@article{article_473969, title={KIBT İLE TESADÜFEN BULUNAN PARSİYEL EMPTY SELLA TANISI: İKİ VAKA RAPORU}, journal={Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, volume={28}, pages={553–556}, year={2018}, DOI={10.17567/ataunidfd.473969}, author={Eren, Hakan and Kolsuz, Mehmet Eray and Orhan, Kaan}, keywords={Empty Sella Syndrome,CBCT,MRI,sella turcica}, abstract={<font face="Times New Roman" size="3"> <strong> </strong> </font> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <span style="font-size: 9pt;"> <font face="Tahoma"> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <font face="Times New Roman" size="3"> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: 13pt; mso-pagination: none;"> <span style="font-size: 9pt;"> <font face="Tahoma">Empty sella syndrome is defined as a herniation of the subarachnoid space within sella, hence, flattening of the pituitary gland. Most of the empty sella cases are found incidentally which this syndrome can be easily missed during maxillofacial radiological examinations. The aim of this paper is to describe two cases of partial empty sella and discuss the differential diagnosis for this condition. </font> </span> </p> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <span style="font-size: 9pt;"> <font face="Tahoma">Both patients administered to our clinic with pain in the forehead and maxilla. In addition to clinical examination two patients (37 year old male, 70 year old female) were imaged using panoramic radiography, cone beam computed tomography and magnetic resonance imaging. Panoramic radiographies showed no findings in terms of empty sella. However, in CBCT imaging, both patients showed an expansion in the sella turcica and protrusion into sphenoid sinus. These were more precisely located using 3D CT reconstructions. MR imaging showed intermediant signal on T1-weighted images and high signal on T2- weighted images. MRI findings showed the partial anterior prolapsus of pituitary gland with cerebrospinal fluid leak in posterior border of sella turcica. According to MRI findings, definitive diagnosis was partial empty sella syndrome. </font> </span> </p> <p style="margin: 0cm 0cm 0pt; text-align: justify; line-height: 13pt; mso-pagination: none;"> <span style="font-size: 9pt;"> <font face="Tahoma">Maxillofacial radiologists should be aware of this kind of abnormalities while reporting the entire FOV. </font> </span> </p> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <font face="Tahoma"> <b style="mso-bidi-font-weight: normal;"> <span style="font-size: 9pt;">Keywords: </span> </b> <span style="font-size: 9pt;"> Empty Sella Syndrome, CBCT, MRI, sella turcica, pituitary gland <b style="mso-bidi-font-weight: normal;"> <span style="font-size: 9pt;"> <font face="Tahoma">  </font> </span> </b> </span> </font> </p> </font> </p> </font> </span> </p> <font face="Times New Roman" size="3"> </font> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <b style="mso-bidi-font-weight: normal;"> <span style="font-size: 9pt;"> <font face="Tahoma">INCIDENTAL DIAGNOSIS OF PARTIAL EMPTY SELLA ON CBCT: <b style="mso-bidi-font-weight: normal;"> <span style=’font-family: "Tahoma","sans-serif"; font-size: 9pt; mso-fareast-font-family: "Times New Roman"; mso-ansi-language: TR; mso-fareast-language: TR; mso-bidi-language: AR-SA;’> <span style="mso-spacerun: yes;">  </span>TWO CASE REPORTS </span> </b> </font> </span> </b> </p> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <span style="font-size: 9pt;"> <font face="Tahoma"> <span style=’font-family: "Tahoma","sans-serif"; font-size: 9pt; mso-fareast-font-family: "Times New Roman"; mso-ansi-language: TR; mso-fareast-language: TR; mso-bidi-language: AR-SA;’> <font face="Times New Roman" size="3"> <b style="mso-bidi-font-weight: normal;"> <span style="line-height: 150%; font-size: 9pt;">ÖZ </span> </b> </font> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <font face="Times New Roman" size="3"> <span style="font-size: 9pt;">Empty sella sendromu, subaraknoid bölgenin sella içerisine herniyasyonu bundan dolayı da hipofiz bezinin düzleşmesi olarak tanımlanmıştır. Bir çok empty sella vakası tesadüfen tespit edildiği için bu sendrom maksillofasiyal radyolojik inceleme sırasında kolaylıkla gözden kaçabilir. Bu makalenin amacı iki parsiyel empty sella vakasını sunmak ve bu durum ile ilgili ayırıcı tanıları tartışmaktır. </span> </font> </p> <p style="margin: 0cm 0cm 0pt; line-height: 13pt; mso-pagination: none;"> <font face="Times New Roman" size="3"> <span style="font-size: 9pt;">Her iki hasta da maksilla ve alın bölgesinde ağrı ile kliniğimize başvurdu. Klinik muayeneye ek olarak her iki hastadan da (37 yaş erkek, 70 yaş kadın) panoramik radyograf, konik ışınlı bilgisayarlı tomografi ve manyetik rezonans görüntüleme ile görüntüler alındı. Panoramik radyografide empty sellaya ilişkin herhangi bir bulguya rastlanmadı. Ancak, KIBT görüntülerinde her iki hastada da sella tursikada ekspansiyon ve sfenoid sinüs içerisine protrüzyon görüldü. Bu bulgular 3 boyutlu rekonstrüksiyon görüntülerinde tam olarak lokalize edildi. Manyetik rezonans görüntülemede T1 ağ}, number={4}, publisher={Atatürk Üniversitesi}