Morphology, Incidence of Bridging, Dimensions of Sella Turcica, and Cephalometric Standards in Three Different Racial...

This study aims to assess the morphological appearance, incidence of bridging, linear dimensions of sella turcica and establish cephalometric standards in Bosnian, Chinese and Nepalese subjects. This retrospective study examined digital standardized lateral cephalograms of 540 subjects, which consisted of 116 females and 64 males with an age range of 8 to 28 years. The sella morphology, bridging, and size were analyzed on the lateral cephalograms. Steiner's and Rickett's analyses were performed on 270 subjects. Sella turcica presented a normal morphology in most Bosnian (86.7%), and Nepalese (90%) subjects whereas flat-shaped morphology was highly prevalent among Chinese subjects (36.7%). The frequency of full bridging was 7.2%, 2.8%, and 11.7% for Bosnian, Chinese, and Nepalese subjects, respectively. A significant correlation was detected between the length of sella turcica and gender of Bosnian subjects, whereas the size of sella turcica and gender of Chinese and Nepalese subjects were not affected. A direct correlation existed between age and size of sella turcica of Bosnian subjects. A significant correlation was detected between length and diameter of sella turcica and age in Chinese and Nepalese subjects. A statistically significant difference was found in length (P < 0.001), depth (P < 0.01) and diameter (P < 0.001) of sella turcica with race. The diameter of sella turcica was the only parameter significantly associated with race, gender and age. Significant differences were found between cephalometric norms in different racial groups. These findings assist orthodontists, neurosurgeons, and forensic medical investigatiors during orthodontic treatment planning, diagnosis of pathology of the pituitary gland, and age determination.