Computed Tomographic Dimensions of the Normal Lacrimal Gland in Adult Thai Population: Any Differences from other Ethnicities?
DOI:
https://doi.org/10.14456/2022030104Keywords:
Lacrimal gland, LG, Dimension, Size, Computed tomographyAbstract
Objective: To establish diameters of normal lacrimal gland (LG) on computed tomography (CT) in the Thai population and to compare the results with other ethnicities.
Methods: There were 616 CT images of LGs (308 patients). The maximal dimension of length and width of LGs in Thai adults were measured on axial and coronal orbital CT in patients who were free of orbital disorders. The LG sizes were summarized by using descriptive statistics and analyzed in terms of age, gender and laterality. Comparison between Thai LGs size and other ethnicities from previous literatures were performed.
Results: The mean axial lengths in the right and left LG were 12.61 ± 3.04 mm and 12.31 ± 2.94 mm. Coronal lengths of the right and left LG were 13.38 ± 3.60 mm and 13.51 ± 3.70 mm. Axial widths in the right and left LG averaged 4.30 ± 2.50 mm and 4.25 ± 1.26 mm. Coronal widths in the right and left LG were 4.03 ± 1.42 mm and 4.11 ± 2.40 mm. There was no significant difference in LG size between both sides and genders except for AL which was significantly longer in males. A significant inverse linear relationship was observed between gland size and age. Thai LGs were significantly shorter to those of other ethnicities in some dimensions.
Conclusions: Diameters of normal LGs in the adult Thai population showed significantly different from those of other ethnicities in some dimensions. Knowledge of the normal LG dimensions for a given patient’s ethnicity could be helpful in diagnosis.
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References
Cunnane M, Sepahdari A, Gardiner M, Mafee M. Pathology of the eye and orbit. Head and neck imaging. 2011;5:591-756.
Rabinowitz MP, Halfpenny CP, Bedrossian Jr EH. The frequency of granulomatous lacrimal gland inflammation as a cause of lacrimal gland enlargement in patients without a diagnosis of systemic sarcoidosis. Orbit. 2013;32(3):151-155.
Hughes GK, Miszkiel KA, editors. Imaging of the lacrimal gland. Seminars in Ultrasound, CT and MRI; 2006: Elsevier.
Izumi M, Eguchi K, Uetani M, et al. MR features of the lacrimal gland in Sjögren’s syndrome. AJR American journal of roentgenology.1998;170(6):1661-1666.
Barbosa AP, Oliveira FRd, Rocha FJd, Muglia VF, Rocha EM. Lacrimal gland atrophy and dry eye related to isotretinoin, androgen, and prolactin: differential diagnosis for Sjögren’s syndrome. Arquivos Brasileiros de Oftalmologia.2021;84:78-82.
Harris MA, Realini T, Hogg JP, Sivak-Callcott JA. CT dimensions of the lacrimal gland in Graves orbitopathy. Ophthalmic Plastic & Reconstructive Surgery. 2012;28(1):69-72.
Ferreira TA, Saraiva P, Genders S, Buchem M, Luyten G, Beenakker J. CT and MR imaging of orbital inflammation. Neuroradiology. 2018;60(12):1253-1266.
Tamboli DA, Harris MA, Hogg JP, Realini T, Sivak-Callcott JA. Computed tomography dimensions of the lacrimal gland in normal Caucasian orbits. Ophthalmic Plastic & Reconstructive Surgery. 2011;27(6):453-456.
Lee JS, Lee H, Kim JW, Chang M, Park M, Baek S. Computed tomographic dimensions of the lacrimal gland in healthy orbits. Journal of Craniofacial Surgery. 2013;24(3):712-715.
Bingham CM, Castro A, Realini T, Nguyen J, Hogg JP, Sivak-Callcott JA. Calculated CT volumes of lacrimal glands in normal Caucasian orbits. Ophthalmic Plastic & Reconstructive Surgery. 2013;29(3):157-159.
Bukhari AA, Basheer NA, Joharjy HI. Age, gender, and interracial variability of normal lacrimal gland volume using MRI. Ophthalmic Plastic & Reconstructive Surgery. 2014;30(5):388-391.
Bulbul E, Yazici A, Yanik B, Yazici H, Demirpolat G. Evaluation of lacrimal gland dimensions and volume in Turkish population with computed tomography. Journal of Clinical and Diagnostic Research: JCDR. 2016;10(2):6.
Nawaz S, Lal S, Butt R, Ali M, Shahani B, Dadlani A. Computed tomography evaluation of normal lacrimal gland dimensions in the
adult Pakistani population. Cureus. 2020;12(3).
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977:159-174.
Voyatzis G, Chandrasekharan L, Francis I, Malhotra R. The importance of clinicians reviewing CT scans in suspected lacrimal gland disease causing eyelid swelling, even if radiologists previously interpreted them as normal. The Open Ophthalmology Journal. 2009;3:26.
Jung WS, Ahn KJ, Park MR, et al. The radiological spectrum of orbital pathologies that involve the lacrimal gland and the lacrimal fossa. Korean Journal of Radiology. 2007;8(4):336-342.
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