Three-dimensional assessment of the sella turcica: comparison between cleft lip and palate patients and skeletal malocclusion classes

Surg Radiol Anat. 2020 Sep;42(9):977-983. doi: 10.1007/s00276-020-02481-z. Epub 2020 Apr 30.

Abstract

Purpose: The main aim of the present study was to investigate the dimensions and morphological appearance of the sella turcica in cleft lip and palate patients using cone-beam computed tomography (CBCT) images, compared to non-cleft individuals.

Methods: CBCT images of 40 (20 females and 20 males) cleft lip and palate patients and 60 (27 males and 33 females) non-cleft individuals were assessed, retrospectively. The linear dimensions (depth, diameter and length) of the sella turcica and inter-clinoid distance were measured. Sella turcica shapes were examined in the cleft lip and palate patients and non-cleft individuals. Non-cleft individuals were divided into skeletal malocclusion classes. All variables were analyzed using the Kruskal-Wallis test, Mann-Whitney U tests and Chi-square test.

Results: No significant difference was observed between individuals with and without cleft in the linear dimensions (depth, diameter and length) of the sella turcica (p > 0.05). However, a significant difference was found in the inter-clinoid distance between patients with cleft and non-cleft individuals (p < 0.05). Comparison of the sella turcica shape between skeletal malocclusion classes and patients with cleft showed significant differences (p < 0.05).

Conclusions: No significant difference was determined in the depth, diameter, or length of the sella turcica in cleft patients when compared with non-cleft individuals. The inter-clinoid distance was lower in cleft patients than in non-cleft individuals, and this difference was statistically significant.

Keywords: Cleft; Cone-beam computed tomography; Inter-clinoid distance; Sella turcica dimensions.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Anatomic Landmarks*
  • Cephalometry / methods*
  • Cleft Lip / diagnostic imaging*
  • Cleft Palate / diagnostic imaging*
  • Cone-Beam Computed Tomography
  • Female
  • Humans
  • Male
  • Malocclusion / diagnostic imaging*
  • Retrospective Studies
  • Sella Turcica / anatomy & histology*
  • Sella Turcica / diagnostic imaging
  • Young Adult