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蝶筛骨管和翼突孔。

The sphenopterygoid canal and pterygoid foramen.

机构信息

Division of Anatomy, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, 020021, Romania.

出版信息

Surg Radiol Anat. 2024 May;46(5):645-648. doi: 10.1007/s00276-024-03353-6. Epub 2024 Apr 2.

DOI:10.1007/s00276-024-03353-6
PMID:38565674
Abstract

BACKGROUND

In human anatomy, there are well-known the foramina of the greater sphenoidal wing, the foramen rotundum, the foramen ovale, the foramen spinosum, as well as the inconstant sphenoidal emissary foramen of Vesalius and the foramen of Arnold. Different canals are found in several species of rodents, such as the alisphenoid and sphenopterygoid (SPC) canals.

METHOD

It was re-explored an archived computed tomography angiogram of a 60 y.o. female case.

RESULTS

Bilateral superior recesses of the pterygoid fossae (SRPF) and a right SPC were found. The SRPF on each side penetrated the non-lamellar pterygoid root and superiorly reached the sphenoidal sinus wall. Upper fibres of medial pterygoid muscles were inserted into each SRPF. An unexpected SPC was found on the right side. It opened superiorly on the lateral side of the foramen rotundum and inferiorly at a pterygoid foramen in the superior end of the posterior margin of the lateral pterygoid plate. A sphenoidal emissary vein traversed that SPC to drain into the pterygoid plexus.

CONCLUSION

The SRPF and SPC could also be found in humans. As the sphenoidal emissary veins are surgically relevant, they should not be further regarded as exclusively crossing the foramen of Vesalius but also the SPC.

摘要

背景

在人体解剖学中,已知有较大蝶骨翼的孔、圆孔、卵圆孔、棘孔,以及 Vesalius 不定的蝶骨导血管孔和 Arnold 孔。在几种啮齿动物中发现了不同的管道,如翼腭管和蝶腭管。

方法

重新探索了一位 60 岁女性存档的 CT 血管造影。

结果

发现双侧翼突窝的上隐窝(SRPF)和右侧 SPC。每侧的 SRPF 穿透非板层翼突根,并向上到达蝶窦壁。翼内肌的内侧纤维插入每个 SRPF。在右侧发现了一个意外的 SPC。它在圆孔的外侧上方开口,在外侧翼突板后缘的上端的翼突孔下方开口。一条蝶骨导静脉穿过该 SPC 流入翼丛。

结论

SRPF 和 SPC 也可能在人类中发现。由于蝶骨导静脉在手术中具有相关性,因此不应再将其视为仅穿过 Vesalius 孔,还应穿过 SPC。

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本文引用的文献

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The sphenoidal emissary foramina prevalence: a meta-analysis of 6,369 subjects.蝶骨导静脉孔出现率的荟萃分析:6369 例样本研究
Surg Radiol Anat. 2023 Jan;45(1):43-53. doi: 10.1007/s00276-022-03051-1. Epub 2022 Dec 6.
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A giant foramen of Vesalius: case report.巨大维萨里孔:病例报告
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The sphenoidal emissary foramen and the emissary vein: Anatomy and clinical relevance.蝶骨导静脉孔和导静脉:解剖学及临床意义。
卵圆孔形态及其与翼突外侧板的关系:一种新分类系统的提议
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The size of the foramen ovale regarding to the presence and absence of the emissary sphenoidal foramen: is there any relationship between them?关于蝶导静脉孔的有无,卵圆孔的大小:它们之间存在关系吗?
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