Role of mastoid process in determination of sex

 

Thejeswar. E.P, Dr. M.S. Thenmozhi

Department of Anatomy, Saveetha Dental College and Hospitals, Chennai.

*Corresponding Author E-mail: thejeswar24@gmail.com

 

ABSTRACT:

The aim of this research is to evaluate mastoid process using human skull for determination of sex. The main purpose of this research is the ability to examine and determine the sex for unidentified using mastoid process.50 male and 50 female undamaged skulls were examined. The parameters like mastoid process size and index were examined. Usually mastoid process is larger in males than in females. But mastoid process index is more in female than in male. This the basic concept for identification. Discriminant function analysis revealed that mastoid process correctly classified the sex in 90 percent of the subjects and mastoid length was found to be the best determinant for sex. A discriminant function equation specific for the present study skeletal population has also been derived from the variables. Intensive insulin therapy has proven effective to delay and sometimes prevent the progression of complications such as nephropathy, neuropathy or retinopathy. However, it is difficult to achieve and maintain long term in most subjects, either for compliance issues or for the increased risk of severe hypoglycaemic episodes,  With these antecedents, the purpose of this study is to determine the existence of sexual dimorphism in the dimensions and the area of the mastoid triangle, measured directly in the skull, by means of statistical and discriminant function analysis.

 

KEYWORDS: Mastoid process, determination of sex , porion , heron’s formula, asterion.

 

 


INTRODUCTION:

Determination of sex is important for identification of human. Mastoid process plays a major role in determination of sex. In legal matters individual can be identified either living or dead. The  anatomical  and  medical  features  plays a major aspects  to  establish  the  identity. The establishment  of  identity  is  required  from  fresh  intact corpses, decomposed  corpses,  mutilated  and dismembered  corpses  or  skeletalised  material. [1] In  living, identification  is  possible  with  absolute  fixation  of  the individuality  but  in  case  of  advanced  decomposed, mutilated  or  skeletalised  body  it  is  difficult  to establish  the  identity  of  the  dead  body  either  partially or completely, in such cases mastoid process helps in identification. Bass says  that  the  skull  is  probably  the  second  best  region  of  skeleton  to  determine  the  sex. The  studies of  the  dimorphism  of   mastoid  process  shows that between  the  sexes by the   use  of  its  measurement , the mastoid process is larger in the male than In female.[2]  

 

In  living, identification  is  possible  with  absolute  fixation  of  the individuality  but  in  case  of  advanced  decomposed, mutilated  or  skeletalised  body  it  is  difficult  to establish  the  identity  of  the  dead  body  either  partially or completely. In such circumstances  the identification  of  human  skeletal  remains  a  critical issue.  In present  forensic  scenario,  skeletal bones helps in identification of an individual.. In such case pelvis  is  considered  the  best  bone  to  determine  the sex  of  an  individual.[3]  but in the absence of pelvis, mastoid process widely  considered  the  best  for determination  of  sex. Mastoid process is ideally  bigger in males due to larger muscles that inserted into the mastoid process in males. This study helps to achieve  an ideal idea for sexual dimorphism of mastoid process. Mastoid is Generally less prone to damage due to its safe anatomical position. Mastoid region is one of the slow and late growing regions In cranium[4]. Hence this region is considered as an important to identify and asses otseometric bases. The  technique  is  based  on  the  triangular  area calculation  obtained  between  the  points  porion, mastoidale  and  asterion,  measured  from dry  skulls.[5]. The main objective of this study is to evaluate the mastoid process for different sex of an individual's and signify the use of statistical approach in estimation of sex using  human skulls.

 

MATERIALS AND METHODS:

50 dry skulls  of  known  sex,  50 male  and  50  female, from  the  department   of  anatomy  of kilpauk   medical  college, Chennai  were  analysed  for  the present  study  after  taking  approval  of Saveetha Dental College and Hospitals and  written  permission  from  the  concerned department.  Adult  skulls  of  mature individuals,  more than 18 years, without  any damage on the mastoid  bone,  were  chosen  for  the  study.  The skulls  that  present  evidence  of  injury or Any fracture  or deformity  were  excluded  from  this  study.  All  the skulls  were  confirmed  of  the  individual  of  native  of  south India. The measurements are according to three  points  on  the  mastoid  portion  on  either  side, porion  [upper  most  lateral  point  of  external  acoustic meatus],  Mastoidale  [the  most  inferior  point  of mastoid  process],  Asterion     [the  meeting  point  of three posterior skull sutures]  were  selected for measurements.  These  craniometrical  points  were marked.  A  triangle  was drawn  using  these  three  points  on  dry skull on  both  sides.   The points Porion,  asterion  and  mastoidale  were shortly marked as  PO,  AS  and  MA  respectively. Measurements  of  the  dimensions  of  the  mastoid tiangle  were  taken  using  vernier caliper.  The calculation was done using heron’s formula. i.e  The  area  (mm2)  of  the  demarcated  triangle  for  each side  of  the  skull  (right  (R)  and  left  (L)  sides)  was determined  by  Heron’s  formula.[6]  and  the  total  value (T)  of  these  measures  of  both  sides  was  calculated  as per  method  described  by  De  Paiva  and  Segre[7], Helmuth[8], Demoulin[9].Similar to Kemkes and Gobel, lineal measures were directly carried out using a digital caliper (0.01 mm).  The mastoid triangle area was calculated by means of the Herón formula.

 

 


 

Fig:1.1 Mastoid triangle

 

Fig.1.2 PO-AS    

 

Fig.1.3 MA-AS

 

Fig.1.4 PO-MA    

 

 

Male  and  female  right  and  left  side measurements

GROUP

NUMBER

MEAN

SD

Male right

50

654.13

67.43

Male left

50

651.73

63.54

Female right

50

582.35

87.43

Female left

50

586.86

82.86

 

 

Fig.1.5 area of male mastoid triangle

 

Fig.1.6 Area of male mastoid triangle

 

Fig.1.7 Area of female mastoid triangle

 

Fig.1.8 Area of female mastoid triangle

 

 


DISCUSSION:

The analysis of the mastoid process characteristics is important in the determination of sex for forensic purposes. The differences of mastoid are unique to each population and thought to be influenced by genetic, environmental and socio-economic factor. This study analyzes the dimensions of the denominated mastoid triangle, defined according to that described by DePaiva and Segre, but measured directly on the skulls. The findings shows mastoid process is larger in male and smaller in female. But there are few differences as marked in by DePaiva and Segre in their original article.[5] This is because When supplementing the method with the discriminant function analysis, we find poor discriminant potential of the lineal dimensions used. It is necessary to keep in mind that in the original method of DePaiva and Segre, one obtains the lineal dimensions based on a plane image by means of a xerographic copy of a structure of certain convexity (skulls), which diminishes the distance between the points.[7] Measures obtained with a caliper are also linear measuring a bowstring. we conclude that the lineal dimensions and the area of the mastoid triangle. Thus, the discriminant function equation is unique to skulls of the present study population.

 

RESULTS:

In all the  analysed skulls, all of the lineal dimensions and the calculated areas where higher in males than in females. This data when put to statistical analysis, proved the significant difference with p < 0.01 in all the values calculated in males when compared with that of females.

 

Similarly,  on  comparing  the  male  left  and  female  left side Area  of triangle  in  male  varies  between  -600-700mm in male  and 500-600  mm in female, in majority  of  cases in  my  study. According  to  the  study  by  Paiva  LA    and  Segre 12, male  tringle  area  was  significantly  greater  than female  triangle  area.  Values  calculated  according  to their  study  mean  values  was:  in  female:  570.9  mm2 and  575.1  mm2  in  right  and  left  sides.  In male:  723.9 mm2 and  731.2  mm2  in  right and  left sides.   In  our  study  male  right: 654.13 mm2, male  left: 651.73 mm2,  female  right:  582.35 mm2,  female  left : 586.86 mm2    was  found..

 

Since  this  study  was  based  on  anthropometric  techniques,  it  surpasses  in  importance  the  older  studies  such  as  those  of  Broca  [10] and Martin [11]. It also improves on the criteria reported by Bass, which were based only on descriptive anatomical aspects. Here  in  the  present  study,  by  using  a  measurement  of  the  surface  area,  or  in  other  words,  by  using  the  result  product  between  2 values, our results improve upon those studies by Schultz  [12], Schaefer [13] which used only single measurements. 

 

As  both  the  graph  shows,  when  the  measurement values  are  plotted  in  ascending  order,  the  Heron’s triangle  measurements  are  found  more  in  males  as compared  to  females. This proves that mastoid  dimensions  and  mastoid triangular  area  in  male  are  significantly  larger  than those  of  the  female.

 

CONCLUSION:

This  is  an  attempt  to  validate  the  osteological  criterion  for  sex  determination  based  on  the  mastoid  process.  The proper  identification of  landmarks, careful  measurements and  strict  statistical  methods will  yield reliable  results.The present day study have provided a good idea for sex determination in  individuals using a fragmentary piece of skull bone which is mastoid process. And the calculations using Heron’s formula proves that the mastoid process is bigger in males than in females.

 

REFRENCES:

1.       Pekka  Saukko,  Bernard  Knight,  Knight’s  Forensic  pathology, 3rd  edition,  the  establishment  of  identity  of  human  remains:  9899. 

2.       Bass  WM –  Human  osteology:  a  laboratory and  field  manual  of  the  human  skeleton. Columbia,  David  R.  Evans  Editor,  1971.

3.       Byers  SN,  Introduction  to  forensic  anthropology:  a  textbook,  3rd edition,  2002,pp176-186

4.       Humphrey  LT. Growth  pattern in modern  human  skeleton.  Am  J  Phys  Anthropol  1998;  105:  57–72.

5.       Paiva  LA,  and  Segre  M:  sexing  the  human  skulls  through  the mastoid  process. Rev.  Hosp.  Clin.  Fac.  Med.2003  JanFeb;58(1):15-2

6.       Heron’s formula  triangle  area  calculator.

7.       Paiva  LA,  and  Segre  M:  sexing  the  human  skulls  through  the mastoid  process. Rev.  Hosp.  Clin.  Fac.  Med.2003  JanFeb;58(1):15-20

8.       Helmuth  H,  Einige  Mabe  des  processus  mastoideus  beim menschen  und  seine  bedeutung  für  die  geschlechtsbetimmung. Z Morphol  Anthropology  1968;  60:  75-84.

9.       Demoulin  F,  Importance  de  certaines  mesures  crâniennes  (en particulier  de  la  longueur  sagittale  de  la  mastoide)  dans  la determination  sexuelle  des  crânes.  Bull  et  Mém  de  la  Soc D’Anthropol  1972;  9:  259    64.

10.     Broca  P    Instruction  craniologique.  In:  Dechambre  D.    Dictinaire  encyclopedique  des  sciences  medicales.  Paris,  Asselin/Masson, 1879;  t(22),  p.  642.

11.     Martin    R    Lerbuch  der  anthropologie.  2  Aufl  Bd  1928;  2:737-41  Apud  Hoshi  H,  1962.  p.309.

12.     Schultz  AH    Anthropologische  untersuchungen  na der  schadelbasis.  Arch  Anthrop  1917;  17:  1-103  Apud  Helmuth  H,  1968.  P.75.

13.     Schaefer  U–  Greuzen  und  moglichkeiten  der  anthropologischen  untersuchung  von  leichenbranden.  In:  Bericht  uber  den  Internat Kongrf    Vor  und  Fruhgeschichte,  5.,  Hamburg 1958  apud  Helmuth  H,  1968.  p.  76.

 

 

 

 

 

Received on 20.05.2015                             Modified on 13.06.2015

Accepted on 17.06.2015      ©A&V Publications All right reserved

Res. J. Pharmacology & P’dynamics. 7(2): April- June 2015; Page 76-81

DOI: 10.5958/2321-5836.2015.00016.6