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Abnormal sella turcica morphology

MedGen UID:
867389
•Concept ID:
C4021754
•
Anatomical Abnormality
Synonym: Abnormality of the sella turcica
 
HPO: HP:0002679

Definition

Abnormality of the sella turcica, a saddle-shaped depression in the sphenoid bone at the base of the human skull. [from HPO]

Professional guidelines

PubMed

Clinical utility of new three-dimensional model using a zero-echo-time sequence in endoscopic endonasal transsphenoidal surgery.
Inoue A, Kohno S, Nishida N, Suehiro S, Matsumoto S, Nishikawa M, Ozaki S, Nakamura Y, Shigekawa S, Watanabe H, Senba H, Matsuura B, Ohnishi T, Kunieda T
Clin Neurol Neurosurg 2020 Mar;190:105743. Epub 2020 Feb 21 doi: 10.1016/j.clineuro.2020.105743. PMID: 32113079
Diagnosis and management of pituitary abscess: a review of twenty-four cases.
Vates GE, Berger MS, Wilson CB
J Neurosurg 2001 Aug;95(2):233-41. doi: 10.3171/jns.2001.95.2.0233. PMID: 11780892
Diagnosis, treatment, and outcome of pituitary tumors and other abnormal intrasellar masses. Retrospective analysis of 353 patients.
Gsponer J, De Tribolet N, Déruaz JP, Janzer R, Uské A, Mirimanoff RO, Reymond MJ, Rey F, Temler E, Gaillard RC, Gomez F
Medicine (Baltimore) 1999 Jul;78(4):236-69. doi: 10.1097/00005792-199907000-00004. PMID: 10424206

Recent clinical studies

Etiology

Anatomical features of sella turcica with comprehensive literature review.
Önal V, Evren A, Chatzioglou GON, Tellioğlu AM
Rev Assoc Med Bras (1992) 2023;69(8):e20230402. Epub 2023 Aug 21 doi: 10.1590/1806-9282.20230402. PMID: 37610928Free PMC Article
Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review.
Jankowski T, Jedliński M, Grocholewicz K, Janiszewska-Olszowska J
Int J Environ Res Public Health 2021 Apr 22;18(9) doi: 10.3390/ijerph18094456. PMID: 33922272Free PMC Article
Sella turcica bridging and ossified carotico-clinoid ligament: Correlation with sex and age.
Gibelli D, Cellina M, Gibelli S, Panzeri M, Oliva AG, Termine G, Sforza C
Neuroradiol J 2018 Jun;31(3):299-304. Epub 2018 Jan 11 doi: 10.1177/1971400917751036. PMID: 29323624Free PMC Article
Sella turcica bridging and dental anomalies: is there an association?
Scribante A, Sfondrini MF, Cassani M, Fraticelli D, Beccari S, Gandini P
Int J Paediatr Dent 2017 Nov;27(6):568-573. Epub 2017 Apr 7 doi: 10.1111/ipd.12301. PMID: 28387468
Size and shape of the sella turcica in subjects with Down syndrome.
Korayem M, AlKofide E
Orthod Craniofac Res 2015 Feb;18(1):43-50. Epub 2014 Oct 17 doi: 10.1111/ocr.12059. PMID: 25323403

Diagnosis

Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review.
Jankowski T, Jedliński M, Grocholewicz K, Janiszewska-Olszowska J
Int J Environ Res Public Health 2021 Apr 22;18(9) doi: 10.3390/ijerph18094456. PMID: 33922272Free PMC Article
Neuroimaging of the Pituitary Gland: Practical Anatomy and Pathology.
Chapman PR, Singhal A, Gaddamanugu S, Prattipati V
Radiol Clin North Am 2020 Nov;58(6):1115-1133. Epub 2020 Sep 17 doi: 10.1016/j.rcl.2020.07.009. PMID: 33040852
Pituitary incidentaloma.
Orija IB, Weil RJ, Hamrahian AH
Best Pract Res Clin Endocrinol Metab 2012 Feb;26(1):47-68. doi: 10.1016/j.beem.2011.07.003. PMID: 22305452
Septo-optic dysplasia.
Ferran Kd, Paiva IA, Gilban DL, Resende M, Souza MA, Beserra IC, Guimarães MM
Arq Neuropsiquiatr 2010 Jun;68(3):400-5. doi: 10.1590/s0004-282x2010000300014. PMID: 20602044
Neuro-osteology.
Kjaer I
Crit Rev Oral Biol Med 1998;9(2):224-44. doi: 10.1177/10454411980090020501. PMID: 9603237

Therapy

Take It with a Grain of Salt.
Phadke N, Lebastchi J, Torre M, Dunn I, Vaidya A
N Engl J Med 2018 Nov 22;379(21):e38. doi: 10.1056/NEJMimc1716086. PMID: 30462930
Pituitary incidentaloma.
Orija IB, Weil RJ, Hamrahian AH
Best Pract Res Clin Endocrinol Metab 2012 Feb;26(1):47-68. doi: 10.1016/j.beem.2011.07.003. PMID: 22305452
Bridging and dimensions of sella turcica in subjects treated by surgical-orthodontic means or orthodontics only.
Jones RM, Faqir A, Millett DT, Moos KF, McHugh S
Angle Orthod 2005 Sep;75(5):714-8. doi: 10.1043/0003-3219(2005)75[714:BADOST]2.0.CO;2. PMID: 16279819
Maxillary and sella turcica morphology in newborns with cleft lip and palate.
Nielsen BW, Mølsted K, Kjaer I
Cleft Palate Craniofac J 2005 Nov;42(6):610-7. doi: 10.1597/04-104r.1. PMID: 16241172
Sella-Nasion line revisited.
Sarhan OA
J Oral Rehabil 1995 Dec;22(12):905-8. doi: 10.1111/j.1365-2842.1995.tb00239.x. PMID: 9217302

Prognosis

Associations among palatal impaction of canine, sella turcica bridging, and ponticulus posticus (atlas arcuate foramen).
Dadgar S, Alimohamadi M, Rajabi N, Rakhshan V, Sobouti F
Surg Radiol Anat 2021 Jan;43(1):93-99. Epub 2020 Aug 20 doi: 10.1007/s00276-020-02548-x. PMID: 32816070
Associations among sella turcica bridging, atlas arcuate foramen (ponticulus posticus) development, atlas posterior arch deficiency, and the occurrence of palatally displaced canine impaction.
Haji Ghadimi M, Amini F, Hamedi S, Rakhshan V
Am J Orthod Dentofacial Orthop 2017 Mar;151(3):513-520. doi: 10.1016/j.ajodo.2016.08.024. PMID: 28257736
Clinical and biochemical characteristic features of metastatic cancer to the sella turcica: an analytical review.
Al-Aridi R, El Sibai K, Fu P, Khan M, Selman WR, Arafah BM
Pituitary 2014 Dec;17(6):575-87. doi: 10.1007/s11102-013-0542-9. PMID: 24337713
Correlation between 3-dimensional facial morphology and mandibular movement during maximum mouth opening and closing.
Kim DS, Choi SC, Lee SS, Heo MS, Huh KH, Hwang SJ, Yi WJ
Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010 Nov;110(5):648-56. doi: 10.1016/j.tripleo.2010.06.007. PMID: 20955952
Neuro-osteology.
Kjaer I
Crit Rev Oral Biol Med 1998;9(2):224-44. doi: 10.1177/10454411980090020501. PMID: 9603237

Clinical prediction guides

Sella turcica morphology in patients with genetic syndromes: A systematic review.
Roomaney IA, Chetty M
Orthod Craniofac Res 2021 May;24(2):194-205. Epub 2020 Sep 28 doi: 10.1111/ocr.12426. PMID: 32920986
Association between sella turcica bridging and palatal canine impaction: Evaluation using lateral cephalograms and CBCT.
El Wak T, Akl R, Mati M, Khoury E, Ghoubril J
Int Orthod 2018 Jun;16(2):338-348. Epub 2018 Apr 6 doi: 10.1016/j.ortho.2018.03.003. PMID: 29628424
Sella turcica morphology and the pituitary gland-a new contribution to craniofacial diagnostics based on histology and neuroradiology.
Kjær I
Eur J Orthod 2015 Feb;37(1):28-36. Epub 2012 Nov 16 doi: 10.1093/ejo/cjs091. PMID: 23159420
Clinical and biochemical characteristic features of metastatic cancer to the sella turcica: an analytical review.
Al-Aridi R, El Sibai K, Fu P, Khan M, Selman WR, Arafah BM
Pituitary 2014 Dec;17(6):575-87. doi: 10.1007/s11102-013-0542-9. PMID: 24337713
Primary empty sella (PES): a review of 175 cases.
Guitelman M, Garcia Basavilbaso N, Vitale M, Chervin A, Katz D, Miragaya K, Herrera J, Cornalo D, Servidio M, Boero L, Manavela M, Danilowicz K, Alfieri A, Stalldecker G, Glerean M, Fainstein Day P, Ballarino C, Mallea Gil MS, Rogozinski A
Pituitary 2013 Jun;16(2):270-4. doi: 10.1007/s11102-012-0416-6. PMID: 22875743

Recent systematic reviews

Intrasellar Dermoid Cyst: Case Report of a Rare Lesion and Systematic Literature Review Comparing Intrasellar, Suprasellar, and Parasellar Locations.
Donofrio CA, Bertazzoni G, Riccio L, Pinacoli A, Pianta L, Generali D, Ungari M, Servadei F, Roncaroli F, Fioravanti A
World Neurosurg 2024 Feb;182:83-90. Epub 2023 Nov 22 doi: 10.1016/j.wneu.2023.11.057. PMID: 37995988
Sella Turcica Morphology on Cephalometric Radiographs and Dental Abnormalities-Is There Any Association?-Systematic Review.
Jankowski T, Jedliński M, Grocholewicz K, Janiszewska-Olszowska J
Int J Environ Res Public Health 2021 Apr 22;18(9) doi: 10.3390/ijerph18094456. PMID: 33922272Free PMC Article
Sella turcica morphology in patients with genetic syndromes: A systematic review.
Roomaney IA, Chetty M
Orthod Craniofac Res 2021 May;24(2):194-205. Epub 2020 Sep 28 doi: 10.1111/ocr.12426. PMID: 32920986
Intrasellar cysticercosis: a systematic review.
Del Brutto OH, Del Brutto VJ
Acta Neurol Belg 2013 Sep;113(3):225-7. Epub 2013 Apr 20 doi: 10.1007/s13760-013-0199-1. PMID: 23605125
Cerebral aneurysms with intrasellar extension: a systematic review of clinical, anatomical, and treatment characteristics.
Hanak BW, Zada G, Nayar VV, Thiex R, Du R, Day AL, Laws ER
J Neurosurg 2012 Jan;116(1):164-78. Epub 2011 Nov 4 doi: 10.3171/2011.9.JNS11380. PMID: 22054212

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