PTERION TYPES AND MORPHOMETRY IN MIDDLE AND SOUTH ANATOLIAN ADULT SKULLS. Tipos de pterión y morfometría en cráneos adultos de Anatolia media y sur

Authors

  • Kaan Cimen Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.
  • Ilhan Otag Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.
  • Mehmet Cimen Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.

DOI:

https://doi.org/10.31051/1852.8023.v11.n1.21637

Keywords:

pterion, morphometry, human skull, human anatomy, morphology, morfometría, cráneo, anatomía, morfología.

Abstract

Pterion is an irregular H letter shaped sutural confluence in the temporal fossa formed by frontal, parietal bones, great wing of sphenoid bone and temporal squama. Pterion is classified in 4 types as follows: sphenoparietal, frontotemporal, epipteric and stellate. The pterion represents: anterior branch of the middle meningeal artery, middle cerebral artery, Broca’s motor speech area, insula and stem of the lateral cerebral sulcus. This pterion junction has been used as a common extra-cranial landmark for surgeons in microsurgical and surgical approaches pertaining to important pathologies of this region. In the present study, our aim was to determine pterion types, to estimate distances between pterion and some special landmarks by which means to contribute to the related literature by comparing the data with other studies focusing on various populations. Pterion types identified by observation and measurements were taken by steel Vernier caliper. This study was conducted with 75 adult skulls (both sides 150 pterion). Skulls were classified with regard to gender as: 47 male and 28 female. Pterion types observed in both genders were classified as: sphenoparietal type  82% (84.04% in male, 78.57% in female), frontotemporal type 4.66% (5.31% in male, 3.57% in female), epipteric type 10.66% (8.51%  in male, 14.28% in female) and stellate type  2.66% (2.12% in male, 3.57% in female). These findings will be usefull for clinicians, anthropologists and forensics.

 

El pterion es una confluencia sutural con forma de letra H irregular en la fosa temporal formada por los huesos frontales, parietales, el ala mayor del hueso esfenoides y la escama temporal. Pterion se clasifica en 4 tipos de la siguiente manera: Esfenoparietal, frontotemporal, epiptérico y estrellado. El pterion representa: la rama anterior de la arteria meníngea media, la arteria cerebral media, el área motora del habla de Broca, la ínsula y el vástago del surco cerebral lateral. Esta unión del pterión se ha utilizado como un hito extracraneal común para los cirujanos en enfoques microquirúrgicos y quirúrgicos relacionados con patologías importantes de esta región. En el presente estudio, nuestro objetivo es determinar los tipos de pterion, estimar las distancias entre el pterión y algunos puntos de referencia especiales para contribuir a la literatura relacionada mediante la comparación de los datos con otros estudios que se centran en diversas poblaciones. Los tipos de pterión identificados por observación y mediciones fueron tomados por un calibrador a Vernier de acero. Este estudio se realizó con 75 cráneos adultos (ambos lados 150 pterion). Los cráneos se clasifican en función del género como: 47 hombres y 28 mujeres. Los tipos de pterion observados en ambos sexos se clasifican en: tipo esfenoparietal 82% (84,04% en hombres, 78,57% en mujeres), tipo frontotemporal 4,66% (5,31% en hombres, 3,57% en mujeres), tipo epiptérico 10,66% (8,51% en hombres, 14,28% en mujeres) y tipo estrellado 2,66% (2,12% en hombres, 3,57% en mujeres). Estos hallazgos serán útiles para los clínicos, antropólogos y médicos forenses.

Author Biographies

  • Kaan Cimen, Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.
    Research Assistant, Ph.D, Department of Anatomy.
  • Ilhan Otag, Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.
    Associate Professor, Department of Anatomy
  • Mehmet Cimen, Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas.
    Professor, Head of the Department of Anatomy.

References

Aksu F, Akyer SP, Kale A, Geylan S and Gayretli O. 2014. The localization and morphology of pterion in adult west anatolian skulls. The Journal of Craniofacial Surgery 25: 1488-1491.

Ari I, Kafa IM and Bakirci SA. 2009. Comparative study of variation of the pterion of human skulls from 13th and 20th century anatolia. Int J Morphol 27: 1291-1298.

Chaijaroonkhanarak W, Woraputtaporn W, Prachaney P, Amarttayakong P, Khamanarong K, Pannangrong W, Welbat JU and Iamsaard S. 2017. Classification and incidence of pterion patterns of thai skulls. Int J Morphol 35: 1239-1242.

Cheng WY, Lee HT, Sun MH, Shen CC. 2006. A pterion keyhole approach for the treatment of anterior circulation aneurysms. Minim Invasive Neurosurg 9: 257-262.

Choi JW, Koh KS, Hong JP. 2009. One-piece frontoorbital advancement with distraction but without a supraorbital bar for coronal craniosynostosis. J Plast Reconstr Aesthet Surg 62: 1166-1173.

Eboh DEO and Obaroefe M. 2014. Morphometric study of pterion in dry human skull bones of nigerians. Int J Morphol 32: 208-213.

Ersoy M, Evliyaoglu C, Bozkurt MC, Konuksan B, Tekdemir I and Keskil IS. 2003. Epipteric bones in the pterion may be a surgical pitfall. Minim Invasive Neurosurg 46: 363-365.

Ilayperuma I, Nanayakkora BG, Palahepitiya KN. 2010. Types of pterion in sri lankan skulls. The Ceylon Journal of Medical Science 53: 9-14.

Jovejoy CO, Meindl RS, Mensforth RP, Barton TJ. 1985. Multi factorial determination of skeletal age at death: a method a blind tests of its accuracy. Am J Phys Anthropol 68: 1-14.

Lang J. 1984. The pterion region and its clinically important distance to the optic nerve, dimensions and shape of the recess or the temporal pole. Neurochirurgia (Stuttg) 27: 31-35.

Ma S, Baillie LJ, Stringer MD. 2012. Reappraising the surface anatomy of the pterion and its relationship to the middle meningeal artery. Clinical Anatomy 25: 330-339.

Moore KL. 1992. Clinically Oriented Anatomy. 3th ed. Lippincott Williams and Wilkins, Baltimore. 641,642,723 pp.

Mori K, Osada H, Yamamoto T. 2007. Pterional keyhole approach to middle cerebral artery aneuroysms through an outer canthal skin incision. Minim Invasive Neurosurg 50: 195-201.

Murphy T. 1956. The pterion in the australian aborigine. Am J Phys Anthropol 14: 225-244.

Mwachaka P, Hassanali J, Odula P. 2008. Anatomic position of the pterion among kenyans for lateral skull approaches. Int J Morphol 26: 931-933.

Oguz O, Sanli SG, Bozkir MG and Soames RW. 2004. The pterion in turkish male skulls. Surg Radiol Anat 26: 220-224.

Seema and Mahajan A. 2014. Pterion formation in north indian population:an anatomico-clinical study. Int J Morphol 32: 1444-1448.

Sunday AA, Funmilayo EO and Modupe B. 2013. Study of the location and morphology of the pterion in adult nigerian skulls. ISRN Anatomy 1-4.

Ukoha U, Oranusi CK, Okafor JI, Udemezue OO, Anyabolu AE, Nwamarachi TC. 2013. Anatomic study of the pterion in nigerian dry human skulls. Nigerian Journal of Clinical Practice 16: 325-328.

Urzi F, Ianello A, Torii A, Foti P, Mortellaro NF, Cavallaro M. 2003. Morphological variability of pterion in the human skull. Ital J Anat Embr 108: 83-117.

Yasargil MG, Reichman MV, Kubin S. 1987. Preservation of the frontotemporal branch of the facial nerve using the interfacial temporalis flap for pterional craniotomy: tecnical article. J Neurosurg 67: 463-466.

Zalawadia A, Vadgama J, Ruparelia S, Patel S, Rathod SP, Patel SV. 2010. Morphometric study of pterion in dry skull of gujarat region. NJIRM. 1: 25-29.

Downloads

Published

2019-03-24

Issue

Section

Original Communications

How to Cite

PTERION TYPES AND MORPHOMETRY IN MIDDLE AND SOUTH ANATOLIAN ADULT SKULLS. Tipos de pterión y morfometría en cráneos adultos de Anatolia media y sur. (2019). Revista Argentina De Anatomía Clínica (Argentine Journal of Clinical Anatomy), 11(1), 8-17. https://doi.org/10.31051/1852.8023.v11.n1.21637