본문 바로가기
KERD
논문KCI 등재

The positional relationship between the pterygospinous ligament and surrounding neurovascular structures

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

The complex anatomical relationship between the pterygospinous ligament and neighboring neurovascular structures within the infratemporal fossa has significant clinical relevance. Twenty embalmed Korean cadaveric hemi-sectioned head specimens underwent systematic dissections to expose the infratemporal fossa structures. Seventeen instances of the pterygospinous ligament were observed (85%), with incomplete ossification in three instances. Complete ossification resulting in the pterygospinous foramen was not observed. Neurovascular structures were laterally positioned in 88.2% and medially in 11.8% of observed sides relative to the ligament. Understanding these spatial associations is pivotal for precise surgical navigation and interventions within this critical region. Varied presentations, notably ossification, demand careful consideration during clinical procedures.

Abstract

The complex anatomical relationship between the pterygospinous ligament and neighboring neurovascular structures within the infratemporal fossa has significant clinical relevance. Twenty embalmed Korean cadaveric hemi-sectioned head specimens underwent systematic dissections to expose the infratemporal fossa structures. Seventeen instances of the pterygospinous ligament were observed (85%), with incomplete ossification in three instances. Complete ossification resulting in the pterygospinous foramen was not observed. Neurovascular structures were laterally positioned in 88.2% and medially in 11.8% of observed sides relative to the ligament. Understanding these spatial associations is pivotal for precise surgical navigation and interventions within this critical region. Varied presentations, notably ossification, demand careful consideration during clinical procedures.

참고문헌 (22)

  1. Krishnaraj Somayaji, "Anatomical and clinical significance of Pterygospinous and Pterygoalar ligaments and bony bars in dentistry", Journal of Oral Research, 8(1), pp.82~90 (2019), Facultad de Odontologia, Universidad de Concepcion[DOI]
  2. Peker T., "The Incidence of Basal Sphenoid Bony Bridges in Dried Crania and Cadavers: Their Anthropological and Clinical Relevance", European Journal of Morphology, 40(3), pp.171~180 (2002), Portico[DOI]
  3. Kavitha Kamath. B, "Anatomical Study of Pterygospinous and Pterygoalar Bar in Human Skulls with their Phylogeny and Clinical Significance", JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2014), JCDR Research and Publications[DOI]
  4. Brandon Michael Henry, "Prevalence, morphology, and morphometry of the pterygospinous bar: a meta-analysis", Surgical and Radiologic Anatomy, 42(5), pp.497~507 (2019), Springer Science and Business Media LLC[DOI]
  5. Neeru Goyal, "An anatomical study of the pterygospinous bar and foramen of Civinini", Surgical and Radiologic Anatomy, 38(8), pp.931~936 (2016), Springer Science and Business Media LLC[DOI]
  6. Das S, "Ossified pterygospinous ligament and its clinical implications", Bratisl Lekárske List, 108, pp.141~143 (2007)
  7. Rosa RR, "Radiographic study of ossification of the pterygospinous and pterygoalar ligaments by the Hirtz axial technique", Acta Odontológica Latinoam AOL, 23, pp.63~67 (2010)
  8. Bindu Aggarwal, "Ossified Ligaments of the Skull", Journal of Anatomical Society of India, 61(1), pp.37~40 (2012), Medknow[DOI]
  9. Maria Antonopoulou, "An anatomical study of the pterygospinous and pterygoalar bars and foramina – their clinical relevance", Journal of Cranio-Maxillofacial Surgery, 36(2), pp.104~108 (2008), Elsevier BV[DOI]
  10. R. Shane Tubbs, "OSSIFICATION OF LIGAMENTS NEAR THE FORAMEN OVALE", Operative Neurosurgery, 65(6), pp.ons60~ons64 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
  11. R Sharmila Saran, "Foramen of Civinini: A New Anatomical Guide for Maxillofacial Surgeons", JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2013), JCDR Research and Publications[DOI]
  12. J. P. Shaw, "Pterygospinous and pterygoalar foramina: A role in the etiology of trigeminal neuralgia?", Clinical Anatomy, 6(3), pp.173~178 (1993), Wiley[DOI]
  13. Elmar T. Peuker, "Entrapment of the lingual nerve due to an ossified pterygospinous ligament", Clinical Anatomy, 14(4), pp.282~284 (2001), Wiley[DOI]
  14. Chouke KS, "The ptergoalar bar and its recognition by roentgen methods in trigeminal neuralgia", Am J Roentgenol Radium Ther, 65, pp.180~182 (1951)
  15. Standring S, "Gray’s Anatomy. The Anatomical Basis of Clinical Practice", pp.521~ (2005), Elsevier Churchill Livingstone
  16. Wood Jones F, "The nonmetrical morphological characters of skull as criteria for racial diagnosis", Journal of Anatomy, 65, pp.179~195 (1931)
  17. 류솔지, "Incidence of pterygospinous and pterygoalar bridges in dried skulls of Koreans", Anatomy and Cell Biology, 49(2), pp.143~150 (2016), 대한해부학회
  18. Chakravarthi KK, "Abnormal bone outgrowths and osseous structures around the foramen ovale may lead to mandibular compression or entrapment neuropathy", Int J Bioassays, 2, pp.922~925 (2013)
  19. Galdames IS, "Anatomical study of the pterygospinous and pterygoalar bony bridges and foramens in dried crania and its clinical relevance", Int J Morphol, 28, pp.405~408 (2010)
  20. RakeshKumar Verma, "Civinini bar : incidence in North Indians and its clinical relevance", National Journal of Clinical Anatomy, 2(3), pp.128~ (2013), Medknow[DOI]
  21. Skrzat J, "An atypical position of the foramen ovale", Folia Morphol, 65, pp.396~399 (2006)
  22. Shinde VS, "A study on an ossified pterygospinous ligament", J Clin Diagn Res, 5, pp.978~979 (2011)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (11건)