卵圆孔附近的完整和不完整骨桥对手术和临床的潜在影响

Ritubhi Mehta, Jagmohan Sharma, Pankaj Kumar Singh, P. K. Chhabra
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摘要

目标:翼突韧带或翼腭韧带如果存在于卵圆孔附近,可能会对下颌神经造成压迫。翼突韧带或翼腭韧带骨化的存在可能会给外科医生进行三叉神经痛经皮根切术、脑电图检查或海绵窦肿瘤活检带来麻烦。本研究旨在了解翼突韧带和翼腭韧带骨化的发生率和具体形态变化:研究对象是斋浦尔圣雄甘地医学院和医院解剖学系的 200 个年龄和性别未知的成人尸体头骨。头骨来自拉贾斯坦邦地区的不同医学院。研究对象包括完全干燥、完整、无结构缺陷的成人头盖骨。受损、骨折、发育异常、受伤或病理畸形的头骨,尤其是两侧卵圆孔处或附近的头骨,均不在研究范围内。对两侧翼骨和翼腭骨的骨化情况进行了研究。使用 SPSS 26 版软件进行统计分析:对 200 个头骨的 400 个侧面的韧带骨化情况进行了研究。在 53 个病例(13.25%)中观察到翼骨韧带骨化。翼骨韧带完全骨化的有 12 例(3%),不完全骨化的有 41 例(10.25%)。62例(15.5%)患者的翼腭韧带骨化。15例(3.75%)骨化完全,47例(11.75%)骨化不完全:结论:从拉贾斯坦邦地区的医学院获得的头骨中观察到翼突和翼腭韧带骨化。了解颅底的这些形态变化将提高三叉神经痛的治疗效果。
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COMPLETE AND INCOMPLETE BONY BRIDGES NEAR FORAMEN OVALE WITH POTENTIAL SURGICAL AND CLINICAL IMPLICATIONS
Objectives: Pterygospinous or Pterygoalar ligaments may pose mandibular nerve compression by when present near foramen ovale. The presence of ossified pterygospinous or pterygoalar ligaments might cause trouble to surgeons in performing percutaneous rhizotomy for trigeminal neuralgia, electroencephalographic procedures, or taking biopsy from cavernous sinus tumors. The present study aims to find the incidence and specific morphological variations related to the ossification of pterygospinous and pterygoalar ligaments. Methods: The study was conducted on 200 dried adult human cadaveric skull of unknown age and sex in the department of Anatomy, Mahatma Gandhi Medical College and Hospital, Jaipur. Skulls were obtained from different medical colleges of the Rajasthan region. The study included fully dried, intact, adult human skull bones with no structural defects. Damaged, fractured, skull with the developmental anomaly, injured or pathologically malformed skull especially at or near the foramen ovale on either side were excluded from the study. Ossification of pterygospinous and pterygoalar bar was studied on both sides. Statistical analyses were performed using SPSS Version 26 software. Results: Ossified ligaments were studied in 400 sides of 200 skulls. The ossification of pterygospinous bar was observed in 53 cases (13.25%). The pterygospinous bar was complete in twelve (3%) cases and incomplete in 41 cases (10.25%). The ossified pterygoalar ligament was observed in 62 cases (15.5%). Ossification was complete in 15 cases (3.75%) and incomplete in 47 cases (11.75%). Conclusion: Ossification of pterygospinous and pterygoalar bars was observed in skulls obtained from medical colleges in the Rajasthan region. Knowledge of such morphological variations of the skull base will improve the therapeutic outcomes in the treatment of trigeminal neuralgia.
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