Crista galli in children: classification, pneumatization, dimension, and clinical relevance.

IF 1.4 4区医学 Q2 Medicine

Surgical and Radiologic Anatomy Pub Date : 2024-12-05 DOI:10.1007/s00276-024-03534-3

Musa Sezer, Baran Can Alpergin, Göktuğ Ülkü, Cagri Elbir, Omer Selcuk Sahin, Merve Kalındemirtaş, Orhan Beger, Habibullah Dolgun

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引用次数: 0

Abstract

Purpose: This radiologic work aimed to display the alteration in the crista galli (CG) morphology in the pediatric population with advancing age.

Methods: This pediatric examination consisted of computed tomography images of 180 subjects (90 males / 90 females) aged 1-18 years. The width (CGW), height (CGH) and length (CGL) of CG were measured, and its morphological types were noted.

Results: CGW, CGH and CGL were measured as 4.34 ± 1.38 mm, 12.13 ± 3.36 mm and 13.03 ± 2.75 mm, respectively. CGH (p < 0.001) and CGL (p < 0.001) increased with advancing age, but CGW (p = 0.069) did not vary. Three configurations regarding morphological types of CG were observed as follows: the tear-drop type in 83 CGs (46.10%), the tubular type in 64 CGs (35.60%), and the ossified type in 33 CGs (18.30%). Three configurations related to Keros classification were determined as follows: Type 1 in 31 CGs (17.20%), Type 2 in 116 CGs (64.50%), and Type 3 in 33 CGs (18.30%). CG shape types (p = 0.455) and Keros types (p = 0.801) did not correlate with sex. CG pneumatization was found in six (3.3%) children.

Conclusions: CGL increased, but did not alter significantly after infancy period. CGW did not correlate with pediatric ages, but CGH increased with advancing age up to prepubescent period. The incidence of Type 1 decreased with advancing age, but the incidence of Types 2 and 3 increased, especially from the late childhood period. All pneumatized CGs were observed after late childhood period.

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儿童先天性胆红肿：分类、气化、尺寸和临床相关性。

目的：本放射学研究旨在揭示儿童年龄增长时冠状嵴（CG）形态的改变。方法：本儿科检查包括180名年龄在1-18岁的受试者（男90名，女90名）的计算机断层扫描图像。测量CG的宽度（CGW）、高度（CGH）和长度（CGL），并记录其形态类型。结果：CGW、CGH、CGL分别为4.34±1.38 mm、12.13±3.36 mm、13.03±2.75 mm。结论：CGH在婴儿期后升高，但无明显变化。CGW与儿童年龄无关，但CGH随着年龄的增长而增加，直至青春期前。1型的发病率随着年龄的增长而下降，但2型和3型的发病率增加，特别是从儿童期后期开始。在儿童期后期观察所有充气cg。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine

CiteScore

2.40

自引率

14.30%

发文量

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.