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Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography

Year 2022, Volume: 19 Issue: 2, 301 - 308, 28.08.2022
https://doi.org/10.35440/hutfd.1138470

Abstract

Background: To investigate the morphometric characteristics of the lacrimal sac fossa in Anatolian population using multidetector computed tomography (MDCT) images in surgical aspect.
Materials and Methods: A total of 77 cranial MDCT scans were evaluated. The dimensions of the maxillary and the lacrimal bones forming the lacrimal sac fossa were measured in 3 axial planes (up-per, middle, and lower planes).
Results: The mean maximum thickness of the maxillary bone at the upper, middle and lower planes were: 3.58 mm, 4.27 mm, and 5.81 mm; the mean midpoint thickness at each plane were: 2.76 mm, 2.51 mm, and 1.48 mm; the mean lacrimal bone thickness at each plane were: 0.72 mm, 0.65 mm, and 0.66 mm; the mean distance between anterior and posterior lacrimal crests at each plane were: 5.96 mm, 8.1 mm, and 4.63 mm; the mean angle between the lacrimal bone and the sagittal plane in males and females at the middle plane were: 132.73° and 131.46°; the mean length of the lacrimal sac fossa in males and females were: 15.82 mm and 14.02 mm.
Conclusions: In Anatolian population, bone thicknesses of the lacrimal sac fossa were higher in ma-les, while the angle between the lacrimal bone and the sagittal plane was higher in females. This study indicated that osteotomies, which are the main target of dacryocystorhinostomy (DCR) inter-ventions, can be easily performed in the Anatolian population.

References

  • Kurihashi K, Imada, M, Yamashita A. Anatomical analysis of the human lacrimal drainage pathway under an operating microscope. Int Ophthalmol, 1991; 15 (6): 411-16.
  • Rajak SN, Psaltis AJ. Anatomical considerations in endoscopic lacrimal surgery. Ann Anat. 2019;224:28-32.
  • Ali MJ, Nayak JV, Vaezeafshar R, Li G, Psaltis AJ. Anatomic relationship of nasolacrimal duct and major lateral wall landmarks: cadaveric study with surgical implications. Int Forum Allergy Rhinol. 2014;4(8):684-88.
  • Woog JJ, Kennedy RH, Custer PL, Kaltreider SA, Meyer DR, Camara JG. Endonasal dacryocystorhinostomy. Ophthalmology 2001; 108 (12), 2369-77.
  • Ali MJ. Commentary: Subjective outcomes and quality of life following external dacryocystorhinostomy. Indian J Ophthalmol. 2021;69(7):1887.
  • Giordano Resti A, Vinciguerra A, Bordato A, Rampi A, Tanzini U, Mattalia L, et al. The importance of clinical presentation on long-term outcomes of external dacryocystorhinostomies: Our experience on 245 cases. Eur J Ophthalmol. 2021:11206721211059702.
  • Bulut A, Aslan MG, Oner V. Transcanalicular Multidiode Laser Versus External Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. Beyoglu Eye J. 2021;6(4):315-19.
  • Chan W, Selva D. Ostium shrinkage after endoscopic dacryocystorhinostomy. Ophthalmol. 2013;120(8):1693-96.
  • Jin Y, Guo Y, Liu Y, Wang Y, Qin G, Tian Y, et al. Prevalence and Risk Factors of Dry Eye Symptoms after Successful Dacryocystorhinostomy for Patients with Lacrimal Passage Obstruction. Eur J Ophthalmol. 2021:11206721211069739.
  • Gore SK, Naveed H, Hamilton J, Rene C, Rose GE, Davagnanam I. Radiological Comparison of the Lacrimal Sac Fossa Anatomy Between Black Africans and Caucasians. Ophthalmic Plast Reconstr Surg. 2015;31(4):328-31.
  • Sarbajna T, Takahashi Y, Valencia MRP, Ito M, Nishimura K, Kakizaki H. Computed tomographic assessment of the lacrimal sac fossa in the Japanese population. Ann Anat. 2019;224:23-7.
  • Ali MJ, Schicht M, Paulsen F. Morphology and morphometry of lacrimal drainage system in relation to bony landmarks in Caucasian adults: a cadaveric study. Int Ophthalmol. 2018;38(6):2463-69.
  • Zhang L, Han D, Ge W, Xian J, Zhou B, Fan E, et al. 3D morphological classification of the nasolacrimal duct: Anatomical study for planning treatment of tear drainage obstruction. Clin Anat. 2021;34(4):624-33.
  • Zhang L, Han D, Ge W, Xian J, Zhou B, Fan E, et al. Anatomical and computed tomographic analysis of the interaction between the uncinate process and the agger nasi cell. Acta Otolaryngol. 2006;126(8):845-52.
  • Kang D, Park J, Na J, Lee H, Baek S. Measurement of Lacrimal Sac Fossa Using Orbital Computed Tomography. J Craniofac Surg. 2017;28(1):125-28.
  • Dalal DH, Smith HF. Developmental Changes in Morphology of the Middle and Posterior External Cranial Base in Modern Homo sapiens. Biomed Res Int. 2015;2015:324702.
  • Ramey NA, Hoang JK, Richard MJ. Multidetector CT of nasolacrimal canal morphology: normal variation by age, gender, and race. Ophthalmic Plast Reconstr Surg. 2013;29(6):475-80.
  • Colon GA. Principles and Practice of Ophthalmic Plastic Reconstructive Surgery. Plast and Reconstr Surg. 2000;105(7):2618-19.
  • Hartikainen J, Aho HJ, Seppa H, Grenman R. Lacrimal bone thickness at the lacrimal sac fossa. Ophthalmic Surg Lasers. 1996;27(8):679-84.
  • Woo KI, Maeng HS, Kim YD. Characteristics of intranasal structures for endonasal dacryocystorhinostomy in asians. Am J Ophthalmol. 2011;152(3):491-98 e491.
  • Alherabi A, Marglani O, Herzallah I, Shaibah H, Alaidarous T, Alkaff H, et al. Endoscopic anatomy of the lacrimal sac for dacryocystorhinostomy. A cadaveric study. Saudi Med J 2017; 38 (3):245-50.
  • Yung MW, Logan BM. The anatomy of the lacrimal bone at the lateral wall of the nose: its significance to the lacrimal surgeon. Clin Otolaryngol Allied Sci. 1999;24(4):262-65.
  • Purevdorj B, Dugarsuren U, Tuvaan B, Jamiyanjav B. Anatomy of lacrimal sac fossa affecting success rate in endoscopic and external dacryocystorhinostomy surgery in Mongolians. Anat Cell Biol. 2021;54(4):441-47.
  • Liu Y, Kau CH, Talbert L, Pan F. Three-dimensional analysis of facial morphology. J Craniofac Surg. 2014;25(5):1890-94.
  • Chong KK, Ali MJ. Primary Endoscopic Dacryocystorhinostomy. In: Ali MJ, editor. Principles and Practice of Lacrimal Surgery. 2nd ed. Singapore: Springer Nature Singapore Pte Ltd.; 2018. p. 211-19.

Anadolu Toplumunda Fossa Sacci Lacrimalis’in Multi-Dedektör Bilgisayarlı Tomografi Kullanarak Morfometrik Açıdan Değerlendirilmesi

Year 2022, Volume: 19 Issue: 2, 301 - 308, 28.08.2022
https://doi.org/10.35440/hutfd.1138470

Abstract

Amaç: Anadolu toplumunda, fossa sacci lacrimalis’in morfometrik özelliklerini cerrahi açıdan mul-tidedektör bilgisayarlı tomografi (MDBT) görüntüleri kullanarak araştırmak.
Materyal ve Metod: Toplam 77 kranial MDBT taraması değerlendirildi. Fossa sacci lacrimalis’i oluştu-ran maxilla ve os lacrimale’ye ait kemik kısımlarının boyutları 3 aksiyal düzlemde (üst, orta ve alt düzlem) ölçüldü.
Bulgular: Üst, orta ve alt düzlemlerde maxilla’nın ortalama maksimum kalınlığı: 3,58 mm, 4,27 mm ve 5,81 mm; tüm düzlemlerde ortalama orta nokta kalınlığı: 2,76 mm, 2,51 mm ve 1,48 mm; tüm düzlem-lerde ortalama os lacrimale kalınlığı: 0,72 mm, 0,65 mm ve 0,66 mm; tüm düzlemlerde crista lacrimalis anterior maxillae ve crista lacrimalis posterior arasındaki ortalama mesafe: 5,96 mm, 8,1 mm ve 4,63 mm; orta düzlemde erkek ve kadınlarda os lacrimale ile sagital düzlem arasındaki ortalama açı: 132.73° ve 131.46°; erkek ve kadınlarda fossa sacci lacrimalis’in ortalama uzunluğu: 15.82 mm ve 14.02 mm olarak ölçüldü.
Sonuç: Anadolu toplumunda fossa sacci lacrimalis’in kemik kalınlıkları erkeklerde daha yüksek iken, os lacrimale ile sagital düzlem arasındaki açı kadınlarda daha yüksek bulundu. Bu çalışma, dakriyosis-torinostomi (DSR) girişimlerinin ana hedefi olan osteotomilerin Anadolu toplumunda kolaylıkla yapı-labileceğini göstermiştir

References

  • Kurihashi K, Imada, M, Yamashita A. Anatomical analysis of the human lacrimal drainage pathway under an operating microscope. Int Ophthalmol, 1991; 15 (6): 411-16.
  • Rajak SN, Psaltis AJ. Anatomical considerations in endoscopic lacrimal surgery. Ann Anat. 2019;224:28-32.
  • Ali MJ, Nayak JV, Vaezeafshar R, Li G, Psaltis AJ. Anatomic relationship of nasolacrimal duct and major lateral wall landmarks: cadaveric study with surgical implications. Int Forum Allergy Rhinol. 2014;4(8):684-88.
  • Woog JJ, Kennedy RH, Custer PL, Kaltreider SA, Meyer DR, Camara JG. Endonasal dacryocystorhinostomy. Ophthalmology 2001; 108 (12), 2369-77.
  • Ali MJ. Commentary: Subjective outcomes and quality of life following external dacryocystorhinostomy. Indian J Ophthalmol. 2021;69(7):1887.
  • Giordano Resti A, Vinciguerra A, Bordato A, Rampi A, Tanzini U, Mattalia L, et al. The importance of clinical presentation on long-term outcomes of external dacryocystorhinostomies: Our experience on 245 cases. Eur J Ophthalmol. 2021:11206721211059702.
  • Bulut A, Aslan MG, Oner V. Transcanalicular Multidiode Laser Versus External Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. Beyoglu Eye J. 2021;6(4):315-19.
  • Chan W, Selva D. Ostium shrinkage after endoscopic dacryocystorhinostomy. Ophthalmol. 2013;120(8):1693-96.
  • Jin Y, Guo Y, Liu Y, Wang Y, Qin G, Tian Y, et al. Prevalence and Risk Factors of Dry Eye Symptoms after Successful Dacryocystorhinostomy for Patients with Lacrimal Passage Obstruction. Eur J Ophthalmol. 2021:11206721211069739.
  • Gore SK, Naveed H, Hamilton J, Rene C, Rose GE, Davagnanam I. Radiological Comparison of the Lacrimal Sac Fossa Anatomy Between Black Africans and Caucasians. Ophthalmic Plast Reconstr Surg. 2015;31(4):328-31.
  • Sarbajna T, Takahashi Y, Valencia MRP, Ito M, Nishimura K, Kakizaki H. Computed tomographic assessment of the lacrimal sac fossa in the Japanese population. Ann Anat. 2019;224:23-7.
  • Ali MJ, Schicht M, Paulsen F. Morphology and morphometry of lacrimal drainage system in relation to bony landmarks in Caucasian adults: a cadaveric study. Int Ophthalmol. 2018;38(6):2463-69.
  • Zhang L, Han D, Ge W, Xian J, Zhou B, Fan E, et al. 3D morphological classification of the nasolacrimal duct: Anatomical study for planning treatment of tear drainage obstruction. Clin Anat. 2021;34(4):624-33.
  • Zhang L, Han D, Ge W, Xian J, Zhou B, Fan E, et al. Anatomical and computed tomographic analysis of the interaction between the uncinate process and the agger nasi cell. Acta Otolaryngol. 2006;126(8):845-52.
  • Kang D, Park J, Na J, Lee H, Baek S. Measurement of Lacrimal Sac Fossa Using Orbital Computed Tomography. J Craniofac Surg. 2017;28(1):125-28.
  • Dalal DH, Smith HF. Developmental Changes in Morphology of the Middle and Posterior External Cranial Base in Modern Homo sapiens. Biomed Res Int. 2015;2015:324702.
  • Ramey NA, Hoang JK, Richard MJ. Multidetector CT of nasolacrimal canal morphology: normal variation by age, gender, and race. Ophthalmic Plast Reconstr Surg. 2013;29(6):475-80.
  • Colon GA. Principles and Practice of Ophthalmic Plastic Reconstructive Surgery. Plast and Reconstr Surg. 2000;105(7):2618-19.
  • Hartikainen J, Aho HJ, Seppa H, Grenman R. Lacrimal bone thickness at the lacrimal sac fossa. Ophthalmic Surg Lasers. 1996;27(8):679-84.
  • Woo KI, Maeng HS, Kim YD. Characteristics of intranasal structures for endonasal dacryocystorhinostomy in asians. Am J Ophthalmol. 2011;152(3):491-98 e491.
  • Alherabi A, Marglani O, Herzallah I, Shaibah H, Alaidarous T, Alkaff H, et al. Endoscopic anatomy of the lacrimal sac for dacryocystorhinostomy. A cadaveric study. Saudi Med J 2017; 38 (3):245-50.
  • Yung MW, Logan BM. The anatomy of the lacrimal bone at the lateral wall of the nose: its significance to the lacrimal surgeon. Clin Otolaryngol Allied Sci. 1999;24(4):262-65.
  • Purevdorj B, Dugarsuren U, Tuvaan B, Jamiyanjav B. Anatomy of lacrimal sac fossa affecting success rate in endoscopic and external dacryocystorhinostomy surgery in Mongolians. Anat Cell Biol. 2021;54(4):441-47.
  • Liu Y, Kau CH, Talbert L, Pan F. Three-dimensional analysis of facial morphology. J Craniofac Surg. 2014;25(5):1890-94.
  • Chong KK, Ali MJ. Primary Endoscopic Dacryocystorhinostomy. In: Ali MJ, editor. Principles and Practice of Lacrimal Surgery. 2nd ed. Singapore: Springer Nature Singapore Pte Ltd.; 2018. p. 211-19.
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Hüseyin Erdem 0000-0002-7746-7464

Umur Anıl Pehlivan 0000-0001-5871-0695

Nazlı Totik Doğan 0000-0003-1938-1221

Yiğit Çevik 0000-0002-2691-3284

Nazire Kılıç Şafak 0000-0003-1521-5437

Neslihan Boyan 0000-0001-9524-9535

Özkan Oğuz 0000-0002-3081-1467

Publication Date August 28, 2022
Submission Date June 30, 2022
Acceptance Date July 29, 2022
Published in Issue Year 2022 Volume: 19 Issue: 2

Cite

Vancouver Erdem H, Pehlivan UA, Totik Doğan N, Çevik Y, Kılıç Şafak N, Boyan N, Oğuz Ö. Morphometric Evaluation of the Lacrimal Sac Fossa in Anatolian Population Using Multidetector Computed Tomography. Harran Üniversitesi Tıp Fakültesi Dergisi. 2022;19(2):301-8.

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