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. 2020 Jul 22;8:656. doi: 10.3389/fcell.2020.00656

TABLE 1.

Demographic details and methods.

Population Saudi subjects
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.