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Evaluation of morphometric features of fossa navicularis using cone-beam computed tomography in a Turkish subpopulation

  • Magat, Guldane (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Necmettin Erbakan University)
  • Received : 2019.05.27
  • Accepted : 2019.07.19
  • Published : 2019.09.30

Abstract

Purpose: Fossa navicularis is a bone defect in the clivus. Familiarity with this anatomical variant is important because it is close to vital anatomical structures in the base of the skull. The aim of this study was to determine the prevalence and morphometric properties of fossa navicularis within the clivus in a Turkish subpopulation using cone-beam computed tomography (CBCT). Materials and Methods: A total of 168 CBCT scans (female: 96, male: 71) were evaluated. High-quality CBCT images of patients without a syndromic condition or a history of neurological disease or surgery were included in the study. The prevalence, depth, length, and width of the fossa navicularis were performed. Results: The prevalence of fossa navicularis was 27.5% (n=46 patients). Sex was not associated with the depth, length, or width of the fossa navicularis (P>0.05). A significant positive correlation was found between age and length of the fossa navicularis(P>0.05). Conclusion: Fossa navicularis was found to be rare (27.5%). Anatomical variants of the skull base can also be clearly identified on CBCT images. The results of this study may be useful to radiologists, anatomists, and surgeons interested in the skull base.

Keywords

References

  1. Bayrak S, Goller Bulut D, Orhan K. Prevalence of anatomical variants in the clivus: fossa navicularis magna, canalis basilaris medianus, and craniopharyngeal canal. Surg Radiol Anat 2019; 41: 477-83. https://doi.org/10.1007/s00276-019-02200-3
  2. Syed AZ, Mupparapu M. Fossa navicularis magna detection on cone-beam computed tomography. Imaging Sci Dent 2016; 46: 47-51. https://doi.org/10.5624/isd.2016.46.1.47
  3. Ersan N. Prevalence and morphometric features of fossa navicularis on cone beam computed tomography in Turkish population. Folia Morphol (Warsz) (in press).
  4. Ahmad M, Jenny J, Downie M. Application of cone beam computed tomography in oral and maxillofacial surgery. Aust Dent J 2012; 57 Suppl 1: 82-94. https://doi.org/10.1111/j.1834-7819.2011.01661.x
  5. Ersan N. Prevalence of fossa navicularis among cleft palate patients detected by cone beam computed tomography. Yeditepe J Dent 2017; 13: 21-3. https://doi.org/10.5505/yeditepe.2017.87597
  6. Kizilkilic O, Yalcin O, Yildirim T, Sener L, Parmaksiz G, Erdogan B. Hypothalamic hamartoma associated with a craniopharyngeal canal. AJNR Am J Neuroradiol 2005; 26: 65-7.
  7. Pinilla-Arias D, Hinojosa J, Esparza J, Munoz A. Recurrent meningitis and persistence of craniopharyngeal canal: case report. Neurocirugia (Astur) 2009; 20: 50-3. https://doi.org/10.1016/S1130-1473(09)70195-2
  8. Abele TA, Salzman KL, Harnsberger HR, Glastonbury CM. Craniopharyngeal canal and its spectrum of pathology. AJNR Am J Neuroradiol 2014; 35: 772-7. https://doi.org/10.3174/ajnr.A3745
  9. Currarino G. Canalis basilaris medianus and related defects of the basiocciput. AJNR Am J Neuroradiol 1988; 9: 208-11.
  10. Prabhu SP, Zinkus T, Cheng AG, Rahbar R. Clival osteomyelitis resulting from spread of infection through the fossa navicularis magna in a child. Pediatr Radiol 2009; 39: 995-8. https://doi.org/10.1007/s00247-009-1283-9
  11. Segal N, Atamne E, Shelef I, Zamir S, Landau D. Intracranial infection caused by spreading through the fossa naviclaris magna - a case report and review of the literature. Int J Pediatr Otorhinolaryngol 2013; 77: 1919-21. https://doi.org/10.1016/j.ijporl.2013.09.013
  12. Ray B, Kalthur SG, Kumar B, Bhat MR, D'souza AS, Gulati HS, et al. Morphological variations in the basioccipital region of the South Indian skull. Nepal J Med Sci 2014; 3: 124-8. https://doi.org/10.3126/njms.v3i2.13457
  13. Cankal F, Ugur HC, Tekdemir I, Elhan A, Karahan T, Sevim A. Fossa navicularis: anatomic variation at the skull base. Clin Anat 2004; 17: 118-22. https://doi.org/10.1002/ca.10191
  14. Alalade AF, Briganti G, McKenzie JL, Gandhi M, Amato D, Panizza BJ, et al. Fossa navicularis in a pediatric patient: anatomical skull base variant with clinical implications. J Neurosurg Pediatr 2018; 22: 523-7. https://doi.org/10.3171/2018.5.PEDS18157
  15. Beltramello A, Puppini G, El-Dalati G, Girelli M, Cerini R, Sbarbati A, et al. Fossa navicularis magna. AJNR Am J Neuroradiol 1998; 19: 1796-8.
  16. Akyel NG, Alimli AG, Demirkan TH, Sivri M. Persistent craniopharyngeal canal, bilateral microphthalmia with colobomatous cysts, ectopic adenohypophysis with Rathke cleft cyst, and ectopic neurohypophysis: case report and review of the literature. Childs Nerv Syst 2018; 34: 1407-10. https://doi.org/10.1007/s00381-018-3747-4

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