean±S.E.M. and P value ˂ 0.05 was considered statistically significant. The results showed the mean length of 9.81±0.094mm; the mean antero-posterior diameter of 11.37±0.090mm and the mean depth of 8.49±0.08mm. It was also observed that neither the age group nor the gender of the patients is a determinant of the sella turcica dimensions. Furthermore, the males tend to have slightly larger sella turcica dimensions than the females and the values from the present study are lower than those reported in Caucasian studies. The size of pituitary gland can be roughly estimated from the dimensions of sella turcica obtained from radiological methods in pathological conditions since disease conditions of the “master gland” ultimately affect the size of the sella turcica.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - An Assessment of the Size of Sella Turcica Among Adult Nigerians Resident in Lagos
    AU  - Ogunnaike Philip Olubunmi
    AU  - Olatunji Sunday Yinka
    AU  - Owolabi Joshua Oladele
    AU  - Ginigeme Anita Adimchukwunaka
    AU  - Olanrewaju John Afees
    Y1  - 2016/06/20
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ijmi.20160403.11
    DO  - 10.11648/j.ijmi.20160403.11
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 12
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20160403.11
    AB  - One of the clinical significance of the sella turcica is the empty sella syndrome which is the condition of a shrunken or flattened pituitary gland; hence a familiarity with the sella turcica anatomy and radiological appearance is of great importance. The present study investigated the normal dimensions of the sella turcica and the relationship with gender and age in adult Nigerians resident in Lagos, using computed tomographs of patients who underwent CT head examination. This was carried out to determine if the dimensions of sella turcica vary with age, gender and race; this is with a view to providing normal, standard reference for the indigenous population in Nigeria. This study assessed: the length, the depth and the antero-posterior diameter of the sella turcica; 297 samples were obtained and analyzed using SPSS Windows Version 14.0. T- test was used for the statistical analysis and values obtained were expressed as mean±S.E.M. and P value ˂ 0.05 was considered statistically significant. The results showed the mean length of 9.81±0.094mm; the mean antero-posterior diameter of 11.37±0.090mm and the mean depth of 8.49±0.08mm. It was also observed that neither the age group nor the gender of the patients is a determinant of the sella turcica dimensions. Furthermore, the males tend to have slightly larger sella turcica dimensions than the females and the values from the present study are lower than those reported in Caucasian studies. The size of pituitary gland can be roughly estimated from the dimensions of sella turcica obtained from radiological methods in pathological conditions since disease conditions of the “master gland” ultimately affect the size of the sella turcica.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Department of Anatomy, Benjamin Carson Senior School of Medicine, Babcock University, Ilishan-Remo Nigeria

  • Department of Anatomy, Benjamin Carson Senior School of Medicine, Babcock University, Ilishan-Remo Nigeria

  • Department of Anatomy, Benjamin Carson Senior School of Medicine, Babcock University, Ilishan-Remo Nigeria

  • Department of Anatomy, Benjamin Carson Senior School of Medicine, Babcock University, Ilishan-Remo Nigeria

  • Department of Anatomy, Benjamin Carson Senior School of Medicine, Babcock University, Ilishan-Remo Nigeria

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