Localization of the Zygomaticotemporal Foramen on the Zygomatic Bone and Its Relationship with other Foramina
Year 2024,
Volume: 21 Issue: 3, 426 - 433
Gkionoul Ntelı Chatzıoglou
,
Emine Nas
,
Osman Coşkun
,
Ayşin Kale
,
Özcan Gayretli
Abstract
Background: The zygomaticotemporal foramen (ZTF) is located in the temporal surface of the zygomat-ic bone. The zygomaticotemporal branch, a zygomatic nerve (V2) branch, passes through it and distrib-utes in the forehead and temporal region. The aim of our study was to determine the frequency of ZTF and its connections with other foramina in the zygomatic bone.
Materials and Methods: A total of 171 unilateral zygomatic bones in the Department of Anatomy, Faculty of Medicine, Istanbul University were included in our study. The number(s) of ZTF and its relationship with other foramina were determined. The distances between the ZTF and the marginal tubercle and frontozygomatic suture were measured.
Results: A total of 328 ZTFs were found in 171 zygomatic bones. In total, 95 of the 328 ZTFs were found to be connected to other foramina through a canal. The vertical distance between the ZTF and the marginal tubercle as well as the frontozygomatic suture were measured as mean 9.26+2.12mm and 21.78+2.48mm, respectively. The transverse distance from the ZTF and the marginal tubercle was measured as 5.46+1.56mm.
Conclusions: he ZTF is an important anatomical component with implications for interventions on the zygomatic bone. The incidence and location of the ZTF may differ between individuals and between one side of the same individual. It has provided plastic surgeons and anaesthetists with detailed ana-tomical findings for the protection of the zygomaticotemporal nerves passing through the relevant foramen and thus at risk of injury.
Keywords: Zygomaticotemporal foramen, Zygomatic bone, Marginal tubercle, Frontozygomatic suture
Ethical Statement
The study was approved by Ethical committee approval of our study was obtained from Ethical Committee of Istanbul University, Faculty of Medicine (Decision no: 358356, Date: 30.07.2021).
References
- 1. Standring, Susan, ed. Gray's Anatomy E-Book: Gray's Ana-tomy E-Book. Elsevier Health Sciences, 2021.
- 2. Standring S, Ellis H, Healy J, Johnson D, Williams A, Collins P, Wigley C. Gray's anatomy: the anatomical basis of clini-cal practice. American journal of neuroradiology. 2005;26(10), 2703.
- 3. Moore Keith L, and Arthur F Dalley. Clinically oriented ana-tomy. Wolters kluwer india Pvt Ltd, 2018.
- 4. Celik S, Kazak Z, Ozer MA, Govsa F. Navigational area of the cranio-orbital foramen and its significance in orbital sur-gery. Surg Radiol Anat. 2014;36:981-8.
- 5. Gayretli Ö, Nteli Chatzioglou G, Yilar K, Coşkun O, Özbilen KT, Kale A. Frequency Morphologic and Morphometric Pro-perties and Osseous Relationships of Whitnall’s Tubercle. J Craniofacial Surg. 2023;34(3):1093-6.
- 6. Pancake JP, Russell ML, Zdilla MJ. The Relationship between the Marginal Tubercle and the Sphenozygomatic Suture: Implications for Neurosurgery. FASEB J. 2018;32:639-4.
- 7. Silva J, Araya C, Pardo S, et al. Marginal Tubercle of Zygo-matic Bone. Int J Morphol. 2020;38(1): 159-64.
- 8. Kim HJ, Paik DJ, Choi BY, Chung MS, Han SH, Hwang YI, et al. Measurements of the zygomatic bones and morphology of the zygomaticofacial and zygomaticotemporal foramina in Korean. Korean J Phys Anthropol. 1997;225-234.
- 9. Janis JE, Hatef DA, Thakar H, Reece EM, McCluskey PD, Schaub TA, et al. The zygomaticotemporal branch of the trigeminal nerve: Part II. Anatomical variations. Plast Re-constr Surg. 2010;126(2):435-42.
- 10. Totonchi A, Pashmini N, Guyuron B. The zygomaticotempo-ral branch of the trigeminal nerve: An anatomical study. Plastic and reconstructive surgery. 2005;115(1): 273-7.
- 11. Manson PN. Plastic surgery. In McCarthy JG, ed. Facial injuries. Vol. 2. Philadelphia: WB Saunders.1990.
- 12. Ramirez OM, Pozner JN. Endoscopic-assisted wire removal and neurolysis. Ann Plast Surg. 1996;37(2):184-6.
- 13. Mangal A, Choudhry R, Tuli A, Choudhry S, Choudhry R, Khera V. Incidence and morphological study of zygomatico-facial and zygomatico-orbital foramina in dry adult human skulls: the non-metrical variants. Surgic Radiol Anat. 2004;26: 96-9.
- 14. Iwanaga J, Saga T, Tabira Y, Nakamura M, Kitashima S, Watanabe K, et al. The clinical anatomy of accessory men-tal nerves and foramina. Clin Anat. 2015;28(7): 848-56.
- 15. Iwanaga J, Watanabe K, Saga T, Tabira Y, Kitashima S, Kusukawa J, et al. Accessory mental foramina and nerves: Application to periodontal, periapical, and implant surgery. Clin Anat. 2016;29(4): 493–501.
- 16. Nteli Chatzioglou G, Sağlam L, Çandır BN, Yiğit M, Gayretli Ö. Anatomical variations of the zygomaticofacial foramen and its related canal through the zygomatico-orbital and zygomaticotemporal foramina in dry human skulls. Surg Radiol Anat. 2024;46(1):33-40.
- 17. Nteli Chatzioglou G, Coşkun O, Ozturk A, Kale A, Gayretli O. The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical Records. 2022;4(1):49-54.
- 18. Loukas M, Owens DG, Tubbs RS, Spentzouris G, Elochukwu A, Jordan R. Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: anatomical study. Anat Sci Int. 2008;83: 77-82.
- 19. Kim HS, Oh JH, Choi DY, Lee JG, Choi JH, Hu KS, et al. Three-dimensional courses of zygomaticofacial and zygo-maticotemporal canals using micro-computed tomography in Korean. J Craniofac Surg. 2013;24(5): 1565-8.
- 20. Coutinho DCO, Martins-Júnior PA, Campos I, Custódio ALN, e Silva MRMA. Zygomaticofacial, zygomaticoorbital, and zygomaticotemporal foramina. J Craniofac Surg. 2018;29(6): 1583-7.
- 21. Hwang K, Suh MS, Lee SI, Chung IH. Zygomaticotemporal nerve passage in the orbit and temporal area. J Craniofac Surg. 2004;15(2): 209-14.
- 22. Ferro A, Basyuni S, Brassett C, Santhanam V. Study of ana-tomical variations of the zygomaticofacial foramen and cal-culation of reliable reference points for operation. Br J Oral Maxillofac Surg. 2017;55(10): 1035-41.
- 23. Patel P, Belinsky I, Howard D, Palu RN. Location of the zygomatico-orbital foramen on the inferolateral orbital wall: clinical implications. Orbit. 2013;32(5): 275-7.
- 24. Babacan S, Güner N, Çini NT, Kafa İM. Foramen zygomati-coorbitale, foramen zygomaticotemporale, foramen zygo-maticofaciale insidansi ve foramen zygomaticofaciale için güvenli bölge tayini. Harran Üniversitesi Tıp Fakültesi Der-gisi. 2018;15(3): 111-115.
- 25. Kawata K, Ide Y, Sunohara M. Anatomical study of the zygomaticofacial foramen and zygomatic canals communi-cating with the zygomaticofacial foramen for zygomatic implant treatment: a cadaver study with micro-computed tomography analysis. Anat Cell Biol. 2024;57(2):204.
Foramen Zygomaticotemporale’nin Os Zygomaticum Üzerindeki Lokalizasyonu ve Diğer Foramenler ile İlişkisi
Year 2024,
Volume: 21 Issue: 3, 426 - 433
Gkionoul Ntelı Chatzıoglou
,
Emine Nas
,
Osman Coşkun
,
Ayşin Kale
,
Özcan Gayretli
Abstract
Amaç: Foramen zygomaticotemporale (FZT), os zygomaticum’un facies temporalis’inde yer alır. Nervus zygomaticus’un (V2) bir dalı olan ramus zygomaticotemporalis buradan geçerek alın ve temporal bölgede dağılır. Çalışmamızın amacı, FZT'nin sıklığını ve os zygomaticum’daki diğer foraminalarla olan bağlantılarını belirlemektir.
Materyal ve Metod: Çalışmamıza İstanbul Üniversitesi İstanbul Tıp FakültesiAnatomi Anabilim Dalı'nda tek taraflı 171 zigomatik kemik dahil edildi. FZT'nin sayısı ve diğer foraminalar ile ilişkisi belirlendi. FZT ile tuberculum marginale ve sutura frontozygomatica arasındaki mesafeler ölçüldü.
Bulgular: 171 zigomatik kemikte toplam 328 FZT bulundu. Toplam 328 FZT'nin 95'inin bir kanal aracılığıyla diğer foraminalara bağlandığı tespit edildi. FZT ile tuberculum marginale ve sutura frontozygomatica arasındaki vertikal mesafe sırasıyla ortalama 9,26+2,12mm ve 21,78+2,48mm olarak ölçüldü. ZTF ile marjinal tüberkül arasındaki transvers mesafe 5,46+1,56mm olarak ölçüldü.
Sonuç: ZTF, zigomatik kemiğe yapılacak müdahaleler açısından önemli bir anatomik bileşendir. FZT'nin insidansı ve yeri bireyler arasında ve aynı bireyin bir tarafı arasında farklılık gösterebilir. Plastik cerrah-lara ve anestezistlere ilgili foramenden geçen ve bu nedenle yaralanma riski taşıyan nervus zygomati-cotemporalis’in korunması için ayrıntılı anatomik bulgular sağlamıştır.
Ethical Statement
Çalışmamızın Etik Kurul Onayı, İstanbul Üniversitesi, İstanbul Tıp Fakültesi'nden alınmıştır (Karar numarası: 358356, Tarih: 30.07.2021).
References
- 1. Standring, Susan, ed. Gray's Anatomy E-Book: Gray's Ana-tomy E-Book. Elsevier Health Sciences, 2021.
- 2. Standring S, Ellis H, Healy J, Johnson D, Williams A, Collins P, Wigley C. Gray's anatomy: the anatomical basis of clini-cal practice. American journal of neuroradiology. 2005;26(10), 2703.
- 3. Moore Keith L, and Arthur F Dalley. Clinically oriented ana-tomy. Wolters kluwer india Pvt Ltd, 2018.
- 4. Celik S, Kazak Z, Ozer MA, Govsa F. Navigational area of the cranio-orbital foramen and its significance in orbital sur-gery. Surg Radiol Anat. 2014;36:981-8.
- 5. Gayretli Ö, Nteli Chatzioglou G, Yilar K, Coşkun O, Özbilen KT, Kale A. Frequency Morphologic and Morphometric Pro-perties and Osseous Relationships of Whitnall’s Tubercle. J Craniofacial Surg. 2023;34(3):1093-6.
- 6. Pancake JP, Russell ML, Zdilla MJ. The Relationship between the Marginal Tubercle and the Sphenozygomatic Suture: Implications for Neurosurgery. FASEB J. 2018;32:639-4.
- 7. Silva J, Araya C, Pardo S, et al. Marginal Tubercle of Zygo-matic Bone. Int J Morphol. 2020;38(1): 159-64.
- 8. Kim HJ, Paik DJ, Choi BY, Chung MS, Han SH, Hwang YI, et al. Measurements of the zygomatic bones and morphology of the zygomaticofacial and zygomaticotemporal foramina in Korean. Korean J Phys Anthropol. 1997;225-234.
- 9. Janis JE, Hatef DA, Thakar H, Reece EM, McCluskey PD, Schaub TA, et al. The zygomaticotemporal branch of the trigeminal nerve: Part II. Anatomical variations. Plast Re-constr Surg. 2010;126(2):435-42.
- 10. Totonchi A, Pashmini N, Guyuron B. The zygomaticotempo-ral branch of the trigeminal nerve: An anatomical study. Plastic and reconstructive surgery. 2005;115(1): 273-7.
- 11. Manson PN. Plastic surgery. In McCarthy JG, ed. Facial injuries. Vol. 2. Philadelphia: WB Saunders.1990.
- 12. Ramirez OM, Pozner JN. Endoscopic-assisted wire removal and neurolysis. Ann Plast Surg. 1996;37(2):184-6.
- 13. Mangal A, Choudhry R, Tuli A, Choudhry S, Choudhry R, Khera V. Incidence and morphological study of zygomatico-facial and zygomatico-orbital foramina in dry adult human skulls: the non-metrical variants. Surgic Radiol Anat. 2004;26: 96-9.
- 14. Iwanaga J, Saga T, Tabira Y, Nakamura M, Kitashima S, Watanabe K, et al. The clinical anatomy of accessory men-tal nerves and foramina. Clin Anat. 2015;28(7): 848-56.
- 15. Iwanaga J, Watanabe K, Saga T, Tabira Y, Kitashima S, Kusukawa J, et al. Accessory mental foramina and nerves: Application to periodontal, periapical, and implant surgery. Clin Anat. 2016;29(4): 493–501.
- 16. Nteli Chatzioglou G, Sağlam L, Çandır BN, Yiğit M, Gayretli Ö. Anatomical variations of the zygomaticofacial foramen and its related canal through the zygomatico-orbital and zygomaticotemporal foramina in dry human skulls. Surg Radiol Anat. 2024;46(1):33-40.
- 17. Nteli Chatzioglou G, Coşkun O, Ozturk A, Kale A, Gayretli O. The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical Records. 2022;4(1):49-54.
- 18. Loukas M, Owens DG, Tubbs RS, Spentzouris G, Elochukwu A, Jordan R. Zygomaticofacial, zygomaticoorbital and zygomaticotemporal foramina: anatomical study. Anat Sci Int. 2008;83: 77-82.
- 19. Kim HS, Oh JH, Choi DY, Lee JG, Choi JH, Hu KS, et al. Three-dimensional courses of zygomaticofacial and zygo-maticotemporal canals using micro-computed tomography in Korean. J Craniofac Surg. 2013;24(5): 1565-8.
- 20. Coutinho DCO, Martins-Júnior PA, Campos I, Custódio ALN, e Silva MRMA. Zygomaticofacial, zygomaticoorbital, and zygomaticotemporal foramina. J Craniofac Surg. 2018;29(6): 1583-7.
- 21. Hwang K, Suh MS, Lee SI, Chung IH. Zygomaticotemporal nerve passage in the orbit and temporal area. J Craniofac Surg. 2004;15(2): 209-14.
- 22. Ferro A, Basyuni S, Brassett C, Santhanam V. Study of ana-tomical variations of the zygomaticofacial foramen and cal-culation of reliable reference points for operation. Br J Oral Maxillofac Surg. 2017;55(10): 1035-41.
- 23. Patel P, Belinsky I, Howard D, Palu RN. Location of the zygomatico-orbital foramen on the inferolateral orbital wall: clinical implications. Orbit. 2013;32(5): 275-7.
- 24. Babacan S, Güner N, Çini NT, Kafa İM. Foramen zygomati-coorbitale, foramen zygomaticotemporale, foramen zygo-maticofaciale insidansi ve foramen zygomaticofaciale için güvenli bölge tayini. Harran Üniversitesi Tıp Fakültesi Der-gisi. 2018;15(3): 111-115.
- 25. Kawata K, Ide Y, Sunohara M. Anatomical study of the zygomaticofacial foramen and zygomatic canals communi-cating with the zygomaticofacial foramen for zygomatic implant treatment: a cadaver study with micro-computed tomography analysis. Anat Cell Biol. 2024;57(2):204.