Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery

The anterior clinoid process (ACP) is proximal to vital structures, such as the optic nerve, internal carotid artery and ophthalmic artery; therefore, study of its anatomy is important in guiding and defining surgery. We studied the anatomical structure of the ACP, including the angle formed by the...

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Autores principales: Cecen,Aycicek, Celikoglu,Erhan, Is,Merih, Cetiner Kale,Aysin, Torum Eroglu,Basak
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400026
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spelling oai:scielo:S0717-950220160004000262017-02-01Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm SurgeryCecen,AycicekCelikoglu,ErhanIs,MerihCetiner Kale,AysinTorum Eroglu,Basak Anterior clinoid process Morphometry Skull base surgery The anterior clinoid process (ACP) is proximal to vital structures, such as the optic nerve, internal carotid artery and ophthalmic artery; therefore, study of its anatomy is important in guiding and defining surgery. We studied the anatomical structure of the ACP, including the angle formed by the apex of the ACP triangle, and its orientation, to provide information for easier and safer surgery. The measurement was performed on the axial planes of 242 cranial computerized tomography (CT) scans and 27 adult Turkish skulls of both sexes. The length of the ACP, width of the ACP at its base, the angle formed by the apical angle of the ACP triangle and the orientation of the ACP defined according to the sagittal midline were examined. In the Turkish skulls, the length and width of the ACP were similar to previous studies. Our study was the first to measure the angle and orientation of the ACP. The mean angle was 39.67±12.64 (16.6-89.5) and 135 posterior (55 %) and 107 medial (45 %) orientations. Surgical complications can be avoided by pre-operative radiological planning using axial CT scans and by determining whether the morphology is Type 2 (long, narrow, acute-angled), which requires total resection.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.4 20162016-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400026en10.4067/S0717-95022016000400026
institution Scielo Chile
collection Scielo Chile
language English
topic Anterior clinoid process
Morphometry
Skull base surgery
spellingShingle Anterior clinoid process
Morphometry
Skull base surgery
Cecen,Aycicek
Celikoglu,Erhan
Is,Merih
Cetiner Kale,Aysin
Torum Eroglu,Basak
Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
description The anterior clinoid process (ACP) is proximal to vital structures, such as the optic nerve, internal carotid artery and ophthalmic artery; therefore, study of its anatomy is important in guiding and defining surgery. We studied the anatomical structure of the ACP, including the angle formed by the apex of the ACP triangle, and its orientation, to provide information for easier and safer surgery. The measurement was performed on the axial planes of 242 cranial computerized tomography (CT) scans and 27 adult Turkish skulls of both sexes. The length of the ACP, width of the ACP at its base, the angle formed by the apical angle of the ACP triangle and the orientation of the ACP defined according to the sagittal midline were examined. In the Turkish skulls, the length and width of the ACP were similar to previous studies. Our study was the first to measure the angle and orientation of the ACP. The mean angle was 39.67±12.64 (16.6-89.5) and 135 posterior (55 %) and 107 medial (45 %) orientations. Surgical complications can be avoided by pre-operative radiological planning using axial CT scans and by determining whether the morphology is Type 2 (long, narrow, acute-angled), which requires total resection.
author Cecen,Aycicek
Celikoglu,Erhan
Is,Merih
Cetiner Kale,Aysin
Torum Eroglu,Basak
author_facet Cecen,Aycicek
Celikoglu,Erhan
Is,Merih
Cetiner Kale,Aysin
Torum Eroglu,Basak
author_sort Cecen,Aycicek
title Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
title_short Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
title_full Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
title_fullStr Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
title_full_unstemmed Pre-Operative Measurement of the Morphometry and Angles of the Anterior Clinoid Process (ACP) for Aneurysm Surgery
title_sort pre-operative measurement of the morphometry and angles of the anterior clinoid process (acp) for aneurysm surgery
publisher Sociedad Chilena de Anatomía
publishDate 2016
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000400026
work_keys_str_mv AT cecenaycicek preoperativemeasurementofthemorphometryandanglesoftheanteriorclinoidprocessacpforaneurysmsurgery
AT celikogluerhan preoperativemeasurementofthemorphometryandanglesoftheanteriorclinoidprocessacpforaneurysmsurgery
AT ismerih preoperativemeasurementofthemorphometryandanglesoftheanteriorclinoidprocessacpforaneurysmsurgery
AT cetinerkaleaysin preoperativemeasurementofthemorphometryandanglesoftheanteriorclinoidprocessacpforaneurysmsurgery
AT torumeroglubasak preoperativemeasurementofthemorphometryandanglesoftheanteriorclinoidprocessacpforaneurysmsurgery
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