卵圆孔形态及其与侧翼突板的关系:提出一种新的分类系统。

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
George Triantafyllou, Panagiotis Papadopoulos-Manolarakis, Sabino Luzzi, Łukasz Olewnik, George Tsakotos, Nicol Zielinska, Renato Galzio, Rǎzvan Costin Tudose, Mugurel Constantin Rusu, Maria Piagkou
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引用次数: 0

摘要

外科医生经常通过颞下窝(ITF)入路卵圆孔(FO)来治疗三叉神经痛。然而,由于解剖因素,这种经皮手术可能不成功。本研究旨在评估FO形态及其与侧翼突板(LPPP)的关系,强调共存的ITF变异。在ITF (FO和LPPP)上对108个(216侧)成人干颅骨进行了评估。计算FO最大正、外侧距离(APD和LMD)并与FO形态相关。观察FO-LPPP关系,记录蝶窦代谢孔(SEF)的存在和可能骨化的蝶骨韧带变异(翼状目标骨和翼状脊柱- pta和PTS可变骨化)。采用SPSS统计程序进行统计分析。考虑到FO形态学,将其分为三种类型。当APD大于LMD 2倍时为1型FO(45.83%),当APD大于LMD但不超过2倍时为2型FO(51.85%),当APD和LMD相等时为3型FO(2.32%)。FO与LPPP的关系可分为4种类型:LPPP基基止于FO中心为直接型(32.3%),LPPP基基止于FO外侧缘为外侧型(28.76%),LPPP基基止于FO远端为远型(22.57%),LPPP基基止于FO内侧缘为内侧型(11.95%)。关于蝶骨变异对FO-LPPP的影响,SEF不改变FO-LPPP关系,而PTA或PTS棒的存在显著影响FO-LPPP关系(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foramen ovale morphology and relationship with the lateral pterygoid process plate: proposal for a new classification system

Surgeons frequently approach the foramen ovale (FO) via the infratemporal fossa (ITF) to treat trigeminal neuralgia. However, this percutaneous procedure could be unsuccessful due to anatomical factors. The present study aimed to assess the FO morphology and its relationship with the lateral pterygoid process plate (LPPP), emphasizing coexisting ITF variants. One-hundred-and-eight (216 sides) adult dried skulls were evaluated at the ITF (FO and LPPP). The FO maximum anteroposterior and lateromedial distances (APD and LMD) were calculated and correlated with the FO morphology. The FO-LPPP relationship was observed, and the presence of a sphenoidal emissary foramen (SEF) and possible ossified sphenoid bone’s ligaments variants (pterygoalar and pterygospinous—PTA and PTS variable ossification) were recorded. Statistical analysis was performed using the SPSS statistical program. The FO morphology was classified into three types after taking into consideration the FO morphometry. Type 1 FO was considered when the APD was two times more than the LMD (45.83%), Type 2 FO was identified when the APD was more than the LMD but no more than two times (51.85%), and Type 3 FO was considered when the APD and LMD were equal (2.32%). The FO and LPPP relationships were classified into the following four types: the direct type when the LPPP base ended at the FO center (32.3%), the lateral type was observed when the LPPP base ended at the FO lateral margin (28.76%), the far type was considered when the LPPP base ended distally to the FO (22.57%), and the medial type was when the LPPP base ended at the FO medial margin (11.95% of cases). Concerning the impact of the sphenoid bone variants on the FO-LPPP, the SEF did not alter the FO-LPPP relationship, while the PTA or PTS bar presence significantly affected it (p < 0.001 and p = 0.007, respectively). When the sphenoid bone ossified bars were present, the most common type of FO was the medial one. A novel classification system was proposed for the FO morphology, assessing possible coexisting ITF variants that could alter the FO-LPPP relationship. Knowledge of these details would help clinicians perform percutaneous procedures to treat trigeminal neuralgia.

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来源期刊
Anatomical Science International
Anatomical Science International 医学-解剖学与形态学
CiteScore
2.80
自引率
8.30%
发文量
50
审稿时长
>12 weeks
期刊介绍: The official English journal of the Japanese Association of Anatomists, Anatomical Science International (formerly titled Kaibogaku Zasshi) publishes original research articles dealing with morphological sciences. Coverage in the journal includes molecular, cellular, histological and gross anatomical studies on humans and on normal and experimental animals, as well as functional morphological, biochemical, physiological and behavioral studies if they include morphological analysis.
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