Atadağ Ali, Cihan Ömer Faruk, Artaş Aslıhan, Aşantoğrol Firdevs, Sönmezışık Serdar, Çetin Ceyda Şevval, Poyraz Ebru Sena, Beger Orhan
Department of Neurosurgery, Bossan Hospital, Gaziantep, Türkiye.
Faculty of Medicine, Department of Anatomy, Gaziantep University, Gaziantep, Türkiye.
Surg Radiol Anat. 2025 May 30;47(1):153. doi: 10.1007/s00276-025-03666-0.
The work aimed to reveal differences in the position of the foramen ovale (FO) relative to the lateral pterygoid plate (LPP) in children.
Computed tomography images of 360 children (180 males and 180 females) aged 9.52 ± 5.17 years (range: 1-18 years) were included in the work. The position of FO relative to LPP were classified as four types (lateral, medial, direct and removed/far types).
The position of FO relative to LPP was identified as lateral type in 245 sides (34%), medial type in 95 sides (13.2%), direct type in 253 sides (35.2%), and removed/far type in 127 sides (17.6%). The dispersion ratios of FO location types showed that FO localization was not associated with sex (p = 0.952), side (p = 0.899), and pediatric age periods (p = 0.794).
Incidence of FO location types in children appear to be consistent with adult literature rates. The positional relationship of FO with LPP in children is not related to sex, side and age. A surgeon wishing to place a needle into FO can gain relatively comfortable access to the opening by tracing LPP's base posteriorly, in approximately 80% of pediatric patients; thus, percutaneous procedure can be successfully applied to selected children regardless of age, sex and side.
本研究旨在揭示儿童卵圆孔（FO）相对于翼突外侧板（LPP）位置的差异。
本研究纳入了360名年龄为9.52±5.17岁（范围：1至18岁）的儿童（180名男性和180名女性）的计算机断层扫描图像。FO相对于LPP的位置分为四种类型（外侧型、内侧型、直接型和远离型）。
FO相对于LPP的位置被确定为外侧型245侧（34%），内侧型95侧（13.2%），直接型253侧（35.2%），远离型127侧（17.6%）。FO位置类型的分布比例表明，FO的定位与性别（p = 0.952）、侧别（p = 0.899）和儿童年龄阶段（p = 0.794）无关。
儿童FO位置类型的发生率似乎与成人文献报道的发生率一致。儿童FO与LPP的位置关系与性别、侧别和年龄无关。希望将针插入FO的外科医生在大约80%的儿童患者中，通过沿LPP基部向后追踪可相对轻松地进入该开口；因此，无论年龄、性别和侧别如何，经皮操作均可成功应用于选定的儿童。
