Morphometric analysis of the foramen magnum using cone beam computed tomography

Morphometric analysis of the foramen magnum using cone beam computed tomography

Background/aim: The aim of this study was to perform morphometric analysis of the foramen magnum (FM) using cone-beam computed tomography (CBCT). Materials and methods: This study included CBCT images of 190 individuals (88 males and 102 females). The sagittal and transverse diameters and circumference of the FM were measured. The shape of FM was classified as round, hexagonal, oval, egg-shaped, tetragonal, pentagonal, irregular A, and irregular B. The data were statistically analyzed with chi-square and t-tests to assess the level of significance for sex and age. Results: The means of its sagittal and transverse diameters and also circumference were higher in males than in females. Statistically significant differences were found between males and females for all variables (P < 0.05). No statistically significant difference (P > 0.05) was found between age groups for all variables. The round type was the most common, in 21.6% of the patients. Conclusion: CBCT images can provide valuable information regarding FM and the measurements of its sagittal and transvers diameters and also its circumference may be reliably used for sexual dimorphism in anthropometric analysis and forensic medicine.

___

  • 1. Kanchan T, Krishan K, Gupta A, Acharya J. A study of cranial variations based on craniometric indices in a South Indian population. J Craniofac Surg 2014; 25: 1645-1649.
  • 2. Slice DE. Modern Morphometrics in Physical Anthropology. Series: Developments in Primatology: Progress and Prospects. New York, NY, USA: Kluwer Academic/Plenum Publishers; 2005.
  • 3. Holland TD. Use of the cranial base in the identification of fire victims. J Forensic Sci 1989; 34: 458-460.
  • 4. Günay Y, Altinkök M. The value of the size of foramen magnum in sex determination. J Clin Forensic Med 2000; 7: 147-149.
  • 5. Krogman WM, İscan MY. The Human Skeleton in Forensic Medicine, 2nd ed. Springfield, IL, USA: Charles C Thomas Publishers; 1986.
  • 6. Uthman AT, Al-Rawi NH, Al-Timimi JF. Evaluation of foramen magnum in gender determination using helical CT scanning. Dentomaxillofac Radiol 2012; 41: 197-202.
  • 7. Jain D, Jasuja OP, Nath S. Sex determination of human crania using mastoid triangle and opisthion-bimastoid triangle. J Forensic Leg Med 2013; 20: 255-259.
  • 8. Kanchan T, Gupta A, Krishan K. Estimation of sex from mastoid triangle - a craniometric analysis. J Forensic Leg Med 2013; 20: 855-860.
  • 9. Gruber P, Henneberg M, Böni T, Rühli FJ. Variability of human foramen magnum size. Anat Rec 2009; 292: 1713-1719.
  • 10. Rogers TL. Determining the sex of human remains through cranial morphology. J Forensic Sci 2005; 50: 493-500.
  • 11. Scheuer L, Black SM. The Juvenile Skeleton. London, UK: Elsevier Academic Press; 2004.
  • 12. Teixeria WR. Sex identification utilizing the size of foramen magnum. Am J Forensic Med Pathol 1982; 3: 203-206.
  • 13. Catalina-Herrera CJ. Study of the anatomic metric values of the foramen magnum and its relation to sex. Acta Anat 1987; 130: 344-347.
  • 14. Sendemir E, Savci G, Cimen A. Evaluation of the foramen magnum dimensions. Kaibogaku Zasshi 1994; 69: 50-52.
  • 15. Suazo GIC, Russo PP, Zavando MDA, Smith RL. Sexual dimorphism in the foramen magnum dimensions. Int J Morphol 2009; 27: 21-23.
  • 16. Gapert R, Black S, Last J. Sex determination from the foramen magnum: discriminant function analysis in an eighteenth and nineteenth century British sample. Int J Leg Med 2009; 123: 25-33.
  • 17. Raghavendra Babu YP, Kanchan T, Attiku Y, Dixit PN, Kotian MS. Sex estimation from foramen magnum dimensions in an Indian population. J Forensic Leg Med 2012; 19: 162-167.
  • 18. Acer N, Sahin B, Ekinci N, Ergür H, Basaloglu H. Relation between intracranial volume and the surface area of the foramen magnum. J Craniofac Surg 2006; 17: 326-330.
  • 19. Di Vella G, Campobasso CP, Dragone M, Introna F Jr. Skeletal sex determination by scapular measurements. Boll Soc Ital Biol Sper 1994; 70: 299-305.
  • 20. Uysal S, Gokharman S, Kacar M, Tuncbilek I, Kosa U. Estimation of sex by 3D CT measurements of the foramen magnum. J Forensic Sci 2005; 50: 1310-1314.
  • 21. Murshed KA, Çiçekcibaşi AE, Tuncer I. Morphometric evaluation of the foramen magnum and variations in its shape: a study on computerized tomographic images of normal adults. Turk J Med Sci 2003; 33: 301-306.
  • 22. Abdel-Karim RI, Housseini AM, Hashish RK. Adult sex estimation using three dimensional volume rendering multislice computed tomography of the foramen magnum and occipital condyles: a study in Egyptian population. International Journal of Advanced Research 2015; 3: 1212- 1215.
  • 23. Isaza J, Díaz CA, Bedoya JF, Monsalve T, Botella MC. Assessment of sex from endocranial cavity using volumerendered CT scans in a sample from Medellín, Colombia. Forensic Sci Int 2014; 234: 1-10.
  • 24. Ilgüy D, Ilgüy M, Ersan N, Dölekoğlu S, Fisekcioglu E. Measurements of the foramen magnum and mandible in relation to sex using CBCT. J Forensic Sci 2014; 59: 601-605.
  • 25. White SC, Pharoah MJ. Oral Radiology, Principles and Interpretation 7th ed. St. Louis, MO, USA: Elsevier; 2014.
  • 26. Farman AG, Scarfe WC. The basics of maxillofacial cone beam computed Tomography. Semin Orthod 2009; 15: 2-13.
  • 27. Zaidi SH, Dayal SS. Variations in the shape of foramen magnum in Indian skulls. Anat Anz 1988; 167: 338-340.
  • 28. Govsa F, Ozer MA, Celik S, Ozmutaf NM. Three-dimensional anatomic landmarks of the foramen magnum for the craniovertebral junction. J Craniofac Surg 2011; 22: 1073-1076.
  • 29. Kanchan T, Gupta A, Krishan K. Craniometric analysis of foramen magnum for estimation of sex. International Journal of Medical, Health, Biomedical and Pharmaceutical Engineering 2013; 7: 378-380.
  • 30. Göçmez C, Göya C, Hamidi C, Kamaşak K, Yilmaz T, Turan Y, Uzar E, Ceviz A. Three-dimensional analysis of foramen magnum and its adjacent structures. J Craniofac Surg 2014; 25: 93-97.
  • 31. Ciaffi R, Gibelli D, Cattaneo C. Forensic radiology and personal identification of unidentified bodies: a review. Radiol Med 2011; 116: 960-968.
  • 32. Chethan P, Prakash KG, Murlımanju BV, Prashanth KU, Prabhu LV. Saralaya VV, Krishnamurthy A, Somesh MS, Kumar CG. Morphological analysis and morphometry of the foramen magnum: an anatomical investigation. Turk Neurosurg 2012; 22: 4160-419.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Fatma Dilek GÖKHARMAN, Sonay AYDIN, Erdem FATİHOĞLU, Pinar Nercis KOŞAR

The relationship between nonsuicidal self-injurious behavior and manners of death: a multicenter autopsy study

Ertuğrul GÖK, Kenan KARBEYAZ, Taner AKAR, Sermet SEZİGEN, Sait ÖZSOY, Hacer YAŞAR TEKE, Serhat SARI, Hüseyin Çetin KETENCİ, Alper ÖZKÖK, Ahmet Zahit DURSUN, Hanife ALKURT ALKAN, Mehmet Ayhan CÖNGÖLOĞLU, Mesut AKYOL

Hyperbolic relation between beta-cell function and insulin sensitivity for type 2 diabetes mellitus, malaria, influenza, Helicobacter pylori, Chlamydia pneumoniae, and hepatitis C virus infection-induced inflammation/oxidative stress and temporary insulin resistance in Central Africans

ean Bosco Kasiam Lasi ON KIN, Benjamin LONGO MBENZA, Venant TCHOKONTE NANA, Augustin Nge OKWE, Nelly Kangola KABANGU

Gülsün AKAY, Kahraman GÜNGÖR, İlkay PEKER

Ziqiang XU, Jie FAN

Serap İSKENDER, Gürdal YILMAZ, İftahar KÖKSAL

Ömer Faruk ŞAVLUK, Mehmet Ali KUŞCU, Füsun GÜZELMERİÇ, Mustafa Emre GÜRCÜ, Atakan ERKILINÇ, Deniz ÇEVİRME, Halide OĞUŞ, Tuncer KOÇAK

Gökalp ALTUN, Doğuş HEMŞİNLİ, Zerrin PULATHAN, Ali CİVELEK

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Fatih TARHAN, Pınar AY, Yasemin AKIN, Kubilay SABUNCU, Kamil Fehmi NARTER, Fatma KAYA NARTER, Rabia ALAY ESER

Comparing the effectiveness of ultrasound-guided versus blind steroid injection in the treatment of severe carpal tunnel syndrome

Eda GÜRÇAY, Özgür Zeliha KARAAHMET, Aytül ÇAKCI, Azize SERÇE, Zeynep KIRAÇ ÜNAL, Murat KARA