PDF(Pubmed)
Abstract：
Several studies have evaluated the parameters of normality of the sella turcica (ST), which is important to face different craniofacial syndromes that may affect this structure. Therefore, this research summarized the scientific evidence on the role of ST in the sex estimation of non-syndromic individuals. The research protocol was registered (Prospective International Registry of Systematic Reviews # CRD42021256469), followed by an electronic search in six databases (PubMed, LILACS, Web of Science, Scopus, EMBASE, and LIVIVO) and gray literature (Google Scholar and OpenGrey). Meta-analysis of linear (width, length, height, and diameter) and volumetric measurements, in addition to an assessment of risk of bias (RoB) and certainty of evidence, were performed. After the screening of 986 articles, 13 were evaluated by meta-analysis (1 307 males and 1 231 females). In subgroup analysis, females had lower values for width (lateral radiograph; -0.67 mm; P = 0.040), length (computed tomography; -0.23 mm; P = 0.020), and diameter (computed tomography; -0.27 mm; P < 0.001) compared to males. There was no statistically significant difference regarding height (P = 0.95), area (P = 0.72), and volume (P = 0.21). Most studies exhibited moderate RoB, and the certainty of evidence of the outcomes was very low. In this review, significant differences were observed between the sexes for the length and diameter of the ST; however, the heterogeneity of the studies must be considered.
UNASSIGNED: Studies from different geographic regions evaluated the morphology of ST according to sex and showed this anatomical structure as an important indicator of dimorphism.Meta-analysis showed shorter ST length and diameter in women.Subgroup analysis found lower ST width in women based on lateral skull radiographs.Subgroup analysis found smaller lengths and diameters in women based on CT scans.
UNASSIGNED: Studies from different geographic regions evaluated the morphology of ST according to sex and showed this anatomical structure as an important indicator of dimorphism.Meta-analysis showed shorter ST length and diameter in women.Subgroup analysis found lower ST width in women based on lateral skull radiographs.Subgroup analysis found smaller lengths and diameters in women based on CT scans.
摘要：
一些研究已经评估了蝶鞍（ST）的正常性参数，这对于面对可能影响这种结构的不同颅面综合征很重要。因此,这项研究总结了关于ST在非综合征个体性别估计中的作用的科学证据.研究方案已注册（前瞻性国际注册系统审查#CRD42021256469），然后在六个数据库中进行电子搜索(PubMed，LILACS,WebofScience,Scopus,EMBASE,和LIVIVO)和灰色文学(谷歌学者和OpenGrey)。线性元分析(宽度，长度,高度,和直径)和体积测量，除了对偏见风险(RoB)和证据确定性的评估之外，被执行了。经过986篇文章的筛选，13人通过荟萃分析进行了评估（男性1307人，女性1231人）。在亚组分析中，女性的宽度值较低（横向X光片；-0.67mm；P=0.040），长度（计算机断层扫描；-0.23mm；P=0.020），与男性相比，直径（计算机断层扫描；-0.27mm；P<0.001）。身高差异无统计学意义(P=0.95),面积（P=0.72），和体积（P=0.21）。大多数研究显示适度的RoB，结果证据的确定性非常低。在这次审查中,在ST的长度和直径方面，性别之间存在显着差异；但是，必须考虑研究的异质性。
■来自不同地理区域的研究根据性别评估了ST的形态，并将这种解剖结构作为二态性的重要指标。Meta分析显示女性ST长度和直径较短。亚组分析发现，根据侧颅X光片，女性的ST宽度较低。亚组分析根据CT扫描发现女性的长度和直径较小。
■来自不同地理区域的研究根据性别评估了ST的形态，并将这种解剖结构作为二态性的重要指标。Meta分析显示女性ST长度和直径较短。亚组分析发现，根据侧颅X光片，女性的ST宽度较低。亚组分析根据CT扫描发现女性的长度和直径较小。
