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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 3/2018

01-03-2018 | Miscellaneous

Infraorbital foramen localization in orbitozygomatic fractures: a CT study with intraoperative finding

Authors: Mohammad Waheed El-Anwar, Ahmed Hassan Sweed

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2018

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Abstract

Objective

The aim of this study was to assess the infraorbital foramen (IOF) using CT in patients with Zygomaticomaxillary complex (ZMC) fractures (midface fracture).

Patients and methods

This prospective study was carried out on 49 patients had ZMC fractures (98 sides) and 27 patients (54 sides) with craniomaxillofacial fractures rather than fractured ZMC as a control. Using CT, position of IOF was documented on 3D view in relation to inferior orbital rim, tooth root relation and finally with a novel imaginary line passing between anterior nasal spine and whitnall tubercle.

Results

Position of IOF had fixed anatomical landmark: just lateral to a line drawn between the anterior nasal spine to whitnall tubercle (clinically between nasal tip—lateral canthal ligament) and lateral to vertical plane to root of maxillary canine also with variable distance from inferior orbital rim ranged from 4.56 to 18.03 mm with a mean of 7.9 ± 2.447 mm.

Conclusion

Even though ZMC fractures disturb the anatomical location of the ZMC bones, there are still preserved reliable fixed landmarks maxillofacial surgeons can depend on to identify and preserve ION.
Literature
1.
Standring S (2008) Gray’s anatomy: anatomical basis of clinical practice, 40th edn. Churchill Livingstone Elsevier, London
2.
Aziz SR, Marchena JM, Puran A (2000). Anatomic characteristics of the infraorbital foramen: a Cadaver Study. J Oral Maxillofac Surg 58(9):992–996CrossRefPubMed
3.
Apinhasmit W, Chompoopong S, Methathrathip D, Sansuk R, Phetphunphiphat W (2006) Supraorbital notch/foramen, infraorbital foramen and mental foramen in Thais: anthropometric measurements and surgical relevance. J Med Assoc Thai 89(5):675–682PubMed
4.
Agthong S, Huanmanop T, Chentanez V (2005) Anatomical variations of the supraorbital, infraorbital, and mental foramina related to gender and side. J Oral Maxillofac Surg 63(6):800–804CrossRefPubMed
5.
Boopathi S, Chakravarthy Marx S, Dhalapathy S, Anupa S (2010) Anthropometric analysis of the infraorbital foramen in a south indian population. Singap Med J 51(9):730–735
6.
Ilayperuma I, Nanayakkara G, Palahepitiya N (2010) Morphometricanalysis of the infraorbital foramen in adult Sri Lankan skulls. Int J Morphol 28(3):777–782CrossRef
7.
Macedo VC, Cabrini RR, Faig-Leite H (2009) Infraorbital foramen location in dry human skulls. Braz J Morphol Sci 26(1):35–38 (Infraorbital foramen location in dry human skulls Macedo, VC.¹, Cabrini, RR.¹ and Faig-Leite, H.²*)
8.
Ercikti N, Apaydin N, Kirici Y (2017) Location of the infraorbital foramen with reference to soft tissue landmarks. Surg Radiol Anat 39:11–15CrossRefPubMed
9.
El-Anwar MW, Elsheikh E, Sweed AH, Ezzeldin N (2015) Electromyography assessment in zygomaticomaxillary complex fractures. Oral Maxillofac Surg 19:375–379CrossRef
10.
Das AK, Bandopadhyay M, Chattopadhyay A, Biswas S, Saha A, Balkrishna U, Nair V (2015) Clinical evaluation of neurosensory changes in the infraorbital nerve following surgical management of zygomatico-maxillary complex fractures. J Clin Diagn Res 9(12): ZC54-ZC58PubMedCentral
11.
Ali M, Elhadi HA, Zaidi K, Yagmurlu S, Ahmed ALRhoton Jr., Nakaji P, Preul MC, Andrew S, Little (2016) Infraorbital nerve: a surgically relevant landmark for the pterygopalatine fossa, cavernous sinus, and anterolateral skull base in endoscopic transmaxillary approaches. J Neurosurg 125:1460–1468CrossRef
12.
El-Anwar MW, Elsheikh E, Hussein AM, Tantawy AA, Abdelbaki YM (2017) Transconjunctival versus subciliary approach to the infraorbital margin for open reduction of zygomaticomaxillary complex fractures: a randomized feasibility study. Oral Maxillofac Surg 21(2):187–192CrossRefPubMed
13.
Yoon T, Choi Y, Cho J, Kim Y, Nam S (2016) Primary Infraorbital foramen decompression for the zygomaticomaxillary complex fracture: is it essential? J Craniofac Surg 27(1):61–63CrossRefPubMed
14.
Champy M, Lode JP, Kahn L (1986) Attempt at systematization in the treatment of isolated zygomatic bone: techniques and results. J Otolaryngol 15:39–43PubMed
15.
Elsheikh E, Nasr WF, Ibrahim AAS (2013) Anatomicalvariations of infraorbital foramen in dry human adult Egyptianskulls, anthropometric measurements and surgical relevance. Otorhinolaryngol Clin 5(3):125–129CrossRef
Metadata
Title
Infraorbital foramen localization in orbitozygomatic fractures: a CT study with intraoperative finding
Authors
Mohammad Waheed El-Anwar
Ahmed Hassan Sweed
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 3/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-4867-x

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