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Anatomic position of the asterion in Kenyans for posterolateral surgical approaches to cranial cavity.
Clin Anat 2010; 23(1):30-3CA

Abstract

The asterion, defined as the junction between lambdoid, parietomastoid, and occipitomastoid sutures, has been used as a landmark in posterolateral approaches to the posterior fossa. Its reliability however has been put into question due to its population-specific variability in position, using external palpable landmarks and its relation to the transverse-sigmoid sinus complex. This study aimed at determining the anatomic position of the asterion in a Kenyan population. Measurements from the asterion to the root of zygoma and the tip of mastoid process, respectively were taken on both left and right sides of 90 (51 male, 39 female) human skulls. The relation of the asterion to the transverse-sigmoid sinus junction was also determined. The distances on the right and left sides from the asterion to the root of the zygoma were 58.85 +/- 2.50 mm and 58.44 +/- 2.12 mm, respectively. The asterion was 47.89 +/- 3.72 mm above the tip of mastoid process on the right side and 47.62 +/- 2.87 mm on the left side. This point was significantly higher in males (48.36 +/- 2.72 mm) than in females (46.62 +/- 3.37 mm) with a P-value of 0.041. Regarding its position from the transverse-sigmoid sinus junction, it was at the junction in 72 cases, below it in 17 cases (average 3.68 mm) and only one case had the asterion above this junction (2.57 mm). The asterion therefore can reliably be ascertained using the parameters from the root of the zygoma and the tip of the mastoid process. The safest approach would be posteroinferior to the asterion so as to avoid lacerating the transverse-sigmoid sinus complex.

Authors+Show Affiliations

Department of Human Anatomy, University of Nairobi, Nairobi, Kenya. pmaseghe@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19918868

Citation

Mwachaka, P M., et al. "Anatomic Position of the Asterion in Kenyans for Posterolateral Surgical Approaches to Cranial Cavity." Clinical Anatomy (New York, N.Y.), vol. 23, no. 1, 2010, pp. 30-3.
Mwachaka PM, Hassanali J, Odula PO. Anatomic position of the asterion in Kenyans for posterolateral surgical approaches to cranial cavity. Clin Anat. 2010;23(1):30-3.
Mwachaka, P. M., Hassanali, J., & Odula, P. O. (2010). Anatomic position of the asterion in Kenyans for posterolateral surgical approaches to cranial cavity. Clinical Anatomy (New York, N.Y.), 23(1), pp. 30-3. doi:10.1002/ca.20888.
Mwachaka PM, Hassanali J, Odula PO. Anatomic Position of the Asterion in Kenyans for Posterolateral Surgical Approaches to Cranial Cavity. Clin Anat. 2010;23(1):30-3. PubMed PMID: 19918868.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic position of the asterion in Kenyans for posterolateral surgical approaches to cranial cavity. AU - Mwachaka,P M, AU - Hassanali,J, AU - Odula,P O, PY - 2009/11/18/entrez PY - 2009/11/18/pubmed PY - 2010/3/20/medline SP - 30 EP - 3 JF - Clinical anatomy (New York, N.Y.) JO - Clin Anat VL - 23 IS - 1 N2 - The asterion, defined as the junction between lambdoid, parietomastoid, and occipitomastoid sutures, has been used as a landmark in posterolateral approaches to the posterior fossa. Its reliability however has been put into question due to its population-specific variability in position, using external palpable landmarks and its relation to the transverse-sigmoid sinus complex. This study aimed at determining the anatomic position of the asterion in a Kenyan population. Measurements from the asterion to the root of zygoma and the tip of mastoid process, respectively were taken on both left and right sides of 90 (51 male, 39 female) human skulls. The relation of the asterion to the transverse-sigmoid sinus junction was also determined. The distances on the right and left sides from the asterion to the root of the zygoma were 58.85 +/- 2.50 mm and 58.44 +/- 2.12 mm, respectively. The asterion was 47.89 +/- 3.72 mm above the tip of mastoid process on the right side and 47.62 +/- 2.87 mm on the left side. This point was significantly higher in males (48.36 +/- 2.72 mm) than in females (46.62 +/- 3.37 mm) with a P-value of 0.041. Regarding its position from the transverse-sigmoid sinus junction, it was at the junction in 72 cases, below it in 17 cases (average 3.68 mm) and only one case had the asterion above this junction (2.57 mm). The asterion therefore can reliably be ascertained using the parameters from the root of the zygoma and the tip of the mastoid process. The safest approach would be posteroinferior to the asterion so as to avoid lacerating the transverse-sigmoid sinus complex. SN - 1098-2353 UR - https://www.unboundmedicine.com/medline/citation/19918868/Anatomic_position_of_the_asterion_in_Kenyans_for_posterolateral_surgical_approaches_to_cranial_cavity_ L2 - https://doi.org/10.1002/ca.20888 DB - PRIME DP - Unbound Medicine ER -