Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.
Oral and Maxillofacial Radiology, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, Hong Kong, SAR, China.
Surg Radiol Anat. 2020 Jul;42(7):817-821. doi: 10.1007/s00276-020-02428-4. Epub 2020 Feb 10.
The anterior maxilla is characterized by the nasopalatine canal that originates bilaterally from the anterior nasal floor, subsequently fuses, and terminates at the incisive foramen in the anterior palate. Embryologically, this structure forms within the primary palate, and contains the neurovascular bundle, but also continuous epithelialized bands. The latter, termed nasopalatine ducts, usually degenerate and/or obliterate before birth. However, in some individuals, the ducts may remain partially or completely patent. The present case report describes for the first time in the literature a rare finding of air inclusions within the anatomical area of the nasopalatine canal indicating the presence of a nasopalatine duct as visualized with cone beam computed tomography. The patient was asymptomatic and the radiographic findings were seen incidentally. An endoscopic inspection of the anterior nasal cavities confirmed the presence of the nasal openings of the partially patent nasopalatine ducts.
上颌前部的特征是鼻腭管,它从双侧前鼻底起源,随后融合,并在前腭部的切牙孔处终止。胚胎学上,该结构在前腭形成,包含神经血管束,但也有连续的上皮化带。后者称为鼻腭管,通常在出生前退化和/或闭塞。然而,在一些个体中,导管可能部分或完全保持通畅。本病例报告首次在文献中描述了一个罕见的发现,即在鼻腭管的解剖区域内存在空气包含物,表明存在鼻腭管,这是通过锥形束计算机断层扫描观察到的。患者无症状,放射学发现为偶然发现。对前鼻腔的内镜检查证实了部分通畅的鼻腭管鼻内开口的存在。