IJAR.2017.337

Type of Article:  Original Research

Volume 5; Issue 3.3 (September 2017)

Page No.: 4365-4365

DOI: https://dx.doi.org/10.16965/ijar.2017.337

MORPHOMETRIC STUDY OF PTERION IN DRY ADULT HUMAN SKULLS

Pratima Kulkarni *1, Shivaji Sukre 2, Mrunal Muley 3.

*1 Associate Professor, Department of Anatomy, G.M.C. Aurangabad, Maharashtra, India.

2 Professor and Head of department, Department of Anatomy, G.M.C. Aurangabad,    Maharashtra, India.

3 Assistant Professor, Department of Anatomy, G.M.C. Aurangabad, Maharashtra, India.

Corresponding Author: Dr. Pratima Kulkarni, Associate Professor, Department of Anatomy, G.M.C. Aurangabad, Maharashta, India. Mob. 9420073824 E-Mail: drpratimakulkarni@rediffmail.com

ABSTRACT:

Introduction: The pterion corresponds to the site of anterolateral fontanelle of the neonatal skull which closes at third month after birth. In the pterional fractures the anterior and middle meningeal arterial ramus ruptures commonly which results in extradural hemorrhage. Pterional approach is most suitable and minimally invasive approach in neurosurgery.

Materials and Methods: The present study was carried out on the pterion of 36 dry adult skulls of known sex from department of anatomy GMC Aurangabad Maharashtra.

Results: The mean and standard deviation of the distance between the centre of pterion to various anatomical landmarks. The distance between Pterion- frontozygomatic (P-FZ) suture 29.81±4.42mm on right side, 29.81±4.07mm on left side; Pterion-Zygomatic arch (P-Z) 37.16±3.77mm on right side, 37.56±3.71mm on left side, Pterion-asterion (P-A) 89.73±6.16mm on right side, 89.46±6.35mm on left side; Pterion-external acoustic meatus (P- EAM) 53.40±7.28mm on right side, 53.57±6.73mm on left side, Pterion- Mastoid process (P-M) 80.35±3.44mm on right side, 80.96±3.79mm on left side and Pterion- Pterion (P-P) 194.54±16.39mm were measured.

Conclusion: The data constructed in the present study will be of immense importance while performing pterional approach surgeries in Indian population.

KEY WORDS: Pterion, Fontanelle, Neonatal Skull, Extradural Hemorrhage, Pterional Approach.

REFERENCES

  1. Mishra PP, Hari Prasad, N. K. Bezbaruah, Anshu Mishra. Morphometric analysis of pterion: A clinic-anatomical study in north Indian dry skulls. Innovative Journal of Medical and Health Science, [S.l.], 20115;5(5). ISSN 2277-4939.
  2. K Ephraim Vikram Rao, B Sadananda Rao, B H Shiny Vinila. Morphology and Morphometric Analysis of Pterion with its Neurosurgical Implications in Pterional Approach. Int J Anat Res 2017;5(1):3384-3388.
  3. Moore, K. L. & Dalley, A. F. Clinical Oriented Anatomy.5th ed. Philadelphia, Lippincott Williams & Wilkins, 2006;887- 903.
  4. Pavan P. Havaldar, Shruthi B.N, Shaik Hussain Saheb, HenjarappaK S. Morphological Study on Shapes of Pterion. Int J Anat Res 2015;3(4):1555-1558.
  5. Seema D, Dakshayani K.R., Sumanth M.M. A Morphometric Study of Pterion in Adult Human Skulls. International Journal of Recent Trends and Technology. 2013;9(4):112-115.
  6. Cheng WY, Lee HT, Sun MH, Shen CC. A pterion keyhole approach for the treatment of anterior circulation aneurysms. Minim Invasive Neurosurg.2006;9:257-262.
  7. Oguz O, Sanli SG, Bozkir MG, Soames RW. The pterion in Turkish male skulls. Surg Radiol Anat 2004;26:220-224
  8. Mwachaka PM, Hassanali J, Odula P. Sutural morphology of pterion and asterion among adult Kenyans. Braz J Morpholo Sci 2009;26:4-7
  9. Adejuwon SA, Olopade FE, Bolaji M. Study of location and morphology of pterion in adult Nigerian skulls. ISRN Anatomy, 2013;4.
  10. Sowmya S, Meenakshi B, Priya Ranganath. Study of pterion: Its clinical and morphological aspects. Indian journal of Clinical Anatomy and Physiology, 2017:4(2):247-249.
  11. Apinhasmit W., Chompoopong S., Chaisuksunt V., Thiraphatthanavong P., Phasukdee N. Anatomical consideration of pterion and its related references in Thai dry skulls for pterional surgical approach, Journal Of The Medical Association Of Thailand Chotmaihet Thangphaet. 2011;94(2):205-214.
  12. Ukoha U., Oranusi C.K., Okafor J.I., Udemezue O.O., Anyabolu A.E., Nwamarachi T.C. Anatomic study of the pterion in Nigerian dry human skulls, Nigerian Journal of Clinical Practice, 2013;16(3):325-328.
  13. Kumar S., Anurag, Munjal S., Chauhan P., Chaudhary A., Jain S. K. Pterion its location and clinical implications- A Study Compared. Journal of Evolution of Medical and Dental Sciences 2013;l2(25):4599-4608.
  14. Eboh D. E. O. & Obaroefe M. Morphometric study of pterion in dry human skull bones of Nigerians, Int. J. Morphol., 2014;32(1):208-213.
  15. Murphy. The pterion in the Australian aborigine. The American Journal of Physical Anthropology. 1956;14(2):225-244.
  16. Urzi F., Iannello A., Torrisi, A., Foti, P., Mortellaro, N.F., Cavallaro, M. Morphological variability of pterion in the human skull. Ital. J. Anat. Embryol.2003;108:83-117.
  17. Ankur Zalawadia, Jignesh Vadgama, Srushti Ruparelia, Shailesh Patel, S. P. Rathod, S. V. Patel. Morphometric Study of Pterion in Dry Skull of Gujarat Region. NJIRM. 2010;1(4):25-29.
  18. Walulkar S, Dehankar R, Walulkar M, Ksheersagar DD. Pterion formation and its variations in Human Skull in Vidarbha Region. J Cont Med A Dent.2016;4(2):58-61.
  19. Saxena R., Bilodi A., Mane S., Kumar A. Study of pterion in skulls of Awadh area-in and around Lucknow. Kathmandu University Medical Journal, 2003;1(1):32-33.
  20. Manjunath K.Y. & Thomas I.M. Pterion variants and epipteric ossicles in South Indian skulls, J Anat Soc India, 1993;42:85-94.

Cite this article: Pratima Kulkarni, Shivaji Sukre, Mrunal Muley. MORPHOMETRIC STUDY OF PTERION IN DRY ADULT HUMAN SKULLS. Int J Anat Res 2017;5(3.3):4365-4368. DOI: 10.16965/ijar.2017.337