The sella turcica (

Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...

for 'Turkish saddle') is a

saddle A saddle is a supportive structure for a rider of an animal, fastened to an animal's back by a girth. The most common type is equestrian. However, specialized saddles have been created for oxen, camels and other animals. It is not know ...

-shaped depression in the body of the

sphenoid bone The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bon ...

of the

human skull The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominen ...

and of the

skull The skull, or cranium, is typically a bony enclosure around the brain of a vertebrate. In some fish, and amphibians, the skull is of cartilage. The skull is at the head end of the vertebrate. In the human, the skull comprises two prominent ...

s of other

hominid The Hominidae (), whose members are known as the great apes or hominids (), are a taxonomic family of primates that includes eight extant species in four genera: '' Pongo'' (the Bornean, Sumatran and Tapanuli orangutan); '' Gorilla'' (the ...

s including

chimpanzee The chimpanzee (; ''Pan troglodytes''), also simply known as the chimp, is a species of Hominidae, great ape native to the forests and savannahs of tropical Africa. It has four confirmed subspecies and a fifth proposed one. When its close rel ...

gorilla Gorillas are primarily herbivorous, terrestrial great apes that inhabit the tropical forests of equatorial Africa. The genus ''Gorilla'' is divided into two species: the eastern gorilla and the western gorilla, and either four or five su ...

s and

orangutan Orangutans are great apes native to the rainforests of Indonesia and Malaysia. They are now found only in parts of Borneo and Sumatra, but during the Pleistocene they ranged throughout Southeast Asia and South China. Classified in the genus ...

s. It serves as a cephalometric landmark. The

pituitary gland The pituitary gland or hypophysis is an endocrine gland in vertebrates. In humans, the pituitary gland is located at the base of the human brain, brain, protruding off the bottom of the hypothalamus. The pituitary gland and the hypothalamus contr ...

or hypophysis is located within the most inferior aspect of the sella turcica, the hypophyseal fossa.

Structure

The sella turcica is located in the sphenoid bone behind the chiasmatic groove and the tuberculum sellae. It belongs to the

middle cranial fossa The middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull ...

. The sella turcica's most inferior portion is known as the hypophyseal fossa (the "seat of the saddle"), and contains the

(hypophysis). In front of the hypophyseal fossa is the tuberculum sellae. Completing the formation of the saddle posteriorly is the dorsum sellae, which is continuous with the clivus, inferoposteriorly. The dorsum sellae is terminated laterally by the

posterior clinoid processes The posterior clinoid processes are the tubercles of the sphenoid bone situated at the superior angles of the dorsum sellae (one on each angle) which represents the posterior boundary of the sella turcica. They vary considerably in size and form. ...

Development

It is widely believed that the development of the diaphragma sellae is a factor which determines the morphology of the sella turcica and its contents.

Function

The sella turcica forms a bony seat for the

Clinical significance

Empty sella syndrome is the condition of a shrunken or flattened pituitary gland. Since the sella turcica forms a bony caudal border for the pituitary gland, a pituitary tumor usually extends upward in the

rostral Rostral may refer to: Anatomy * Rostral (anatomical term), situated toward the oral or nasal region * Rostral bone, in ceratopsian dinosaurs * Rostral organ, of certain fish * Rostral scale The rostral scale, or rostral, in snakes and other sca ...

direction into the suprasellar region. This can result in compression of the

optic chiasm In neuroanatomy, the optic chiasm, or optic chiasma (; , ), is the part of the brain where the optic nerves cross. It is located at the bottom of the brain immediately inferior to the hypothalamus. The optic chiasm is found in all vertebrates, ...

, which lies on top of the pituitary, enveloping the

pituitary stalk The pituitary stalk, also known as the infundibular stalk, infundibulum, or Fenderson's funnel, is the connection between the hypothalamus and the posterior pituitary, the posterior lobe of the pituitary gland. The floor of the third ventricle is ...

. Compression of the optic chiasm can lead to

bitemporal hemianopsia Bitemporal hemianopsia is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field. It is usually associated with lesions of the optic chiasm, the area where the opt ...

, and, when there is no relevant trauma, this clinical finding is

pathognomonic Pathognomonic (synonym ''pathognomic'') is a term, often used in medicine, that means "characteristic for a particular disease". A pathognomonic sign is a particular sign whose presence means that a particular disease is present beyond any doubt. ...

for a pituitary tumor. Some pituitary adenomas can extend inferiorly, growing downward and invading the sphenoid bone and cavernous sinus. Large adenomas can cause remodeling of the underlying sphenoid bone altering the shape of the sella turcica. Sella turcica is also usually used as a reference point with

nasion The nasion () is the most anterior point of the frontonasal suture that joins the nasal part of the frontal bone and the nasal bones. It marks the midpoint at the intersection of the frontonasal suture with the internasal suture joining the na ...

to establish the base of the skull in

cephalometric analysis Cephalometric analysis is the clinical application of cephalometry. It is analysis of the dental and skeletal relationships of a human skull. It is frequently used by dentists, orthodontists, and oral and maxillofacial surgeons as a treatment ...

. This is commonly done prior to orthodontic treatment. Proffit, William R. Contemporary Orthodontics, 4th Edition. C.V. Mosby, 122006. 6.5.2.1). vbk:978-0-323-04046-4#outline(6.5.2.1)

Etymology

''Sella turcica'' is from the

words ''sella'', meaning seat or saddle, and ''turcica'', meaning Turkish.

Additional images

File:Sella turcica - animation03.gif,

Human Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...

skull seen from side (

parietal bone The parietal bones ( ) are two bones in the skull which, when joined at a fibrous joint known as a cranial suture, form the sides and roof of the neurocranium. In humans, each bone is roughly quadrilateral in form, and has two surfaces, four bord ...

s and

temporal bone The temporal bone is a paired bone situated at the sides and base of the skull, lateral to the temporal lobe of the cerebral cortex. The temporal bones are overlaid by the sides of the head known as the temples where four of the cranial bone ...

s have been removed). Sella turcica shown in red. File:Hypophysial fossa01.png, Hypophysial fossa shown in red. File:Sella turcica - animation02.gif,

Sphenoid bone The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of occipital bone, basilar part of the occipital bone. The sphenoid bone is one of the seven bon ...

seen from above. Sella turcica shown in red. File:Base of skull 8.jpg, Base of skull - Sella turcica, tuberculum sellae and hypophyseal fossa

References

External links

Image at Indiana.edu
{{Authority control Bones of the head and neck