비과영역과 연관된 절치공 계측에 대한 영상학적 연구
A Radiological Study on Incisive Foramen Measurement Related to Rhinologic Field
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Objectives: Most episodes of the anterior epistaxis are controlled by the anterior pressure methods. If the pressure methods fail, surgical interventions such as vessel cauterization, ligation, and embolization can be recommended. While surgical techniques for the sphenopalatine artery and anterior ethmoidal artery are well- described, the technique for the greater palatine artery (GPA) is not as well-known. The purpose of this study was to describe the incisive foramen, the exit of the GPA, and the surrounding structures using sinus computed tomography (CT ). Materials and Methods: Sinus CT was performed on a total of 233 individuals. Using sagittal images, the distance from the anterior nasal spine to the incisive foramen (DANSIF) and the antero-posterior diameter of the incisive foramen (DIF) were measured. Results: The DANSIF in males (11.63±2.44 mm) was longer than that in females (10.62±2.19 mm), showing significant gender difference (p=0.001). The DIF in males (4.43±1.43 mm) was longer than that in females (4.21±1.34 mm), showing no significant gender difference (p=0.244). The DANSIF and age were negatively correlated (r=–0.318, p<0.001). Conclusion: In Korean adults, the DANSIF and DIF are slightly longer than 10 mm and 4 mm, respectively. Measuring the DANSIF is a useful method for finding the exit of the GPA in the nasal cavity.
Abstract
Background and Objectives: Most episodes of the anterior epistaxis are controlled by the anterior pressure methods. If the pressure methods fail, surgical interventions such as vessel cauterization, ligation, and embolization can be recommended. While surgical techniques for the sphenopalatine artery and anterior ethmoidal artery are well- described, the technique for the greater palatine artery (GPA) is not as well-known. The purpose of this study was to describe the incisive foramen, the exit of the GPA, and the surrounding structures using sinus computed tomography (CT ). Materials and Methods: Sinus CT was performed on a total of 233 individuals. Using sagittal images, the distance from the anterior nasal spine to the incisive foramen (DANSIF) and the antero-posterior diameter of the incisive foramen (DIF) were measured. Results: The DANSIF in males (11.63±2.44 mm) was longer than that in females (10.62±2.19 mm), showing significant gender difference (p=0.001). The DIF in males (4.43±1.43 mm) was longer than that in females (4.21±1.34 mm), showing no significant gender difference (p=0.244). The DANSIF and age were negatively correlated (r=–0.318, p<0.001). Conclusion: In Korean adults, the DANSIF and DIF are slightly longer than 10 mm and 4 mm, respectively. Measuring the DANSIF is a useful method for finding the exit of the GPA in the nasal cavity.
참고문헌 (26)
- Schaitkin B, "Epistaxis : medical versus surgical therapy : a comparison of efficacy, complications, and economic considerations", Laryngoscope, 97(12), pp.1392~1396 (1987)
- Janfaza P, "Surgical anatomy of the head and neck", pp.283~284 (2001), Lippincott, Williams & Wilkins
- Woolford TJ, "Endoscopic ligation of anterior ethmoidal artery in treatment of epistaxis", J Laryngol Otol, 114(11), pp.858~860 (2000)
- Dubel GJ, "Transcatheter embolization in the management of epistaxis", Semin Intervent Radiol, 30(3), pp.249~262 (2013)
- Butrymowicz A, "Endoscopic endonasal greater palatine artery cauterization at the incisive foramen for control of anterior epistaxis", Laryngoscope, 126(5), pp.1033~1038 (2016)
- Moreau S, "Supraselective embolization in intractable epistaxis : review of 45 cases", Laryngoscope, 108(6), pp.887~888 (1998)
- Bradley Strong E, "Intractable epistaxis : transantral ligation vs. embolization : efficacy review and cost analysis", Otolaryngol Head Neck Surg, 113(6), pp.674~678 (1995)
- Rudmik L, "Management of intractable spontaneous epistaxis", Am J Rhinol Allergy, 26(1), pp.55~60 (2012)
- Alobid I, "Endoscopic"racket-on-donut"technique for large anterior nasoseptal perforations", Laryngoscope, 134(1), pp.143~147 (2023)
- Mariño-Sánchez F, "Technique to repair a septal perforation endoscopically with a greater palatine artery pedicled flap", Facial Plast Surg Aesthet Med, 22(4), pp.301~303 (2020)
- Santamaría-Gadea A, "Greater palatine artery pedicled flap for nasal septal perforation repair : radiological study and case series", Eur Arch Otorhinolaryngol, 278(6), pp.2115~2121 (2021)
- Arana-Fernández B, "Oroantral fistula closure using double-layered flap : greater palatine artery flap and buccal fat pad", Laryngoscope, 133(8), pp.1824~1827 (2023)
- Tözüm TF, "Evaluation of maxillary incisive canal characteristics related to dental implant treatment with computerized tomography : a clinical multicenter study", J Periodontol, 83(3), pp.337~343 (2012)
- Hwang HS, "Ethnic differences in the soft tissue profile of Korean and European-American adults with normal occlusions and well-balanced faces", Angle Orthod, 72(1), pp.72~80 (2002)
- Wen YF, "Inter-ethnic", racial facial variations : a systematic review and bayesian meta-analysis of photogrammetric studies, 2015, pp.10(8), e0134525~
- Rhee SC, "Differences between Caucasian and Asian attractive faces", Skin Res Technol, 24(1), pp.73~79 (2018)
- Soumya P, "Maxillary incisive canal characteristics : a radiographic study using cone beam computerized tomography", Radiol Res Pract, 2019(1), pp.6151253~ (2019)
- Kim GT, "A study of incisive canal using a cone beam computed tomography", Korean J Oral Maxillofac Radiol, 34(1), pp.7~12 (2004)
- Kim SJ, "Anatomic study of the incisive canal in relation to midpalatal placement of mini-implant", Korean J Orthod, 39(3), pp.146~158 (2009)
- Bodin I, "Cysts of the nasopalatine duct", Int J Oral Maxillofac Surg, 15(6), pp.696~706 (1986)
- Pessa JE, "The effect of skeletal remodeling on the nasal profile : considerations for rhinoplasty in the older patient", Aesthetic Plast Surg, 23(4), pp.239~242 (1999)
- Castelnuovo P, "Anterior ethmoidal artery septal flap for the management of septal perforation", Arch Facial Plast Surg, 13(6), pp.411~414 (2011)
- Santamaría-Gadea A, "Extended anterior ethmoidal artery flap : novel endoscopic technique for large septal perforation", Laryngoscope, 132(2), pp.298~300 (2022)
- Parvini P, "Decision-making in closure of oroantral communication and fistula", Int J Implant Dent, 5(1), pp.13~ (2019)
- Kim MK, "The use of the buccal fat pad flap for oral reconstruction", Maxillofac Plast Reconstr Surg, 39(1), pp.5~ (2017)
- Candamourty R, "Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap", J Nat Sci Biol Med, 3(2), pp.203~205 (2012)