Morphometric and clinical importance of the trigeminal nerve and branches in fetal cadavers
Year 2023,
Volume: 9 Issue: 2, 49 - 58, 30.08.2023
Müslüme Küçükdemir
,
Duygu Akın Saygın
,
Anil Aydin
,
Mustafa Büyükmumcu
Abstract
Aim: The trigeminal nerve is the fifth cranial nerve responsible for motor, sensory and autonomic stimulation of the head and neck. The aim of this study was to examine the relationship of the trigeminal nerve and its branches in fetal cadavers.
Materials and Methods: This study was performed on 20 fetal cadavers. The height and width of the trigeminal pore were measured; the trigeminal pore type was determined. The length, width and thickness measurements of the trigeminal nerve, its branches were performed.
Results: The most common trigeminal pore type was cleft type in both male and female fetal cadavers. It was determined that the length on the left side was longer than on the right side.
Conclusion: We believe that the obtained data can provide valuable guidance planning further interventions in that region for current data on the anatomy of the region and for fetuses in the womb.
References
- Shankland WE. The trigeminal nerve. Part I: An over-view. CRANIO®18 2000;(4):238-48.
- Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy. Lippincott Williams & Wilkins. 2013.
- Joo W, Yoshioka F, Funaki T, Mizokami K, Rhoton Jr AL. Microsurgical anatomy of the trigeminal nerve. Clin Anat. 2014;27(1):61-88.
- Kaleem A, Amailuk P, Hatoum H, Tursun R. The trigeminal nerve injury. Oral and Maxillofac Surgery. 2020; 32(4), 675-687.
- Ajayi N, Lazarus L, Satyapal K. Trigeminal cave and ganglion: an anatomical review. Int J Morphol. 2013;31(4):1444-1448.
- Moayedi M, Hodaie M. Trigeminal nerve and white matter brain abnormalities in chronic orofacial pain disorders. Pain Reports. 2019;4(4):1-13.
- Gunesli A, Tufan K. Significance of the Cerebellopontine Cistern Cross-Sectional Area and Trigeminal Nerve Anatomy in Trigeminal Neuralgia: An Anatomical Study Using Magnetic Resonance Imaging. Turk Neurosurg. 2020;30(2):271-276.
- Kamel HAM, Toland J. Trigeminal nerve anatomy: illustrated using examples of abnormalities. Am J Roentgenol. 2001;176(1):247-51.
- Natori Y, Rhoton AL Jr. Microsurgical anatomy of the superior orbital fissure. Neurosurgery. 1995;36:762–75.
- Ziyal IM, Sekhar LN, Özgen T, Söylemezoğlu F, Alper M, Beser M. The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach. Surg Neurol. 2004;61(6):564-73.
- Cihan ÖF, Uzun A, Karakaş S, Salbacak A. Sinus cavernosus’un meningeal yapısı; anatomic çalışma. S.Ü.Tıp Fak Derg.2002;18:19-26.
- Abd-Elsayed A. Trigeminal Nerve Pain: A Guide to Clinical Management. Springer, 2021 (1st edition).
- Kehrli P, Maillot C, Wolff MJ. Anatomy and embryology of the trigeminal nerve and its branches in the parasellar area. Neurol Res. 1997;19(1),57-65.
- Sadler TW. Langman's medical embryology. Lippincott Williams & Wilkins, 2011 (12th edition).
- Standring S. Gray's anatomy e-book: the anatomical basis of clinical practice. Elsevier Health Sciences, 2016:321,501-554.
- Singh GP. Anatomy of Trigeminal Nerve. Handbook of Trigeminal Neuralgia, 2019;14-15.
- Ezure H, Goto N, Nonaka N, Goto J, Tani H. Morphometric analysis of the human trigeminal nerve. Okajimas Folia Anat Jpn. 2001;78(2-3):49-53.
- La Guardia JJ, Cohrs RJ, Gilden DH. Numbers of neurons and non-neuronal cells in human trigeminal ganglia. Neurol res. 2000;22(6),565-566.
- Terrier LM, Hadjikhani N, Destrieux C. The trigeminal pathways. J Neurol. 2022;269(7):3443-3460.
- Akkülah, Esen A. Panoramik Radyografide Kök Apikalinde Karanlık Alan Görüntüsü Veren Alt Üçüncü Molar Dişlerin İnferior Alveolar Sinir Komşuluğunun ve Lingual Kortekste Oluşturduğu Perforasyon Sıklığının Değerlendirilmesi. NEU Dent J. 2021:3(1):14-18.
- Malas ME, Mensi,z E, Sulak O. Fetal Dönemde orbita gelişimi. S.Ü.Tıp Fak Derg. 2003;19:137-143.
- Öğüt E, Armağan K, Barut C. Reappraisal of the types of trigeminal porus and importance in surgical applications. SRA. 2021;43(7):1-10.
- Choudhri AF, Patel RM, Wilroy RS, Pivnick EK, Whitehead MT. Trigeminal nerve agenesis with absence of foramina rotunda in Gómez–López–Hernández syndrome. AJMG. 2015;167(1):238-42.
- Chauvin NA, Victoria T, Khwaja A, Dahmoush H, Jaramillo D. Magnetic resonance imaging of the fetal musculoskeletal system. Pediatr Radiol. 2020;50(13):2009-27.
- Tubbs RS, Mortazavi MM, Krishnamurthyb S, Verma K, Griessenauer CJ, Cohen-Gadol A. The relationship between the superior petrosal sinus and the porus trigeminus: an anatomical study. J Neurosurg, 2013;119(5):1221-25.
- Ciolkowski M, Sharif M, Krajewski P, Ciszek B. Topography and morphometry of the porus trigeminus. Neurol Neurochir Pol. 2006;40(3):173–78.
- Nestor N, Ritz B, Hunter D, Zdilla M. The size and shape of the porus trigeminus: ımplications for trigeminal neuralgia procedures. FASEB J. 2019;33: 763-768.
- Janjua RM, Al-Mefty O, Densler DW, Christopher B, Shields CB. Dural relationships of meckel cave and lateral wall of the cavernous sinus. Neurosurg Focus. 2008;25(6):E2.
- Arslan M, Deda H, Avcı E, Elhan A, Tekdemir I, Tubbs RS, Sılav G, Yılmaz E, Baskaya MK. Anatomy of meckel’s cave and the trigeminal ganglion: anatomical landmarks for a safer approach to them. Turk Neurosurg. 2012;22(3):17–23.
- Dimitropoulou T, Dănălache C, Bordei P, Iliescu D M. Morphological peculiarities of the trigeminal nerve roots and ganglia in human fetus. ARS Medica Tomitana. 2013;19(1):9-15.
- Soeira G, Abd El-Bary TH, Dujovny M, Siavin KV, Ausman JI. Microsurgical anatomy of the trigeminal nerve. Neurol Res. 1994;16(4):273-83.
- Henderson WR. The anatomy of the gasserian ganglion and the distribution of pain in relation to injections and operations for trigeminal neuralgia. Ann R Coll Surg Eng.1965;37(6):346.
- Sabanci PA, Batay F, Civelek E, Al Mefty O, Husain M, Abdulrauf SI, Karasu A .Meckel’s cave. World Neurosurg. 2011;76:335–341.
Fetal kadavralarda nervus trigeminus ve dallarının morfometrik ve klinik önemi
Year 2023,
Volume: 9 Issue: 2, 49 - 58, 30.08.2023
Müslüme Küçükdemir
,
Duygu Akın Saygın
,
Anil Aydin
,
Mustafa Büyükmumcu
Abstract
Amaç: Nervus trigeminus, baş ve boyunun motor, duysal ve otonomik uyarımından sorumlu beşinci kraniyal sinirdir. Çalışmamızda, fetal kadavralarda nervus trigeminus ve dallarının çevre yapılarla olan ilişkisinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Bu çalışma 20 fetal kadavra üzerinde gerçekleştirilmiştir. Dura mater’in oluşturduğu trigeminal açıklığın yüksekliği ve genişliği ölçüldü. Ayrıca trigeminal açıklığın tipleri belirlendi. Nervus trigeminus’un uzunluk, genişlik ve kalınlık ölçümleri, dallarının uzunlukları ölçüldü.
Bulgular: Çalışmamızda hem erkek hem de kız fetal kadavralarda en sık gözlenen trigheminal açıklık tipi yarık tip olarak tespit edildi. Sol tarafa ait nervus trigeminus uzunluğunun sağ taraftakine göre daha uzun olduğu belirlendi.
Sonuç: Çalışmadan elde edilen ölçümlerin, bölgenin anatomisine ilişkin güncel veriler sağlayacağı ve anne karnındaki fetüsler için o bölgeye yapılacak ileri müdahalelerin planlanmasında yol gösterici olabileceği kanaatindeyiz.
References
- Shankland WE. The trigeminal nerve. Part I: An over-view. CRANIO®18 2000;(4):238-48.
- Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy. Lippincott Williams & Wilkins. 2013.
- Joo W, Yoshioka F, Funaki T, Mizokami K, Rhoton Jr AL. Microsurgical anatomy of the trigeminal nerve. Clin Anat. 2014;27(1):61-88.
- Kaleem A, Amailuk P, Hatoum H, Tursun R. The trigeminal nerve injury. Oral and Maxillofac Surgery. 2020; 32(4), 675-687.
- Ajayi N, Lazarus L, Satyapal K. Trigeminal cave and ganglion: an anatomical review. Int J Morphol. 2013;31(4):1444-1448.
- Moayedi M, Hodaie M. Trigeminal nerve and white matter brain abnormalities in chronic orofacial pain disorders. Pain Reports. 2019;4(4):1-13.
- Gunesli A, Tufan K. Significance of the Cerebellopontine Cistern Cross-Sectional Area and Trigeminal Nerve Anatomy in Trigeminal Neuralgia: An Anatomical Study Using Magnetic Resonance Imaging. Turk Neurosurg. 2020;30(2):271-276.
- Kamel HAM, Toland J. Trigeminal nerve anatomy: illustrated using examples of abnormalities. Am J Roentgenol. 2001;176(1):247-51.
- Natori Y, Rhoton AL Jr. Microsurgical anatomy of the superior orbital fissure. Neurosurgery. 1995;36:762–75.
- Ziyal IM, Sekhar LN, Özgen T, Söylemezoğlu F, Alper M, Beser M. The trigeminal nerve and ganglion: an anatomical, histological, and radiological study addressing the transtrigeminal approach. Surg Neurol. 2004;61(6):564-73.
- Cihan ÖF, Uzun A, Karakaş S, Salbacak A. Sinus cavernosus’un meningeal yapısı; anatomic çalışma. S.Ü.Tıp Fak Derg.2002;18:19-26.
- Abd-Elsayed A. Trigeminal Nerve Pain: A Guide to Clinical Management. Springer, 2021 (1st edition).
- Kehrli P, Maillot C, Wolff MJ. Anatomy and embryology of the trigeminal nerve and its branches in the parasellar area. Neurol Res. 1997;19(1),57-65.
- Sadler TW. Langman's medical embryology. Lippincott Williams & Wilkins, 2011 (12th edition).
- Standring S. Gray's anatomy e-book: the anatomical basis of clinical practice. Elsevier Health Sciences, 2016:321,501-554.
- Singh GP. Anatomy of Trigeminal Nerve. Handbook of Trigeminal Neuralgia, 2019;14-15.
- Ezure H, Goto N, Nonaka N, Goto J, Tani H. Morphometric analysis of the human trigeminal nerve. Okajimas Folia Anat Jpn. 2001;78(2-3):49-53.
- La Guardia JJ, Cohrs RJ, Gilden DH. Numbers of neurons and non-neuronal cells in human trigeminal ganglia. Neurol res. 2000;22(6),565-566.
- Terrier LM, Hadjikhani N, Destrieux C. The trigeminal pathways. J Neurol. 2022;269(7):3443-3460.
- Akkülah, Esen A. Panoramik Radyografide Kök Apikalinde Karanlık Alan Görüntüsü Veren Alt Üçüncü Molar Dişlerin İnferior Alveolar Sinir Komşuluğunun ve Lingual Kortekste Oluşturduğu Perforasyon Sıklığının Değerlendirilmesi. NEU Dent J. 2021:3(1):14-18.
- Malas ME, Mensi,z E, Sulak O. Fetal Dönemde orbita gelişimi. S.Ü.Tıp Fak Derg. 2003;19:137-143.
- Öğüt E, Armağan K, Barut C. Reappraisal of the types of trigeminal porus and importance in surgical applications. SRA. 2021;43(7):1-10.
- Choudhri AF, Patel RM, Wilroy RS, Pivnick EK, Whitehead MT. Trigeminal nerve agenesis with absence of foramina rotunda in Gómez–López–Hernández syndrome. AJMG. 2015;167(1):238-42.
- Chauvin NA, Victoria T, Khwaja A, Dahmoush H, Jaramillo D. Magnetic resonance imaging of the fetal musculoskeletal system. Pediatr Radiol. 2020;50(13):2009-27.
- Tubbs RS, Mortazavi MM, Krishnamurthyb S, Verma K, Griessenauer CJ, Cohen-Gadol A. The relationship between the superior petrosal sinus and the porus trigeminus: an anatomical study. J Neurosurg, 2013;119(5):1221-25.
- Ciolkowski M, Sharif M, Krajewski P, Ciszek B. Topography and morphometry of the porus trigeminus. Neurol Neurochir Pol. 2006;40(3):173–78.
- Nestor N, Ritz B, Hunter D, Zdilla M. The size and shape of the porus trigeminus: ımplications for trigeminal neuralgia procedures. FASEB J. 2019;33: 763-768.
- Janjua RM, Al-Mefty O, Densler DW, Christopher B, Shields CB. Dural relationships of meckel cave and lateral wall of the cavernous sinus. Neurosurg Focus. 2008;25(6):E2.
- Arslan M, Deda H, Avcı E, Elhan A, Tekdemir I, Tubbs RS, Sılav G, Yılmaz E, Baskaya MK. Anatomy of meckel’s cave and the trigeminal ganglion: anatomical landmarks for a safer approach to them. Turk Neurosurg. 2012;22(3):17–23.
- Dimitropoulou T, Dănălache C, Bordei P, Iliescu D M. Morphological peculiarities of the trigeminal nerve roots and ganglia in human fetus. ARS Medica Tomitana. 2013;19(1):9-15.
- Soeira G, Abd El-Bary TH, Dujovny M, Siavin KV, Ausman JI. Microsurgical anatomy of the trigeminal nerve. Neurol Res. 1994;16(4):273-83.
- Henderson WR. The anatomy of the gasserian ganglion and the distribution of pain in relation to injections and operations for trigeminal neuralgia. Ann R Coll Surg Eng.1965;37(6):346.
- Sabanci PA, Batay F, Civelek E, Al Mefty O, Husain M, Abdulrauf SI, Karasu A .Meckel’s cave. World Neurosurg. 2011;76:335–341.