Arteria Occipitalis’in Morfometrik Değerlendirilmesi

Year 2023, , 89 - 95, 15.03.2023

Emrah Özcan , Esma Derinöz , Bahar Keyik , Ömür Karaca , Tuğba Girgin , İlter Kuş , Alper Vatansever

https://doi.org/10.53424/balikesirsbd.1243098

Abstract

Amaç: Nervus occipitalis major blokajı sırasında, bu sinir ile yakın komşuluk yapan arteria occipitalis’te oluşabilecek komplikasyonları en aza indirgemek için arteria occipitalis anatomisinin iyi bilinmesi gerekir. Bu çalışmada; arteria occipitalis’in klinik uygulamalar sırasında zarar görmesini önleyebilmek adına, komşu anatomik yapılarla olan morfometrik ilişkisinin değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntem: Bu çalışma, Balıkesir Üniversitesi Tıp Fakültesi Eğitim ve Araştırma Hastanesi’ne 2015-2021 yılları arasında çeşitli sebeplerle başvuran hastaların baş-boyun bölgesine ait BTA görüntüleri kullanılarak gerçekleştirildi. Araştırmada; 35-63 yaşları arasındaki toplam 85 bireyin BTA görüntüleri Radiant DICOM viewer 64-bit bilgisayar yazılımı kullanılarak morfometrik olarak değerlendirildi. Elde edilen veriler SPSS Versiyon 25 yazılımına aktarılarak kantitatif olarak analiz edildi. Bulgular: Çalışmadan elde edilen sonuçlara göre; değişkenler ile cinsiyetler arasında anlamlı bir fark tespit edilmedi. Bireyin yaşının artmasıyla sol arteria occipitalis’in, protuberantia occipitalis externa’nın daha inferolateralinde yer aldığı görüldü. Elde edilen veriler sonucunda, sağ AO-MH ve sağ POE-MH arasındaki en yakın mesafe ile yedinci servikal vertebra’nın processus spinosus’u arasında negatif bir korelasyon gözlendi. Sonuç: Sonuç olarak; elde edilen ortalama değerler doğrultusunda, posterior oksiputta referans alınan işaret noktalarının birleştirilmesi sonucu oluşan üçgen sahanın merkez noktasına yapılacak bir enjeksiyonun, arteria occipitalis’i korumak adına daha güvenli olabileceği düşünülmektedir.

Keywords

Arteria Occipitalis, Güvenli Bölge, Morfometri.

Supporting Institution

Balıkesir Üniversitesi Bilimsel Araştırma Projeleri

Project Number

2020/077

Morphometric Evaluation of Occipital Artery

Abstract

Objective: Occipital artery anatomy should be well known in order to minimize complications that may occur in the occipital artery, which is closely adjacent to this nerve, during greater occipital nerve blockade. In this study, it is aimed to evaluate the morphometric relationship of the occipital artery with neighboring anatomical structures in order to prevent damage during clinical applications. Materials and Methods: This study was carried out using CTA images of the head and neck region of patients who applied to Balikesir University Medical Faculty Training and Research Hospital for various reasons between 2015 and 2021. In the study, CTA images of 85 individuals aged 35-63 years were evaluated morphometrically using Radiant DICOM viewer 64-bit computer software. The obtained data were transferred to SPSS Version 25 software and analyzed quantitatively. Results: According to the results obtained from the study, no significant difference was found between the variables and genders. As the age of the individual increased, it was observed that the left occipital artery was located more inferolateral to the external occipital protuberance. As a result of the data obtained, a negative correlation was observed between the closest distance between the right OA-ML and the right EOP-ML and the spinous process of the seventh cervical vertebra. Conclusion: In line with the average values obtained as a result, it is thought that an injection to the central point of the triangular area, which is formed as a result of combining the reference points in the posterior occiput, may be safer in order to protect the occipital artery.

Keywords

Occipital Artery, Safe Zone, CTA, Morphometry.

Project Number

2020/077

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