IJAR.2017.193

Type of Article:  Original Research

Volume 5; Issue 2.1 (April 2017)

Page No.: 3780-3783

DOI: https://dx.doi.org/10.16965/ijar.2017.193

THE ANATOMY OF OCCIPITAL CONDYLES AND FORAMEN MAGNUM AND THEIR SURGICAL IMPORTANCE: A MORPHOMETRIC STUDY

Arpan Dubey *1, S. K. Verma 2.

*1 Assistant Professor, Department of Anatomy, Bundelkhand Medical College, Sagar. Madhaya Pradesh, India.

2 HOD & Associate Professor, Department of Anatomy, Bundelkhand Medical College, Sagar. Madhaya Pradesh, India.

Address for Correspondence: Dr. Arpan Dubey, Assistant Professor, Department of Anatomy, Bundelkhand Medical College, Sagar. Madhaya Pradesh, India. E-Mail: arpan_dubey@yahoo.co.in

ABSTRACT

Background: Skull is the most complex osseous structure in the body. Foramen magnum is oval shaped and situated in an anteromedian position. Occipital condyles flanking the foramen magnum articulate with the superior articular facets of atlas vertebra. The dimensions of foramen magnum and the axial length of occipital condyles are very important for surgical exposure, such as in cases of tumor resection from foramen magnum area. Keeping in mind the importance of skull base in Anatomic, neurosurgical, medico legal and anthropological procedures, present study aims at performing morphometric analysis of occipital condyles and foramen magnum, two of the most prominent structures at the skull base.

Material and Methods: Present study was conducted on 80 dry adult human skulls (42 males and 38 females). They were obtained from department of Anatomy, Govt. Bundelkhand Medical College, Sagar and NSCB Medical College, Jabalpur, (M.P.). Measured parameters were: Axial length of occipital condyles, Anterior intercondylar distance, Anteroposterior diameter of foramen magnum, Transverse diameter of foramen magnum. The parameters were measured by digital sliding vernier caliper in mm. scale. Data was statistically analyzed.

Results: The mean axial length of occipital condyle was found to be greater on left side as compared to right side but the difference was not statistically significant. The measurement was found to be greater in male skulls than female skulls for both sides and the difference was highly significant. Average intercondylar distance was found greater in female skulls than male skulls but the difference was not statistically significant. The average Anteroposterior diameter of foramen magnum was found to be greater in males as compared to females but the difference was not statistically significant. Similarly transverse diameter of foramen magnum was also found greater in males than that of females with statistically insignificant difference. The mean foramen index was found to be greater in males than females but the difference was not statistically significant.

Conclusion: The purpose of the present study was to get an insight into the morphology of the base of skull especially bilateral and gender based differences in the basicranium. For better understanding of skull base morphology and possible anatomical variations, similar studies with larger sample size and use of advanced techniques like computer assisted image analysis system would be more enlightening.

Key words: Skull Base, Morphometry, Occipital Condyles, Foramen Magnum.

REFERENCES

  1. Grey’s Anatomy the anatomic basis of clinical practice. 39th Elsevier Churchill Livingstone: 455,463-465.
  2. Dowd GC, ZeillerS, Awasthi D. Far lateral transcondylar approach: Dimensional anzatomy. Neurosurgery 1999;45:95-99.
  3. George B, Lot G. Anterolateral and posterolateral approaches to foramen magnum: technical description and experience from 97 cases. Skull base surgery 1995;5:9-19.
  4. George B, Lot G, Boissonnet H: meningioma of foramen magnum: Aseries of 40 cases. SurgNeurol 1997;47:371-379.
  5. Wen TH, Rhoton AL jr., Katsuta et al, Microsurgical anatomy of transcondylar, supracondylar and paracondylarextensionof the far lateral approach. J Neurosurg 1997;87:555-585
  6. Al- Mefty O, Borbal LA, Aoki N, Angtuaco E and Pait TG: The transcondylar approach to extradural non-neoplastic lesions of craniovertebral junction. J Neurosurg 1996;84:1-6.
  7. Salas E, Sekhar CN, Ziyal l, Caputy AJ and wright DC: variations of extreme lateral craniocervical approach: Anatomical study and clinical analysis of 69 parients. J neurosurg (spine 2) 1999;90:206-209.
  8. Heros RC: lateral suboccipetal approach for vertebral and vertebrobasilar artery lesions. J neurosurg 1986;64:559-562.
  9. George B, De Matons C and Cophignon J: lateral approach to anterior portion of foramen magnum. Neurol 1988;29:484-490.
  10. Bass WN: Human Osteology: A laboratory and field manual of human skeleton. Columbia, David R. Evans Editor, 1971.
  11. Gapert R, Black S and Last J: sex determination from magnum: discriminant function analysis in an eighteenth and nineteenth century British sample. Int j Legal Med. 2008;123(1):25-23.
  12. Lang J: Skull Base and Related structures D Atlas of Clinical Anatomy. (Translation into English by JulianeKemmer). SchattauerVerlagsgesellschaftmb H. stuttgart, 1995.
  13. AynurEmineCicekcibasi, Khalil AwadhMurshed, TanerZuylan, MuzafferSeker, IsikTuncer. A mor- phometric evaluation of some important bony land- marks on the skull base related to sexes. Turk jour- nal of medical sciences 2004;34:37-42.
  14. Vishal Ramesh Jasuja, Prasad G. Kulkarni, Shabana M. Borate, Silky R. Punyani. A Morphometric Study of occipital condyles and foramen magnum in adult skull base in western Maharashtra region of India. Int J Anat Res 2016;4(1):1846-1850.
  15. Muthukumar N, Swaminathan R, VenkateshG,Bhanumathy SP. A morphometric analysis of the foramen magnum region as it relates to the transcondylar approach. 2005 Aug;147(8):889-895. Epub 2005 Jun 9.
  16. Kizilkanat, EmineDondu. Morphometry of the hypo glossal canal, occipital condyle, and foramen magnum. Neurosurgery Quarterly: September 2006;16(3):121-125.
  17. Ivan Claudio SuazoGaldames, Priscilla Perez Russo, Daniela Alejandra ZavandoMatamala& Ricardo Luiz Smith. Sexual dimorphism in the foramen magnum dimensions. Int. journal of morphology 2009;27(1):21-23.
  18. Khalil AwadhMurshed, AynurEmineCicekcibasi, IsikTuncer. Morphometric evaluation of the foramen magnum and variations in its shape: A study on computerized tomographic images of normal adults. Turk journal of medical sciences 2003;33:301-306.

Cite this article: Arpan Dubey, S. K. Verma. THE ANATOMY OF OCCIPITAL CONDYLES AND FORAMEN MAGNUM AND THEIR SURGICAL IMPORTANCE: A MORPHOMETRIC STUDY. Int J Anat Res 2017;5(2.1):3780-3783. DOI: 10.16965/ijar.2017.193