•  
  •  
 

Article Type

Article

Abstract

Background: Craniofacial development is complex, and to enhance the quality of life and surgical outcomes for individuals with craniofacial anomalies, understanding the basic cell and developmental biology behind pathological craniofacial development is crucial. The aim of this study is to correlate the morphology of the Sella Turcica and mastoid process density among cleft and non-cleft Iraqi subjects. Materials and Methods: Cone-beam computed tomography images of 110 Iraqi individuals (80 with cleft palate and 30 non-cleft subjects) were automatically analyzed by a software program on a desktop computer by an expert Oral and Maxillofacial Radiologist. The Sella Turcica in the sagittal view of the CBCT image was examined to identify the type of Sella Turcica bridging and measure its dimensions (Length, Diameter, and Height). Additionally, the Hounsfield density of the mastoid process was recorded by averaging measurements in three points (upper, middle, and inferior areas) within the mastoid process. Statistical analysis was performed to correlate the measured parameters based on the type of cleft palate and Sella Turcica bridging using the Statistical Package for Social Science (SPSS version 21, Chicago, Illinois, USA). Results: In the control group, the dimensions of the Sella Turcica were significantly higher than those with cleft palate in terms of length and diameter, but not in height. Type 2 (Partial calcification with a length equal to or less than three fourths of the diameter) of Sella Turcica bridging was higher in the study group than in the control group by 15%. Additionally, the density values of the mastoid process in Hounsfield Units (HU) were significantly higher in the study group than in the control group, with a strong correlation with cleft type, indicating that the density value of the mastoid process increases according to the cleft side. Conclusion: Significant differences were observed in the morphology of the Sella Turcica between subjects with and without cleft palate, showing a strong relationship with the density of the mastoid process. It is important to correlate between the anatomical characteristics. Variations in growth and development of craniofacial structures play a crucial role in precise diagnosing to improve oral and maxillofacial health care.

Keywords

Sella Turcica, cleft palate, radiograph, mastoid process.

Download

Share

COinS