Voljevica Alma, Talović Elvira, Kapur Eldan
Department of Anatomy, Medical Faculty, University in Sarajevo, Čekaluša 90, 71 000 Sarajevo, Bosnia and Herzegovina.
Acta Med Acad. 2024 Dec;53(3):320-327. doi: 10.5644/ama2006-124.459.
The goal of this research was to examine the morphological characteristics and exact anatomical positioning of the greater palatine foramen (GPF), with reference to nearby anatomical landmarks.
The research was performed on dry human skulls belonging to the Bosnian and Herzegovina population, using digital vernier calipers. The study began by noting the GPF's position relative to the maxillary molars, then measuring its distance from the median palatine suture (MPS), the incisive fossa (IF), the posterior border of the hard palate (PBHP), and the posterior nasal spine (PNS). Measurements were conducted bilaterally, and afterwards the data were analyzed using Student's t-test and Chi-squared test. A statistical significance was set at P<0.05.
The statistical analysis revealed that: the distance of the greater palatine foramen (GPF) from the midline is approximately 15.80±1.28 mm on the right side and 15.86±1.19 mm on the left side. The distance of the GPF from the incisive fossa measures about 40.12±2.19 mm on the right side and 40.34±2.08 mm on the left side. The GPF is positioned around 4.00±1.07 mm on the right side and 4.35±1.34 mm on the left side from the posterior border of the hard palate. Lastly, the distance from the GPF to the posterior nasal spine means 17.55±1.99 mm on the right side and 17.61±1.81 mm on the left side in the entire study population. The highest percentage of skulls (73.05%) showed the GPF positioned at the level of the third molar.
The findings of this study further emphasize the variations in the location of the greater palatine foramen and underline the importance of thorough preoperative assessment in patients undergoing maxillofacial surgeries and regional block anesthesia.
本研究的目的是参照附近的解剖标志,检查腭大孔(GPF)的形态特征和确切解剖位置。
本研究使用数字游标卡尺,对属于波斯尼亚和黑塞哥维那人群的干燥人类颅骨进行。研究首先记录GPF相对于上颌磨牙的位置,然后测量其与腭中缝(MPS)、切牙窝(IF)、硬腭后缘(PBHP)和后鼻棘(PNS)的距离。双侧进行测量,之后使用学生t检验和卡方检验对数据进行分析。设定统计学显著性为P<0.05。
统计分析显示:腭大孔(GPF)距中线的距离右侧约为15.80±1.28mm,左侧约为15.86±1.19mm。GPF距切牙窝的距离右侧约为40.12±2.19mm,左侧约为40.34±2.08mm。GPF距硬腭后缘右侧约为4.00±1.07mm,左侧约为4.35±1.34mm。最后,在整个研究人群中,GPF至后鼻棘的距离右侧平均为17.55±1.99mm,左侧平均为17.61±1.81mm。最高比例的颅骨(73.05%)显示GPF位于第三磨牙水平。
本研究结果进一步强调了腭大孔位置的变异,并强调了在接受颌面外科手术和区域阻滞麻醉的患者中进行全面术前评估的重要性。