A MORPHOMETRIC ANALYSIS OF ORBIT IN DRY ADULT HUMAN SKULLS AND ITS CLINICAL IMPORTANCE

Main Article Content

Mr. Gajendra Kumar Sah
Dr. Hari Narayan Yadav

Keywords

Dry, eyes, human, Orbit, population, study, skulls

Abstract

Background:The bony orbits are skeletal cavities located on either side of the nose. They house the eyes, the paired peripheral organs of vision. The orbit also contains extraocular muscles, the optic, oculomotor, trochlear, and abducent nerves and branches of the ophthalmic and maxillary divisions of the trigeminal nerve; the ciliary parasympathetic ganglion; the ophthalmic vessels; and the nasolacrimal apparatus.


Aim & Objectives: The aim of this study is a morphometric study of the orbit in dry human adult skulls of the North Indian population. The objective is to study the various parameters of orbit in human dried skulls and compare them with other studies. The following parameters are measured: 1. Orbital height (OH) 2. Orbital breadth (OB) 3. Orbital index (OI) 4. Interorbital distance (IOD) 5. Biorbital distance (BOD).


Materials and Methods: 50 adult dry skulls (100 orbits) with 0.01mm accuracy on both the right and left sides were measured using digital verniercalipers. The skulls were obtained from the bone bank of the department of anatomy at Rama Medical College, Hospital, and Research Centre, Pilkhuwa, Hapur, and K. M. Medical College & Hospital, Mathura.Orbital height (OH) and orbital breadth (OB) of both sides were measured, and orbital index (OI) was calculated by applying the formula OI = OH/OB x 100. All the data obtained were statistically analyzed and tabulated. The quantitative morphometry of right and left orbital cavities was compared by an independent sample’t’ test.


Results: The mean orbital heights for the right and left sides were 34.67 ± 2.50 mm and 34.40 ± 2.32 mm, while their breadth was 39.75 ± 3.43 mm and 39.31 ± 3.26 mm, respectively. The mean orbital index calculated was 86.45 ± 9.67 mm on the right and 87.56 ± 7.45 mm on the left side. There was no significant difference between the right and left sides of the orbital parameters. The mean biorbital distance and interorbital distance were 98.23 ± 6.84 mm and 20.86 ± 2.42 mm, respectively. The majority of orbits measured were of the mesoseme category. 


Conclusion: 


Regional studies on the orbital index will provide useful data for clinical and surgical treatment for patients in ophthalmology, oral and maxillofacial surgery, and neurosurgery.

Abstract 136 | PDF Downloads 67

References

1. Standring S, editor. Gray's Anatomy e-Book: The Anatomical Basis of Clinical Practice Elsevier Health Sciences, 2021, May 22: 666-7.
2. Martins C, Costa e Silva IE, Campero A, Yasuda A, Aguiar LR, Tatagiba M, Rhoton A. Microsurgical anatomy of the orbit: the rule of seven. Anatomy research international. 2010.
3. Moore KL. Clinical Oriented Anatomy, 6th Ed., Lippincott William & Wilkins, 2010; 7:889–890.
4. Eye human, Encyclopedia Britannica from Encyclopedia Britannica 2006, Ultimate Reference Suite DVD 20095009.
5. K. A. Salvin, A. A. M. M. S. L. Perera, R. Hasan, E. D. P. S. Fernando, W. M. R. D. Wijesundara, W. M. S. Dilshani, and N. A. D. P. Niwunhella, Orbital Dimensions of Sri Lankan Adults The Journal of the College of Ophthalmologists of Sri Lanka 2014; 20: 53–56.
6. Novita M. Facial, upper facial, and orbital index in Batak, Klaten, and Flores students of Jember University. Dental Journal (MajalahKedokteran Gigi). 2006 Sep 1;39(3):116-9.
7. Ezeuko VC, Om’Iniabohs FA. Radiologic evaluation of the orbital index among the Igbo ethnic group of Nigeria. Eur j anat. 2015;19:9-14.
8. Mekala D., Shubha R., and Rohini Devi M.: Orbital dimension and orbital index: A measurement on South Indian dry skulls. International J. Anat. Res. 2015, Vol. 3(3):1387-91. ISSN 2321-4287.
9. Weisman, RA. Surgical anatomy of the orbit. OtolaryngolClin North Am 1988; 21: 1–12.
10. Krogman, W. M., and Iscan, Y. M. The Human Skeleton in Forensic Medicine (2nd Edition), 1986. Springfield, Illinois, U.S.A. Charles C. Thomas Pub. Ltd.
11. Kanchan T, Krishan K, Gupta A, and Acharya J. A Study of Cranial Variations Based on Craniometric Indices in a South Indian Population. J. Craniofacial Surg. 2014; 25:1645–9.
12. Biswas S, Chowdhuri S, Das A, and Mukhopadhyay PP. Observations on Symmetry and Sexual Dimorphism from Morphometrics of Foramen Magnum and Orbits in the Adult Bengali Population. J Indian Academic Forensic Med. 2015; 37(4):346–51.
13. Patniak, V.V.G., BalaSanju, and Singla Rajan, K. 2001. Anatomy of the bony orbits—some applied aspects. J. Anatomical Soc. Ind. 50(1): 59–67.
14. Cassidy, P.J. (1913). "Megaseme.” Webster dictionary.answer.com (home page on the internet), Retrieved from http://www.answer.com/topic/megaseme.
15. Mcgraw Hill dictionary of scientific and technical terms “mesoconch” Mcgraw Hill Company Inc., answers.com (homepage on the internet) 2003, Retrieved from http://www.answers. com/topic/mesoconch.
16. Jaswinder et al., Orbital Dimensions: A Direct Measurement Study Using Dry Skulls J. Acad. Indus. Res. Vol. 1(6) November 2012: ISSN: 2278-5213.
17. Moore-Jansen PM, Ousley SD, and Jantz RL (1997): Data collection procedures for forensic skeletal material. Report of investigations. University of Tennessee, Knoxville, TN.
18. Jagriti et al. Morphometry of the orbit from the adult dry skull of the central Indian population International Journal of Anatomy and Research 2017, Vol. 5(4.3):ISSN2321-4287.
19. Weaver AA, Loftis KI, Tan JC, Duma SM, and Stitzel JD: CT scan-based three-dimensional measurement of orbit and eye anthropometry. IOVS, 2010; 51(10): 4892–7.
20. Jaswinder Kaur et al., Orbital Dimensions: A Direct Measurement Study Using Dry Skulls J. Acad. Indus. Res. Vol. 1(6) November 2012: ISSN: 2278-5213.
21. Howale DS, Jain LK, Iyer K, and Lekharu R; Orbital and nasal indices of the Maharashtra region: a direct measurement study using dry skulls. International Journal of Current Research, 2012, Vol. 4: (8), 158–161.
22. Ebeye O. A., Otikpo O. Orbital Index in Urhobos of Nigeria. IOSR Journal of Dental and Medical Sciences, 2013;8 (2):51–53, Edition. Churchill Livingstone, Elsevier. 2008.
23. Gosavi SN, Jadhav SD, and Zambre BR: A study of orbital morphometry in Indian dry skulls. Asian Journal of Biomedical and Pharmaceutical Sciences, 2014; 4(29):23–25.
24. Nagaraj S., Gayatri N., and Anil. R. Sherke. Orbital morphology of the Telangana Region: A direct measurement study. International Journal of Anatomy and Research 2017; 5(1):3354–57. ISSN 2321-428 DOI: https://dx.doi.org/10.16965/ijar.2016.475.
25. Jagriti et al. Morphometry of the orbit from the adult dry skull of the central Indian population International Journal of Anatomy and Research 2017, Vol. 5(4.3):ISSN2321-4287.
26. Munguti J, Mandela P, and Butt F refer to orbital measures for surgical and cosmetic procedures. Ant J of Africa, 2012; 1(1): 40–45.
27. Ukoha, U., Egwu, O.A., Okafor, IJ.,Ogugua, PC., Onwudinjo, O., and Udemezue, OO. (2011). Orbital dimensions of adult male Nigerians: a direct measurement study using dry skulls. International Journal of Biological and Medical Research, 2(3), pp. 688–690.
28. Girish V. Patil, Shishirkumar, Thejeswari, Apoorva D., Javed Sharif, C. Sheshgiri, and Sushanth N.K. 5: Study of Orbital Index in Human Dry Skulls of South Indian Origin. International Journal of Health Sciences & Research (www.ijhsr.org) Vol. 4; Issue: 9; September 2014; 125–128.
29. Kumar, A., and Nagar, M. (2014). Morphometry of the orbital region: “Beauty is bought by the judgment of the eyes." International Journal of Anatomy Research, 2(3), pp. 566-70.
30. Fetouh FA, Mandour D: Morphometric analysis of the orbit in adult Egyptian skulls and its surgical relevance. Eur. J. Anat, 2014; 18 (4):303-315.
31. Mekala D., Shubha R., and Rohini Devi M.: Orbital dimension and orbital index: A measurement on South Indian dry skulls. International J. Anat. Res. 2015, Vol. 3(3):1387-91. ISSN 2321-4287.
32. Maharana SS, Agrawal RK. Variations in the dimensions of the orbit in the adult human skull (a dry bone study). International Journal of Recent Biotechnology 2015; 3: 20–2.
33. Narasinga Rao B. and Pramila Padmini M. A Study of Orbital Index in Dry Skulls of North Coastal Andhra Pradesh, International Journal of Basic and Applied Medical Sciences, ISSN: 2277-2103; 2015, Vol. 5 (2), May-August, 1–3.
34. Navneet Lal et al., “Orbital indices in a modern Sinhalese Sri Lankan population” Accepted: November 25, 2016; doi:10.2399/ana.16.045.