The neglected anatomical and clinical aspects of pterygoid canal: CT scan study

Galal Omami, Gebril Hewaidi, Reji Mathew

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Purpose To present the variable positions of pterygoid canal (PC) relative to sphenoid sinus floor and cavity, which may be helpful for understanding pathologic and surgical conditions related to sphenoid sinus region. Materials and methods Coronal sinonasal CT images of 300 adult patients, in the Department of Radiology at Al- Jala Traumatology Hospital, Benghazi, Libya, were investigated for the positional variation and dehiscence of PC. Of the patients, there was equal gender distribution, ages ranged between 16 and 82 years (mean age 34.6 years). The position of PC was categorized as below the sinus floor, within the floor, and within the sinus cavity (protrusion). Results Canals located under the floor were identified in 38.3% (230/600), within-the-floor canals were encountered in 39.6% (238/600); and canals protruding into the sinus cavity (i.e., within sinus cavity) were observed in 22% (132/600). Dehiscence of the bony wall of PC was recognized in 26% (157/600). Coexistence of PR and protruding PC was found in 16.5% (99/600), 7.3% (44/600) on the right side and 9.2% (55) on the left side. Statistically, there was significant association between PR and PC protrusion (p = 0.000). Conclusion The anatomical and positional variations of PC are highly encountered. Surgeons addressing vidian neurectomy must be familiar with the positional variations of PC in the preoperative CT images for easier and safer nerve identification and transection.

Original languageEnglish
Pages (from-to)697-702
Number of pages6
JournalSurgical and Radiologic Anatomy
Volume33
Issue number8
DOIs
StatePublished - Oct 2011

Keywords

  • Pterygoid canal
  • Sluder's neuralgia
  • Sphenoid sinus
  • Vidian neurectomy

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging

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