Inclusion and exclusion criteria |
Non syndromic cleft subjects with good quality x-ray images. No history of craniofacial surgical treatment besides lip and palate surgery. No orthodontic treatment has been done. No anatomical variation in the ST and sphenoidal regions. Matched with healthy control without any craniofacial deformity. Subjects using hormonal medications or corticosteroids were excluded from the study. |
Sampling |
Convenient sampling following inclusion and exclusion criteria. |
|
Type of cleft |
|
Non-cleft |
BCLP |
UCLP |
UCLA |
UCL |
|
Subjects distribution |
Male |
14 |
19 |
26 |
3 |
7 |
|
Female |
17 |
10 |
15 |
6 |
6 |
|
Total (N = 123) |
31 |
29 |
41 |
9 |
13 |
Age |
|
13.29 ± 3.52 |
14.07 ± 4.73 |
14.32 ± 4.46 |
12.78 ± 4.09 |
13.31 ± 4.46 |
Data used |
Digital lateral cephalogram, orthopantomogram, and clinical record details. |
Ethical clearance |
Protocol has been presented to the ethical board of Alrass Dental Research Center, Qassim University. Ethical clearance has been obtained with the Code #: DRC/009FA/20. |
|
Method |
Artificial intelligence driven technique using Webceph software (Korea) |
|
Landmarks used and the details |
TS |
Tuberculum sella |
The most anterior point of the contour of the sella turcica |
|
DS |
Dorsum sellae |
The posterior wall of the sella turcica |
|
SF |
Sella floor |
The deepest point on the floor of pituitary fossa |
|
Pclin |
Posterior clenoid |
The most anterior point of the PClin process |
|
SA |
Sella anterior |
The most anterior point of the sella |
|
SP |
Sella posterior |
The most posterior point of the sella |
|
SM |
Sella median |
A point midway between PClin and TS |
|
Measurements (seven parameters) |
Significance/importance |
|
a |
Sella length |
TS-Pclin |
Changes in the size of sella turcica are often identified with the pathology of pituitary gland and may have an undetected hidden disease; hence, sella length is one of the parameters to determine the sella size. |
b |
Sella width |
SA-SP |
Utilized clinically for pubertal growth phase determination, would be increased by advanced age, it has strong correlation with age. |
c |
Sella diameter |
TS-DS |
Growth of an individual can be assessed based on the diameter of the sella turcica at different age periods. |
d |
Sella height anterior |
TS-SF |
As the anterior part of the sella turcica is believed to develop mainly from neural crest cell, so we need to measure the sella height anterior. So that, we can assume or determine any structural deviation in the anterior wall which are believed to be associated with the specific deviation in the facial structure. |
e |
Sella height posterior |
PClin-SF |
The posterior part of the sella turcica develops from the para-axial-mesoderm, which develops approximately 7 weeks of gestation. If any disturbance occurs in this area it remains throughout the life, as the time of formation of sella closely associated with the development of maxilla. So that, it may be assumed that any aberration leading to cleft may be associated with some fault at the level of sella turcica. |
f |
Sella height median |
SM-SF |
Utilized clinically for pubertal growth phase determination, would be increased with age. |
g |
Sella area |
TS-SA-SF-SP-Pclin |
During embryological development of the sella area is the key point for the migration of the neural crest cells to the fronto nasal and maxillary developmental fields. Pituitary fossa increased in size with age and found a positive correlation of the area of the sella to age. |