Research Article
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The incidence of foramen zygomaticoorbitale, foramen zygomaticotemporale, foramen zygomaticofaciale and safe zone determination for foramen zygomaticofaciale

Year 2018, Volume: 15 Issue: 3, 111 - 115, 12.12.2018

Abstract

Background: Os zygomaticum is one of the bones that have
importance in terms of surgery and aesthetics due to the anatomical location in
the face region. The location of the foramen zygomaticofaciale (FZF), foramen
zygomaticoorbitale (FZO), and foramen zygomaticotemporale (FZT) which locate on
os zygomaticum and serve as transition for some neurovascular structures, are
important anatomical structures to be considered for the success of surgical
procedures. The aim of current study was to classify the number of foramens and
via using the obtained morphometric data to determine the safe zone to be used
during surgical interventional procedures. 

Material and Methods: The study was conducted on 28 skulls
belonging to the Department of Anatomy, Bursa Uludağ University Faculty of
Medicine. Broken or deformed bones were not included in the study. The numbers
of the foramen were classified and morphometric measurements of foramen
zygomaticofaciale were performed.

Results: In total 39 FZF, 25 FZO and 31 ZT have been
determined. As a result of measurements made for FZF, no statistically
significant difference was observed between right and left sides. The area
where the FZF located mostly was assigned and the safe zone for the
interventional procedures was determined.







Conclusion: We believe that the findings obtained in our
study will be useful for anesthetists and surgeons.

References

  • 1. Aksu F, Ceri NG, Arman C. Location and Incidence of the Zygomaticofacial Foramen: An Anatomic Study. Clinical Anatomy. 2009;22:559–562.
  • 2. Aziz KM, Froelich SC, Cohen PL, et al. The one-piece orbitozygomatic approach: The Mac-Carty burr hole and the inferior orbital fissure as keys to techniqueand application. Acta Neurochir. 2002;144:15–24.
  • 3. Gonzalez LF, Crawford NR, Horgan M, et al. Working area and angle of attack in three cranial base approaches: Pterional, orbitozygomatic and maxillary extension of the orbitozygomatic approach. Neurosurgery. 2002;96:144–149.
  • 4. Martins C, Li X, Rhoton AL Jr. Role of the zygomaticofacial foramen in the orbitozygomatic craniotomy: Anatomic report. Neurosurgery. 2003;53:168–172.
  • 5. Arıncı K, Elhan A. Anatomi. Cilt 2. 5. Baskı Güneş Tıp Kitapevleri. 2014;139.
  • 6. Loukas M, Owens DG, Tubbs RS, et al. Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: Anatomical study. Anatomical Science International. 2008;83: 77–82.
  • 7. Zhao Y, Chundury VH, Blandford AD, et el. Anatomical Description of Zygomatic Foramina in African American Skulls. Ophthal Plast Reconstr Surg, Vol.XX, No. XX. 2017;1-4.
  • 8. Wartman CT, Loukas M, Tubbs RS. Zygomaticofacial, Zygomaticoorbital, and Zygomaticotemporal Foramina. Clinical Anatomy. 2009;22:637–638.
  • 9. Ferro A, Basyuni S, Brassett C et al. Study of anatomical variations of the zygomaticofacial foramen and calculation of reliable reference points for operation. Br JOralMaxillofacSurg https://doi.org/10.1016/j.bjoms.2017;10.016.
  • 10. Kim HS, Oh JH, Choi Dh et al. Three-dimensional Courses of Zygomaticofacial and Zygomaticotemporal Canals Using Micro-computed Tomography in Korean The Journal of Craniofacial Surgery. 2013;24(5):1565-1568.
  • 11. Celik S, Kazak Z, Ozer MA, et al. Navigational area of the cranio‑orbital foramen and its significance in orbital surgery. Surg Radiol Anat. 2014;36:981–988.
  • 12. Patel P, Belinsky I, Howard D, et al. Location of the Zygomatico-orbital Foramen on the Inferolateral Orbital Wall: Clinical Implications. Orbit. 2013;32(5):275-277.
  • 13. Ferch RD, Biggs M, Morgan K. The zygomaticotemporal approach with medial petrosectomy for intradural lesions. Journal of Clinical Neuroscience. 1999;6(4):340-343.
  • 14. Hwang K, Suh MS, Lee S, et al. Anatomical Studies Zygomaticotemporal Nerve Passage in the Orbit and Temporal Area. The Journal Of Craniofacıal Surgery. 2004;15(2):209-2014.
  • 15. Altınörs NM. Orbito-Zigomatik Kraniotomi. Turkiye Klinikleri J Surg Med Sci. 2007;3(51):40-43.
  • 16. Furth VR, Agur AM, Woolridge N, et al. The Orbitozygomatıc Approach. Operative Neurosurgery. 2006;58:103-107.
  • 17. Kaur J, Choudhry R, Raheja S, et al. Non metric traits of the skull and their role in anthropological studies J. Morphol. Sci. 2012;29(4):189-194.
  • 18. Neri NB, Araujo-Pires Ac, Andreo JC, et al. Zygomaticofacial foramen location accuracy and reliability in cone-beam computed tomography. Acta Odontologica Scandinavica. 2014;72:157–160.

Foramen zygomaticoorbitale, foramen zygomaticotemporale, foramen zygomaticofaciale insidansi ve foramen zygomaticofaciale için güvenli bölge tayini

Year 2018, Volume: 15 Issue: 3, 111 - 115, 12.12.2018

Abstract

Amaç:
Os zygomaticum, yüz bölgesinde yer alan anatomik konumu nedeniyle cerrahi ve
estetik açıdan önemli yeri olan kemiklerden bir tanesidir. Os zygomaticum’da
bulunan ve bazı nörovasküler yapılar için geçiş görevi gören foramen
zygomaticofaciale (FZF), foramen zygomaticoorbitale (FZO) ve foramen
zygomaticotemporale (FZT)’nin konumunun göz önünde bulundurulması cerrahi
girişimlerin başarısı için önemlidir. Çalışmanın amacı, bölgede bulunan bu
foramenlerin sınıflandırılması ve elde edilen morfometrik veriler ile cerrahi
girişimlerde kullanılabilecek güvenli bir bölgenin oluşturmasını sağlamaktır.

Materyal ve Metod: Çalışma Bursa Uludağ Üniversitesi Tıp Fakültesi Anatomi
Anabilim Dalı kemik koleksiyonuna ait 28 adet kafatasına üzerinde
gerçekleştirilmiştir. Kırık veya deforme olmuş kemikler çalışmaya dâhil
edilmemiştir. Foramen sayıları sınıflandırmış ve foramen zygomaticofaciale’nin
morfometrik ölçümleri gerçekleştirilmiştir.

Bulgular:
Toplamda 39 adet FZF, 25 adet FZO ve 31 adet ZT tespit edilmiştir. FZF için
yapılan ölçümler sonucunda sağ ile sol taraf arasında istatistiksel olarak
anlamlı fark gözlenmemiştir. FZF’nin yoğun olarak bulunduğu alan tayin edilmiş
ve girişimsel süreçler için güvenli bölge tayin edilmiştir.







Sonuç:
Çalışmamızda elde edilen bulguların anestezistler ve cerrahlar için faydalı
olacağı kanaatindeyiz.

References

  • 1. Aksu F, Ceri NG, Arman C. Location and Incidence of the Zygomaticofacial Foramen: An Anatomic Study. Clinical Anatomy. 2009;22:559–562.
  • 2. Aziz KM, Froelich SC, Cohen PL, et al. The one-piece orbitozygomatic approach: The Mac-Carty burr hole and the inferior orbital fissure as keys to techniqueand application. Acta Neurochir. 2002;144:15–24.
  • 3. Gonzalez LF, Crawford NR, Horgan M, et al. Working area and angle of attack in three cranial base approaches: Pterional, orbitozygomatic and maxillary extension of the orbitozygomatic approach. Neurosurgery. 2002;96:144–149.
  • 4. Martins C, Li X, Rhoton AL Jr. Role of the zygomaticofacial foramen in the orbitozygomatic craniotomy: Anatomic report. Neurosurgery. 2003;53:168–172.
  • 5. Arıncı K, Elhan A. Anatomi. Cilt 2. 5. Baskı Güneş Tıp Kitapevleri. 2014;139.
  • 6. Loukas M, Owens DG, Tubbs RS, et al. Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: Anatomical study. Anatomical Science International. 2008;83: 77–82.
  • 7. Zhao Y, Chundury VH, Blandford AD, et el. Anatomical Description of Zygomatic Foramina in African American Skulls. Ophthal Plast Reconstr Surg, Vol.XX, No. XX. 2017;1-4.
  • 8. Wartman CT, Loukas M, Tubbs RS. Zygomaticofacial, Zygomaticoorbital, and Zygomaticotemporal Foramina. Clinical Anatomy. 2009;22:637–638.
  • 9. Ferro A, Basyuni S, Brassett C et al. Study of anatomical variations of the zygomaticofacial foramen and calculation of reliable reference points for operation. Br JOralMaxillofacSurg https://doi.org/10.1016/j.bjoms.2017;10.016.
  • 10. Kim HS, Oh JH, Choi Dh et al. Three-dimensional Courses of Zygomaticofacial and Zygomaticotemporal Canals Using Micro-computed Tomography in Korean The Journal of Craniofacial Surgery. 2013;24(5):1565-1568.
  • 11. Celik S, Kazak Z, Ozer MA, et al. Navigational area of the cranio‑orbital foramen and its significance in orbital surgery. Surg Radiol Anat. 2014;36:981–988.
  • 12. Patel P, Belinsky I, Howard D, et al. Location of the Zygomatico-orbital Foramen on the Inferolateral Orbital Wall: Clinical Implications. Orbit. 2013;32(5):275-277.
  • 13. Ferch RD, Biggs M, Morgan K. The zygomaticotemporal approach with medial petrosectomy for intradural lesions. Journal of Clinical Neuroscience. 1999;6(4):340-343.
  • 14. Hwang K, Suh MS, Lee S, et al. Anatomical Studies Zygomaticotemporal Nerve Passage in the Orbit and Temporal Area. The Journal Of Craniofacıal Surgery. 2004;15(2):209-2014.
  • 15. Altınörs NM. Orbito-Zigomatik Kraniotomi. Turkiye Klinikleri J Surg Med Sci. 2007;3(51):40-43.
  • 16. Furth VR, Agur AM, Woolridge N, et al. The Orbitozygomatıc Approach. Operative Neurosurgery. 2006;58:103-107.
  • 17. Kaur J, Choudhry R, Raheja S, et al. Non metric traits of the skull and their role in anthropological studies J. Morphol. Sci. 2012;29(4):189-194.
  • 18. Neri NB, Araujo-Pires Ac, Andreo JC, et al. Zygomaticofacial foramen location accuracy and reliability in cone-beam computed tomography. Acta Odontologica Scandinavica. 2014;72:157–160.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Article
Authors

Serdar Babacan 0000-0002-7410-7738

Nazan Güner This is me 0000-0002-7410-7738

Nilgün Tuncel Çini 0000-0003-1412-2634

İlker Mustafa Kafa 0000-0002-7410-7738

Publication Date December 12, 2018
Submission Date October 15, 2018
Acceptance Date November 1, 2018
Published in Issue Year 2018 Volume: 15 Issue: 3

Cite

Vancouver Babacan S, Güner N, Tuncel Çini N, Kafa İM. Foramen zygomaticoorbitale, foramen zygomaticotemporale, foramen zygomaticofaciale insidansi ve foramen zygomaticofaciale için güvenli bölge tayini. Harran Üniversitesi Tıp Fakültesi Dergisi. 2018;15(3):111-5.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty