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Morphometric analysis of orbit in Turkish population: a MDCT study

Yıl 2022, , 590 - 600, 29.10.2022
https://doi.org/10.54005/geneltip.1182728

Öz

Objective: The orbit is an important cavity containing vision-related formations and important neurovascular structures, and adjacent to various regions. This study aimed to evaluation, by multidedector computed tomography (MDCT) images, the morphometry of orbit by examining its changes according to gender and body side, and developments according to age, in Turkish population.
Materials and Methods: A total of 200 individuals’s (94 females,106 males;400 sides) MDCT images were evaluated. Images were examined according to the gender, body side, and the anatomical structures development.
Results: The height, width and depth of the orbit were determined as 36.04±2.97 mm, 32.33±2.59 mm, 38.35±3.32 mm on the right side, 35.79±3.18 mm, 32.29±2.67 mm, 38.13±3.21 mm on the left side, respectively, in healthy subjects. The height and width of the orbit were found to be statistically significantly larger on both sides in men than in women (p˂0.05).
Conclusion: Comprehensive information about the orbit and associated apertures is quite important for clinicians working in this area, damage to these structures can cause serious complications. In addition, determining the morphometry of the orbit can be used as an important parameter for determining gender, age and race in forensic medicine.

Kaynakça

  • 1. Nitek S, Wysocki J, Reymond J, Piasecki K. Correlations between selected parameters of the human skull and orbit. Med Sci Monit. 2009; 15 (12): 370-7.
  • 2. Cheng AC, Lucas PW, Yuen HK, Lam DS, So K-F. Surgical anatomy of the Chinese orbit. Ophthalmic Plastic Reconstr Surg. 2008; 24 (2): 136-41.
  • 3. Servat JJ, Black EH, Nesi FA, Gladstone GJ, Calvano CJ. Smith and Nesi's Ophthalmic Plastic and Reconstructive Surgery, Springer International Publishing; 2020. p. 3-65.
  • 4. Thanasil Huanmanop M, Sithiporn Agthong M, Vilai Chentanez M. Surgical anatomy of fissures and foramina in the orbits of Thai adults. J Med Assoc Thai. 2007; 90 (11): 2383-91.
  • 5. Hayek G, Mercier P, Fournier H. Anatomy of the orbit and its surgical approach. Adv Tech Stand Neurosurg. 2006; 35-71.
  • 6. Weaver AA, Loftis KL, Tan JC, Duma SM, Stitzel JD. CT based three-dimensional measurement of orbit and eye anthropometry. Invest Ophthalmol Vis Sci. 2010; 51 (10): 4892-7.
  • 7. Alkofide EA. The shape and size of the sella turcica in skeletal Class I, Class II, and Class III Saudi subjects. Eur J Orthod. 2007; 29 (5): 457-63.
  • 8. Chauhan P, Kalra S, Mongia SM, Ali S, Anurag A. Morphometric analysis of sella turcica in North Indian population: a radiological study. Int J Res Med Sci. 2014; 2 (2): 521-6.
  • 9. Rajangam S, Kulkarni R, Quadrilos L, Sreenivasulu S. Orbital dimensions. Indian J Anat. 2012; 1: 5-9.
  • 10. Kumar SS, Gnanagurudasan E. Morphometry of bony orbit related to gender in dry adult skulls of South Indian population. Int J Health Sci Res. 2015; 5: 207-14.
  • 11. Oester Jr AE, Sahu P, Fowler B, Fleming JC. Radiographic predictors of visual outcome in orbital compartment syndrome. Ophthalmic Plast Reconstr Surg. 2012; 28 (1): 7-10.
  • 12. Karakas P, Bozkir M, Oguz O. Morphometric measurements from various reference points in the orbit of male Caucasians. Surg Radiol Anat. 2002; 24 (6): 358-62.
  • 13. Attia AM, Ghoneim M, Elkhamary SM. Sex discrimination from orbital aperture dimensions using computed tomography: Sample of Egyptian population. Journal of Forensic Radiology and Imaging. 2018; 14: 32-8.
  • 14. Acar G, Buyukmumcu M, Guler I. Computed tomography based analysis of the lamina papyracea variations and morphology of the orbit concerning endoscopic surgical approaches. Braz J Otorhinolaryngol. 2019; 85 (5): 551-9.
  • 15. Leong SC, Karkos PD, MacEwen CJ, White PS. A systematic review of outcomes following surgical decompression for dysthyroid orbitopathy. The Laryngoscope. 2009; 119 (6): 1106-15.
  • 16. Ghorai L, Asha M, Lekshmy J, Rajarathnam BN, Kumar HM. Orbital aperture morphometry in Indian population: A digital radiographic study. Journal of Forensic Dental Sciences. 2017; 9 (2): 61.
  • 17. Kaya A, Uygun S, Eraslan C, Akar GC, Kocak A, Aktas E, Govsa F. Sex estimation: 3D CTA-scan based on orbital measurements in Turkish population. Rom J Leg Med. 2014; 22 (4): 257-62.
  • 18. Sinanoglu A, Orhan K, Kursun S, Inceoglu B, Oztas B. Evaluation of optic canal and surrounding structures using cone beam computed tomography: considerations for maxillofacial surgery. J Craniofac Surg. 2016; 27 (5): 1327-30.
  • 19. El-Farouny RH, Hassanien SA, Azab RM. Morphometric Evaluation Of Piriform And Orbital Aperture In Sex Discrimination By Using Computed Tomography In Egyptian Population. Egypt J Forensic Sci Appli Toxicol. 2021; 21 (1): 1-12.
  • 20. Sangvichien S, Boonkaew K, Chuncharunee A, Komoltri C, Piyawinitwong S, Wongsawut A, Namwongsa S. Sex determination in Thai skulls by using craniometry: multiple logistic regression analysis. Siriraj Med J. 2007; 59 (5): 216-21.
  • 21. Aziz SR, Marchena JM, Puran A. Anatomic characteristics of the infraorbital foramen: a cadaver study. J Oral Maxillofac Surg. 2000; 58 (9): 992-6.
  • 22. Akdemir G, Tekdemir I, Altin L. Transethmoidal approach to the optic canal: surgical and radiological microanatomy. Surg Neurol. 2004; 62 (3): 268-74.
  • 23. Nitek S, Bakoń L, Sharifi M, Rysz M, Chmielik LP, Sadowska-Krawczenko I. Morphometry of the orbit in East-European population based on three-dimensional CT reconstruction. Advances in Anatomy. 2015; 1-10.
  • 24. Ozer MO, Oz II, Serifoglu I, Buyukuysal MC, Barut C. Evaluation of Eyeball and Orbit in Relation to Gender and Age. J Craniofac Surg. 2016; 27 (8): e793-e800.

Türk popülasyonunda orbita’nın morfometrik analizi: MDBT çalışması

Yıl 2022, , 590 - 600, 29.10.2022
https://doi.org/10.54005/geneltip.1182728

Öz

Amaç: Orbita bağlantı sağladıkları boşluklar, komşu olduğu bölgeler ve içerdiği yapılar sebebiyle oldukça önemli bir bölgedir. Çalışmamızda Türk popülasyonunun orbita morfometrisini, çok kesitli bilgisayarlı tomografi (ÇKBT) görüntülerinde cinsiyete, vücut tarafına göre farklılıklarını, yaşa bağlı gelişimini değerlendirmeyi amaçladık.
Gereç ve Yöntem: 94’ü erkek, 106’sı kadın olmak üzere toplam 200 bireyin (400 taraf) ÇKBT görüntüleri üzerinde ölçümler yapıldı. Görüntüler cinsiyet, vücut tarafı ve anatomik yapıların gelişimlerine göre değerlendirildi.
Bulgular: Sağlıklı bireylerde orbita yüksekliği, genişliği ve derinliği sırasıyla sağ tarafta ortalama 36,04±2,97 mm, 32,33±2,59 mm, 38,35±3,32 mm iken sol tarafta 35,79±3,18 mm, 32,29±2,67 mm, 38,13±3,21 mm olarak belirlendi. Orbita’nın yüksekliği ve genişliği her iki tarafta da erkeklerde kadınlardan istatistiksel olarak anlamlı derecede büyük olduğu tespit edildi (p˂0,05).
Sonuç: Orbita ve ilişkili açıklıklar hakkında kapsamlı bilgi, ilgili bölgede çalışan klinisyenler açısından oldukça önemlidir, bu yapıların zarar görmesi ciddi komplikasyonlara neden olabilir. Bununla birlikte, orbita’nın morfometrisi adli tıpta cinsiyet, yaş ve ırk tespiti için önemli bir parametre olarak kullanılabilir.

Kaynakça

  • 1. Nitek S, Wysocki J, Reymond J, Piasecki K. Correlations between selected parameters of the human skull and orbit. Med Sci Monit. 2009; 15 (12): 370-7.
  • 2. Cheng AC, Lucas PW, Yuen HK, Lam DS, So K-F. Surgical anatomy of the Chinese orbit. Ophthalmic Plastic Reconstr Surg. 2008; 24 (2): 136-41.
  • 3. Servat JJ, Black EH, Nesi FA, Gladstone GJ, Calvano CJ. Smith and Nesi's Ophthalmic Plastic and Reconstructive Surgery, Springer International Publishing; 2020. p. 3-65.
  • 4. Thanasil Huanmanop M, Sithiporn Agthong M, Vilai Chentanez M. Surgical anatomy of fissures and foramina in the orbits of Thai adults. J Med Assoc Thai. 2007; 90 (11): 2383-91.
  • 5. Hayek G, Mercier P, Fournier H. Anatomy of the orbit and its surgical approach. Adv Tech Stand Neurosurg. 2006; 35-71.
  • 6. Weaver AA, Loftis KL, Tan JC, Duma SM, Stitzel JD. CT based three-dimensional measurement of orbit and eye anthropometry. Invest Ophthalmol Vis Sci. 2010; 51 (10): 4892-7.
  • 7. Alkofide EA. The shape and size of the sella turcica in skeletal Class I, Class II, and Class III Saudi subjects. Eur J Orthod. 2007; 29 (5): 457-63.
  • 8. Chauhan P, Kalra S, Mongia SM, Ali S, Anurag A. Morphometric analysis of sella turcica in North Indian population: a radiological study. Int J Res Med Sci. 2014; 2 (2): 521-6.
  • 9. Rajangam S, Kulkarni R, Quadrilos L, Sreenivasulu S. Orbital dimensions. Indian J Anat. 2012; 1: 5-9.
  • 10. Kumar SS, Gnanagurudasan E. Morphometry of bony orbit related to gender in dry adult skulls of South Indian population. Int J Health Sci Res. 2015; 5: 207-14.
  • 11. Oester Jr AE, Sahu P, Fowler B, Fleming JC. Radiographic predictors of visual outcome in orbital compartment syndrome. Ophthalmic Plast Reconstr Surg. 2012; 28 (1): 7-10.
  • 12. Karakas P, Bozkir M, Oguz O. Morphometric measurements from various reference points in the orbit of male Caucasians. Surg Radiol Anat. 2002; 24 (6): 358-62.
  • 13. Attia AM, Ghoneim M, Elkhamary SM. Sex discrimination from orbital aperture dimensions using computed tomography: Sample of Egyptian population. Journal of Forensic Radiology and Imaging. 2018; 14: 32-8.
  • 14. Acar G, Buyukmumcu M, Guler I. Computed tomography based analysis of the lamina papyracea variations and morphology of the orbit concerning endoscopic surgical approaches. Braz J Otorhinolaryngol. 2019; 85 (5): 551-9.
  • 15. Leong SC, Karkos PD, MacEwen CJ, White PS. A systematic review of outcomes following surgical decompression for dysthyroid orbitopathy. The Laryngoscope. 2009; 119 (6): 1106-15.
  • 16. Ghorai L, Asha M, Lekshmy J, Rajarathnam BN, Kumar HM. Orbital aperture morphometry in Indian population: A digital radiographic study. Journal of Forensic Dental Sciences. 2017; 9 (2): 61.
  • 17. Kaya A, Uygun S, Eraslan C, Akar GC, Kocak A, Aktas E, Govsa F. Sex estimation: 3D CTA-scan based on orbital measurements in Turkish population. Rom J Leg Med. 2014; 22 (4): 257-62.
  • 18. Sinanoglu A, Orhan K, Kursun S, Inceoglu B, Oztas B. Evaluation of optic canal and surrounding structures using cone beam computed tomography: considerations for maxillofacial surgery. J Craniofac Surg. 2016; 27 (5): 1327-30.
  • 19. El-Farouny RH, Hassanien SA, Azab RM. Morphometric Evaluation Of Piriform And Orbital Aperture In Sex Discrimination By Using Computed Tomography In Egyptian Population. Egypt J Forensic Sci Appli Toxicol. 2021; 21 (1): 1-12.
  • 20. Sangvichien S, Boonkaew K, Chuncharunee A, Komoltri C, Piyawinitwong S, Wongsawut A, Namwongsa S. Sex determination in Thai skulls by using craniometry: multiple logistic regression analysis. Siriraj Med J. 2007; 59 (5): 216-21.
  • 21. Aziz SR, Marchena JM, Puran A. Anatomic characteristics of the infraorbital foramen: a cadaver study. J Oral Maxillofac Surg. 2000; 58 (9): 992-6.
  • 22. Akdemir G, Tekdemir I, Altin L. Transethmoidal approach to the optic canal: surgical and radiological microanatomy. Surg Neurol. 2004; 62 (3): 268-74.
  • 23. Nitek S, Bakoń L, Sharifi M, Rysz M, Chmielik LP, Sadowska-Krawczenko I. Morphometry of the orbit in East-European population based on three-dimensional CT reconstruction. Advances in Anatomy. 2015; 1-10.
  • 24. Ozer MO, Oz II, Serifoglu I, Buyukuysal MC, Barut C. Evaluation of Eyeball and Orbit in Relation to Gender and Age. J Craniofac Surg. 2016; 27 (8): e793-e800.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Büşra Pirinç 0000-0002-6927-1306

Zeliha Fazlıoğulları 0000-0002-5103-090X

Mustafa Koplay 0000-0001-7513-4968

Ahmet Kağan Karabulut 0000-0002-9635-8829

Nadire Ünver Doğan 0000-0001-5696-5547

Yayımlanma Tarihi 29 Ekim 2022
Gönderilme Tarihi 30 Eylül 2022
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

Vancouver Pirinç B, Fazlıoğulları Z, Koplay M, Karabulut AK, Ünver Doğan N. Morphometric analysis of orbit in Turkish population: a MDCT study. Genel Tıp Derg. 2022;32(5):590-60.