Modelling Suture Ossification: a View from the Cranial Capsule
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Coronal and Lambdoid Suture Evolution Following Total Vault Remodeling for Scaphocephaly
NEUROSURGICAL FOCUS Neurosurg Focus 50 (4):E4, 2021 Coronal and lambdoid suture evolution following total vault remodeling for scaphocephaly Pierre-Aurélien Beuriat, MD, PhD,1,2,4 Alexandru Szathmari, MD, PhD,1,2 Julie Chauvel-Picard, MD,1,3,4 Arnaud Gleizal, MD, PhD,1,3,4 Christian Paulus, MD,1,3 Carmine Mottolese, MD, PhD,1,2 and Federico Di Rocco, MD, PhD1,2,4 1French Referral Center for Craniosynostosis; Departments of 2Pediatric Neurosurgery and 3Pediatric Maxillo-Facial Surgery, Hôpital Femme Mère Enfant; and 4Université de Lyon, France OBJECTIVE Different types of surgical procedures are utilized to treat craniosynostosis. In most procedures, the fused suture is removed. There are only a few reports on the evolution of sutures after surgical correction of craniosynostosis. To date, no published study describes neosuture formation after total cranial vault remodeling. The objective of this study was to understand the evolution of the cranial bones in the area of coronal and lambdoid sutures that were removed for complete vault remodeling in patients with sagittal craniosynostosis. In particular, the investigation aimed to confirm the possibility of neosuture formation. METHODS CT images of the skulls of children who underwent operations for scaphocephaly at the Hôpital Femme Mère Enfant, Lyon University Hospital, Lyon, France, from 2004 to 2014 were retrospectively reviewed. Inclusion crite- ria were diagnosis of isolated sagittal synostosis, age between 4 and 18 months at surgery, and availability of reliable postoperative CT images obtained at a minimum of 1 year after surgical correction. Twenty-six boys and 11 girls were included, with a mean age at surgery of 231.6 days (range 126–449 days). -
Frontosphenoidal Synostosis: a Rare Cause of Unilateral Anterior Plagiocephaly
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by RERO DOC Digital Library Childs Nerv Syst (2007) 23:1431–1438 DOI 10.1007/s00381-007-0469-4 ORIGINAL PAPER Frontosphenoidal synostosis: a rare cause of unilateral anterior plagiocephaly Sandrine de Ribaupierre & Alain Czorny & Brigitte Pittet & Bertrand Jacques & Benedict Rilliet Received: 30 March 2007 /Published online: 22 September 2007 # Springer-Verlag 2007 Abstract Conclusion Frontosphenoidal synostosis must be searched Introduction When a child walks in the clinic with a in the absence of a coronal synostosis in a child with unilateral frontal flattening, it is usually associated in our anterior unilateral plagiocephaly, and treated surgically. minds with unilateral coronal synostosis. While the latter might be the most common cause of anterior plagiocephaly, Keywords Craniosynostosis . Pediatric neurosurgery. it is not the only one. A patent coronal suture will force us Anterior plagiocephaly to consider other etiologies, such as deformational plagio- cephaly, or synostosis of another suture. To understand the mechanisms underlying this malformation, the development Introduction and growth of the skull base must be considered. Materials and methods There have been few reports in the Harmonious cranial growth is dependent on patent sutures, literature of isolated frontosphenoidal suture fusion, and and any craniosynostosis might lead to an asymmetrical we would like to report a series of five cases, as the shape of the skull. The anterior skull base is formed of recognition of this entity is important for its treatment. different bones, connected by sutures, fusing at different ages. The frontosphenoidal suture extends from the end of Presented at the Consensus Conference on Pediatric Neurosurgery, the frontoparietal suture, anteriorly and inferiorly in the Rome, 1–2 December 2006. -
Cleidocranial Dysplasia- a Case Report
Case Report Cleidocranial Dysplasia- A Case Report Akhilanand Chaurasia Department of Oral Medicine & Radiology, Faculty of Dental Sciences, King George Medical University, Lucknow E-mail: [email protected] ABSTRACT Cleidocranial dysplasia is a rare congenital disease. It is characterized by autosomal dominant inheritance pattern which is caused due to mutations in the Cbfa1 gene (Runx2) located on chromosome 6p21. It primarily affects bones which are formedby intra-membranous ossification and have equal sex distribution. It is also known as Marie and Sainton disease, Mutational dysostosis and cleidocranialdysostosis. The skeletal deformities of cleidocranial dysplasia are characterized by partial or complete absence of clavicles, late closure of the fontanels, presence of open skull sutures and multiple wormian bones. This rare syndrome is of utmost importance in dentistry due to presence of multiple supernumerary teeth, facial bones deformities and deranged eruption patterns. We are reporting a classical case of cleidocranial dysplasia in 20 year old patient. Keywords: Cleidocranial dysplasia, Marie and Sainton disease, Mutational dysostosis, Cleidocranialdysostosis, Autosomal dominant Access this article online mandibular symphysis are less common findings of Quick Response cleidocranial dysostosis1,10,11. Code: Website: Dental findings in cleidocranialdysostosis are www.innovativepublication.com characterized by a decreased eruptive force of both primary and permanent dentition, prolonged retention of primary teeth12 and an increase in odontogenesis DOI: 10.5958/2395-6194.2015.00009.0 leading to an excessive number of supernumerary teeth13. The clinical findings of cleidocranialdysostosis although present at birth are often either missed or INTRODUCTION diagnosed at a much later time. Cleidocranialdysostosis Cleidocranialdysostosis is a rare congenital defect may be identified by family history, excessive mobility primarily affecting bones which undergo intra- of shoulders and radiographic pathognomonic findings membranous ossification i.e. -
Morphological and Topographical Study of Wormian Bones in Cadaver Dry Skulls
Original article Morphological and topographical study of Wormian bones in cadaver dry skulls Murlimanju, BV.*, Prabhu, LV., Ashraf, CM., Kumar, CG., Rai, R. and Maheshwari, C. Department of Anatomy, Manipal University, Centre for Basic Sciences, Kasturba Medical College, Mangalore, India *E-mail: [email protected] Abstract Introduction: The Wormian bones are formations associated with insufficient rate of suture closure and regarded as epigenetic and hypostotic traits. It was reported that there exists racial variability among the incidence of these bones. In the present study, the aims were to find the incidence of Wormian bones in Indian skulls and to analyze them topographically. Material and methods: The study included 78 human adult dry skulls of Indian population which were obtained from the neuroanatomy laboratory of our institution. They were macroscopically observed for the incidence and topographical distribution of the Wormian bones. Results: The Wormian bones were observed in 57 skulls (73.1%) of our series. Remaining 21 skulls (26.9%) didn’t show these variant bones. They were observed at the lambdoid suture in 56.4% cases (44 skulls; 14-bilateral; 18-right side; 12-left side), at the asterion in 17.9% (14 skulls; 3-bilateral; 2-right side; 9-left side), at the pterion in 11.5% (9 skulls; 4-right side; 5-left side), at the coronal suture in 1.3% (only one skull) and at the sagittal suture in 1.3% cases (only one skull). Conclusion: The current study observed Wormian bones in 73.1% of the cases from Indian population. This incidence rate is slightly higher compared to other reports and may be due to racial variations. -
Morfofunctional Structure of the Skull
N.L. Svintsytska V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 Ministry of Public Health of Ukraine Public Institution «Central Methodological Office for Higher Medical Education of MPH of Ukraine» Higher State Educational Establishment of Ukraine «Ukranian Medical Stomatological Academy» N.L. Svintsytska, V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 2 LBC 28.706 UDC 611.714/716 S 24 «Recommended by the Ministry of Health of Ukraine as textbook for English- speaking students of higher educational institutions of the MPH of Ukraine» (minutes of the meeting of the Commission for the organization of training and methodical literature for the persons enrolled in higher medical (pharmaceutical) educational establishments of postgraduate education MPH of Ukraine, from 02.06.2016 №2). Letter of the MPH of Ukraine of 11.07.2016 № 08.01-30/17321 Composed by: N.L. Svintsytska, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor V.H. Hryn, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor This textbook is intended for undergraduate, postgraduate students and continuing education of health care professionals in a variety of clinical disciplines (medicine, pediatrics, dentistry) as it includes the basic concepts of human anatomy of the skull in adults and newborns. Rewiewed by: O.M. Slobodian, Head of the Department of Anatomy, Topographic Anatomy and Operative Surgery of Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Doctor of Medical Sciences, Professor M.V. -
Morphology of the Pterion in Serbian Population
Int. J. Morphol., 38(4):820-824, 2020. Morphology of the Pterion in Serbian Population Morfología del Pterion en Población Serbia Knezi Nikola1; Stojsic Dzunja Ljubica1; Adjic Ivan2; Maric Dusica1 & Pupovac Nikolina4 KNEZI, N.; STOJSIC, D. L.; ADJIC, I.; MARIC, D. & PUPOVAC, N. Morphology of the pterion in Serbian population. Int. J. Morphol., 38(4):820-824, 2020. SUMMARY: The pterion is a topographic point on the lateral aspect of the skull where frontal, sphenoid, parietal and temporal bones form the H or K shaped suture. This is an important surgical point for the lesions in anterior and middle cranial fossa. This study was performed on 50 dry skulls from Serbian adult individuals from Department of Anatomy, Faculty of Medicine in Novi Sad. The type of the pterion on both sides of each skull was determined and they are calcified in four types (sphenoparietal, frontotemporal, stellate and epipteric). The distance between the center of the pterion and defined anthropological landmarks were measured using the ImageJ software. Sphenoparietal type is predominant with 86 % in right side and 88 % in left side. In male skulls, the distance from the right pterion to the frontozygomatic suture is 39.89±3.85 mm and 39.67±4.61 mm from the left pterion to the frontozygomatic suture. In female skulls the distance is 37.38±6.38 mm on the right and 35.94±6.46 mm on the left. The shape and the localization of the pterion are important because it is an anatomical landmark and should be used in neurosurgery, traumatology and ophthalmology. -
CLOSURE of CRANIAL ARTICULATIONS in the SKULI1 of the AUSTRALIAN ABORIGINE by A
CLOSURE OF CRANIAL ARTICULATIONS IN THE SKULI1 OF THE AUSTRALIAN ABORIGINE By A. A. ABBIE, Department of Anatomy, University of Adelaide INTRODUCTION While it is well known that joint closure advances more or less progressively with age, there is still little certainty in matters of detail, mainly for lack of adequate series of documented skulls. In consequence, sundry beliefs have arisen which tend to confuse the issue. One view, now disposed of (see Martin, 1928), is that early suture closure indicates a lower or more primitive type of brain. A corollary, due to Broca (see Topinard, 1890), that the more the brain is exercised the more is suture closure postponed, is equally untenable. A very widespread belief is based on Gratiolet's statement (see Topinard, 1890; Frederic, 1906; Martin, 1928; Fenner, 1939; and others) that in 'lower' skulls the sutures are simple and commence to fuse from in front, while in 'higher' skulls the sutures are more complicated and tend to fuse from behind. This view was disproved by Ribbe (quoted from Frederic, 1906), who substituted the generalization that in dolicocephals synostosis begins in the coronal suture, and in brachycephals in the lambdoid suture. In addition to its purely anthropological interest the subject raises important biological considerations of brain-skull relationship, different foetalization in different ethnological groups (see Bolk, 1926; Weidenreich, 1941; Abbie, 1947), and so on. A survey of the literature reveals very little in the way of data on the age incidence of suture closure. The only substantial contribution accessible here comes from Todd & Lyon (1924) for Europeans, but their work is marred by arbitrary rejection of awkward material. -
Persistent Metopic Suture with Multiple Sutural Bones at Unusual Sites
CASE REPORT Persistent metopic suture with multiple sutural bones at unusual sites Ambade HV, Fulpatil MP, Kasote AP Ambade HV, Fulpatil MP, Kasote AP. Persistent metopic suture with multiple in a human skull at asterion, left pterion and right coronal suture apart from the sutural bones at unusual sites. Int J Anat Var. 2017;10(3):69-70. lambdoid suture. Moreover, there was a persistent metopic suture between bregma to nasion in the same skull. The metopic suture with multiple sutural bones SUMMARY spreading beyond lambdoid suture at unusual sites is not reported previously. The knowledge of such variation and combination is rare and very important Sutural bones are small irregular bones found in the sutures and fontanels of for forensic expert, radiologists, orthopedists, neurosurgeons and anthropologist the human skull. They are commonly found at lambda and lambdoid suture point of view. It is very important to know about such variation because they can followed by pterion; and rarely at other sites. They vary from person to person in mislead the diagnosis of fracture of skull bones. number and shape, hence not named. Usually, 1-3 sutural bones in one skull are present, but 8-10 sutural bones are also reported in the literature, all restricted in Key Words: Metopic suture; Sutural bones; Wormian bones; Skull; Unusual sites; the vicinity of lambdoid sutures. In the present case, 8 sutural bones were present Variations INTRODUCTION etopic suture is present in between two frontal bones during fetal Mlife and soon disappear after birth. The obliteration starts at the age of 2 years and completed at the age of 8 years from above downwards (1). -
Spontaneous Encephaloceles of the Temporal Lobe
Neurosurg Focus 25 (6):E11, 2008 Spontaneous encephaloceles of the temporal lobe JOSHUA J. WIND , M.D., ANTHONY J. CAPUTY , M.D., AND FABIO ROBE R TI , M.D. Department of Neurological Surgery, George Washington University, Washington, DC Encephaloceles are pathological herniations of brain parenchyma through congenital or acquired osseus-dural defects of the skull base or cranial vault. Although encephaloceles are known as rare conditions, several surgical re- ports and clinical series focusing on spontaneous encephaloceles of the temporal lobe may be found in the otological, maxillofacial, radiological, and neurosurgical literature. A variety of symptoms such as occult or symptomatic CSF fistulas, recurrent meningitis, middle ear effusions or infections, conductive hearing loss, and medically intractable epilepsy have been described in patients harboring spontaneous encephaloceles of middle cranial fossa origin. Both open procedures and endoscopic techniques have been advocated for the treatment of such conditions. The authors discuss the pathogenesis, diagnostic assessment, and therapeutic management of spontaneous temporal lobe encepha- loceles. Although diagnosis and treatment may differ on a case-by-case basis, review of the available literature sug- gests that spontaneous encephaloceles of middle cranial fossa origin are a more common pathology than previously believed. In particular, spontaneous cases of posteroinferior encephaloceles involving the tegmen tympani and the middle ear have been very well described in the medical literature. -
MBB: Head & Neck Anatomy
MBB: Head & Neck Anatomy Skull Osteology • This is a comprehensive guide of all the skull features you must know by the practical exam. • Many of these structures will be presented multiple times during upcoming labs. • This PowerPoint Handout is the resource you will use during lab when you have access to skulls. Mind, Brain & Behavior 2021 Osteology of the Skull Slide Title Slide Number Slide Title Slide Number Ethmoid Slide 3 Paranasal Sinuses Slide 19 Vomer, Nasal Bone, and Inferior Turbinate (Concha) Slide4 Paranasal Sinus Imaging Slide 20 Lacrimal and Palatine Bones Slide 5 Paranasal Sinus Imaging (Sagittal Section) Slide 21 Zygomatic Bone Slide 6 Skull Sutures Slide 22 Frontal Bone Slide 7 Foramen RevieW Slide 23 Mandible Slide 8 Skull Subdivisions Slide 24 Maxilla Slide 9 Sphenoid Bone Slide 10 Skull Subdivisions: Viscerocranium Slide 25 Temporal Bone Slide 11 Skull Subdivisions: Neurocranium Slide 26 Temporal Bone (Continued) Slide 12 Cranial Base: Cranial Fossae Slide 27 Temporal Bone (Middle Ear Cavity and Facial Canal) Slide 13 Skull Development: Intramembranous vs Endochondral Slide 28 Occipital Bone Slide 14 Ossification Structures/Spaces Formed by More Than One Bone Slide 15 Intramembranous Ossification: Fontanelles Slide 29 Structures/Apertures Formed by More Than One Bone Slide 16 Intramembranous Ossification: Craniosynostosis Slide 30 Nasal Septum Slide 17 Endochondral Ossification Slide 31 Infratemporal Fossa & Pterygopalatine Fossa Slide 18 Achondroplasia and Skull Growth Slide 32 Ethmoid • Cribriform plate/foramina -
Cranial Suture Mesenchymal Stem Cells: Insights and Advances
biomolecules Review Cranial Suture Mesenchymal Stem Cells: Insights and Advances Bo Li 1, Yigan Wang 1, Yi Fan 2, Takehito Ouchi 3 , Zhihe Zhao 1,* and Longjiang Li 4,* 1 State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; [email protected] (B.L.); [email protected] (Y.W.) 2 State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; [email protected] 3 Department of Physiology, Tokyo Dental College, Tokyo 1010061, Japan; [email protected] 4 State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China * Correspondence: [email protected] (Z.Z.); [email protected] (L.L.) Abstract: The cranial bones constitute the protective structures of the skull, which surround and protect the brain. Due to the limited repair capacity, the reconstruction and regeneration of skull defects are considered as an unmet clinical need and challenge. Previously, it has been proposed that the periosteum and dura mater provide reparative progenitors for cranial bones homeostasis and injury repair. In addition, it has also been speculated that the cranial mesenchymal stem cells reside in the perivascular niche of the diploe, namely, the soft spongy cancellous bone between the interior and exterior layers of cortical bone of the skull, which resembles the skeletal stem cells’ distribution pattern of the long bone within the bone marrow. -
Ectocranial Suture Closure in Pan Troglodytes and Gorilla Gorilla: Pattern and Phylogeny James Cray Jr.,1* Richard S
AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 136:394–399 (2008) Ectocranial Suture Closure in Pan troglodytes and Gorilla gorilla: Pattern and Phylogeny James Cray Jr.,1* Richard S. Meindl,2 Chet C. Sherwood,3 and C. Owen Lovejoy2 1Department of Anthropology, University of Pittsburgh, Pittsburgh, PA 15260 2Department of Anthropology and Division of Biomedical Sciences, Kent State University, Kent, OH 44242 3Department of Anthropology, The George Washington University, Washington, DC 20052 KEY WORDS cranial suture; synostosis; variation; phylogeny; Guttman analysis ABSTRACT The order in which ectocranial sutures than either does with G. gorilla, we hypothesized that this undergo fusion displays species-specific variation among phylogenetic relationship would be reflected in the suture primates. However, the precise relationship between suture closure patterns of these three taxa. Results indicated that closure and phylogenetic affinities is poorly understood. In while all three species do share a similar lateral-anterior this study, we used Guttman Scaling to determine if the closure pattern, G. gorilla exhibits a unique vault pattern, modal progression of suture closure differs among Homo which, unlike humans and P. troglodyte s, follows a strong sapiens, Pan troglodytes,andGorilla gorilla.BecauseDNA posterior-to-anterior gradient. P. troglodytes is therefore sequence homologies strongly suggest that P. tr og lodytes more like Homo sapiens in suture synostosis. Am J Phys and Homo sapiens share a more recent common ancestor Anthropol 136:394–399, 2008. VC 2008 Wiley-Liss, Inc. The biological basis of suture synostosis is currently Morriss-Kay et al. (2001) found that maintenance of pro- poorly understood, but appears to be influenced by a liferating osteogenic stem cells at the margins of mem- combination of vascular, hormonal, genetic, mechanical, brane bones forming the coronal suture requires FGF and local factors (see review in Cohen, 1993).