ANATOMICAL VARIATIONS OF THE CRISTA GALLI ON COMPUTED TOMOGRAPHY: A STUDY AT THE UNIVERSITY MEDICAL CENTER HO CHI MINH CITY

Duy Hải Yến Nguyễn, Minh Tâm Lê, Mộng Thu Lâm, Huyền Trân Lâm

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Abstract

Purposes: To investigate the morphology of the crista galli, the prevalence of its pneumatization, and its relationship with adjacent structures. Material and Methods: A cross-sectional descriptive study was conducted on 120 patients who underwent consultation, treatment, and were indicated for CT scans of the paranasal sinuses at the University Medical Center Ho Chi Minh City from 2024 to 2025. Results: There were 120 subjects included in the study, the teardrop type was the most common morphology of the crista galli 51,7%, followed by the tubular type at 45,8% and the ossified type for 2,5%. Females were predominant in the teardrop (58,1%) and tubular (63,6%) types compared to males; 100% of the ossified cases were female. The prevalence of crista galli pneumatization was 29,2%, of which 65,7% drained into the frontal sinus and 34,3% drained to the ethmoid air cells. Conclusion: The teardrop type is the most common morphology, with females predominating in all three types compared to males. There was no statistically significant difference between crista galli morphology and gender. Pneumatized crista galli predominantly drains into the frontal sinus. The association of pneumatized crista galli with both the frontal sinus and the ethmoid air cells was statistically significant.

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References

Trần Viết Luân. Crista galli mucocele – a report of two cases. Asian Rhinology Journal, 2018, 4(1): 29-32.
2. Acar G, Cicekcibasi AE, et al. The relationship between the pneumatization patterns of the frontal sinus, crista galli and nasal septum: a tomography study. Turkish Neurosurgery, 2020, 30(4): 532-541.
3. Golpinar M, Salim H, Ozturk S, Komut E, Sindel M. Sex estimation with morphometric and morphological characteristics of the crista galli. Surgical and Radiologic Anatomy, 2022, 44: 1007-1015.
4. Kim JJ, Cho JH, et al. Morphologic analysis of crista galli using computed tomography. Journal of Rhinology, 2012, 19(2): 91-95.
5. Komut E, Golpinar M. A comprehensive morphometric analysis of crista galli for sex determination with a novel morphological classification on computed tomography images. Surgical and Radiologic Anatomy, 2021, 43: 1989-1998.
6. Manea C, Mladina R. Crista galli sinusitis – a radiological impression or a real clinical entity. Romanian Journal of Rhinology, 2016, 6(23): 167-171.
7. Marjanovic Kavanagh M, Tokic T, et al. Pneumatized crista galli: a histopathologic study. Otolaryngology-Head and Neck Surgery, 2020, 1-5.
8. Mladina R, Antunović R, Cingi C, et al. An anatomical study of pneumatized crista galli. Neurosurgical Review, 2017, 40: 671-678.
9. Okumus Ö. The use of crista galli morphology and morphometry in sex determination: a cone-beam computed tomography study. Folia Morphologica, 2022, 81(4): 1005-1013.
10. Özeren Keskek C, Aytuğar E. Clinical significance and radiological evaluation of crista galli: a CBCT study. European Journal of Anatomy, 2021, 25(6): 705-711.