Asterion localization - variability of the location for surgical and anthropological relevance.

IF 0.7 4区 社会学 Q3 ANTHROPOLOGY
A. Tomaszewska, Agata Bisiecka, Ł. Pawelec
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引用次数: 2

Abstract

This work aimed to study the variability in location of the asterion in a Polish population, which may be important for both surgical and anthropological procedures. In surgical approaches to the posterior cranial fossa, the asterion is of great importance as a reference landmark. Its accurate localization may be impeded by the presence of additional, irregular sutural bones. Dry adult human skulls (n = 113, 60.2% male and 39.8% female) were analyzed for asterion location in relation to the reference points (mastoidale, bregma, porion, inion, lambda, opisthion). The asterion exhibits wide variation in location. The range of ± 2 SD of measured distances demonstrated broad variation intra and interindividually (15.9-27.8 mm for male skulls and 13.1-24.6 mm for female skulls). Distances from the asterion to the reference landmarks were longer for males compared to females (p < 0.05), and some distances were longer for people of lower socioeconomic status. Because of its lesser variation, measurements to three reference landmarks (mastoidale, bregma and frontotemporale) may be particularly important for surgical purposes. Defining accurately the safe area for asterion is important but problematic. Because of the complex relations between bony landmarks, preoperative imaging assistance is required, and the asterion should only be used as auxiliary, not as a key superficial cranial landmark in surgical interventions.
Asterion定位-外科和人类学相关的位置可变性。
这项工作的目的是研究波兰人口中asterion位置的变化,这可能对外科和人类学程序都很重要。在颅后窝手术入路中,asterion作为参考标志是非常重要的。它的准确定位可能会受到额外的,不规则的缝合骨的存在的阻碍。分析成人干颅骨(n = 113,男性占60.2%,女性占39.8%)与参考点(乳突、布雷格、部份、部份、lambda、opisthion)相关的asterion位置。这颗小行星的位置变化很大。测量距离的±2 SD范围显示了个体内和个体间的广泛差异(男性颅骨为15.9-27.8 mm,女性颅骨为13.1-24.6 mm)。男性距离参考地标的距离比女性长(p < 0.05),社会经济地位较低的人距离更远。由于其变化较小,测量三个参考标志(乳突肌、布雷玛肌和额颞肌)对于手术目的可能特别重要。准确定义asterion的安全区域很重要,但也存在问题。由于骨标记之间的复杂关系,术前需要影像学辅助,并且在手术干预中,星点只能作为辅助,而不能作为关键的颅浅标记。
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
CiteScore
1.50
自引率
0.00%
发文量
6
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