open access

Ahead of Print
ORIGINAL ARTICLES
Published online: 2020-09-03
Submitted: 2020-07-06
Accepted: 2020-07-27
Get Citation

Pterional variable topography and morphology. An anatomical study and its clinical significance

K. Natsis, I. Antonopoulos, C. Politis, E. Nikolopoulou, N. Lazaridis, G. P. Skandalakis, D. Chytas, M. Piagkou
DOI: 10.5603/FM.a2020.0113
·
Pubmed: 32896866

open access

Ahead of Print
ORIGINAL ARTICLES
Published online: 2020-09-03
Submitted: 2020-07-06
Accepted: 2020-07-27

Abstract

Background: Pterion is the junction of the frontal, parietal, greater wing of the sphenoid and the squamous part of the temporal bone. The sphenoparietal, frontotemporal, stellate and epipteric pteria were described. The current study determines pterion topography, morphology (variant types’ frequency) and morphometry, as well as epipteric bones presence in dried skulls. Gender impact is underlined as well. Material and methods: Ninety Greek adult dried skulls were observed. The distances in between pterion and the zygomatic arch midpoint and in between pterion and the frontozygomatic suture were measured. Results: The sphenoparietal pterion was the commonest (58.3%), following by the stellate (25%), epipteric (15.5%) and by the frontotemporal pterion (1.1%). Twenty-eight skulls (15.5%) had epipteric bones, further categorized as quadrisutural (35.7%), trisutural (57.1%), bisutural and multiple (3.57%). The mean distances between pterion and the midpoint of zygomatic arch were 4.13+0.45cm on the right and 4.09 + 0.47cm on the left side and between pterion and the frontozygomatic suture were 3.47 + 0.61 cm on the right and 3.52 + 0.65 cm on the left. Both distances were symmetrical. Male skulls showed slightly higher values on the left side for the distance pterion and midpoint of zygomatic arch. Conclusions: Pterion is a commonly used neurosurgical landmark and thus in depth knowledge of the pteric area and its variants could be valuable. Recognition of the possible variability in pterion location, morphology and morphometry, as well as possible occurrence of epipteric bones may render pterional craniotomy safer among different population groups.

Abstract

Background: Pterion is the junction of the frontal, parietal, greater wing of the sphenoid and the squamous part of the temporal bone. The sphenoparietal, frontotemporal, stellate and epipteric pteria were described. The current study determines pterion topography, morphology (variant types’ frequency) and morphometry, as well as epipteric bones presence in dried skulls. Gender impact is underlined as well. Material and methods: Ninety Greek adult dried skulls were observed. The distances in between pterion and the zygomatic arch midpoint and in between pterion and the frontozygomatic suture were measured. Results: The sphenoparietal pterion was the commonest (58.3%), following by the stellate (25%), epipteric (15.5%) and by the frontotemporal pterion (1.1%). Twenty-eight skulls (15.5%) had epipteric bones, further categorized as quadrisutural (35.7%), trisutural (57.1%), bisutural and multiple (3.57%). The mean distances between pterion and the midpoint of zygomatic arch were 4.13+0.45cm on the right and 4.09 + 0.47cm on the left side and between pterion and the frontozygomatic suture were 3.47 + 0.61 cm on the right and 3.52 + 0.65 cm on the left. Both distances were symmetrical. Male skulls showed slightly higher values on the left side for the distance pterion and midpoint of zygomatic arch. Conclusions: Pterion is a commonly used neurosurgical landmark and thus in depth knowledge of the pteric area and its variants could be valuable. Recognition of the possible variability in pterion location, morphology and morphometry, as well as possible occurrence of epipteric bones may render pterional craniotomy safer among different population groups.

Get Citation

Keywords

pterion; skull; zygomatic arch; frontozygomatic suture; epipteric bone; variation; anatomy

About this article
Title

Pterional variable topography and morphology. An anatomical study and its clinical significance

Journal

Folia Morphologica

Issue

Ahead of Print

Published online

2020-09-03

DOI

10.5603/FM.a2020.0113

Pubmed

32896866

Keywords

pterion
skull
zygomatic arch
frontozygomatic suture
epipteric bone
variation
anatomy

Authors

K. Natsis
I. Antonopoulos
C. Politis
E. Nikolopoulou
N. Lazaridis
G. P. Skandalakis
D. Chytas
M. Piagkou

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl