Anatomical Variations of the Canalis Sinuosus: A CBCT Study
Yıl 2024,
Cilt: 14 Sayı: 3, 835 - 842, 30.09.2024
Hatice Tetik
,
Zühre Zafersoy Akarslan
Öz
Objective: Canalis sinuosus (CS) is a bony canal separated from the infraorbital nerve containing the anterior superior alveolar vessel-nerve bundle. This study aimed to assess the anatomical variations of the canalis sinuosus from cone-beam computed tomography (CBCT) images.
Methods: CBCT images of 568 patients (328 females and 240 males; aged between 18 and 81 years old) were evaluated retrospectively. Axial, sagittal, coronal, and cross-sectional images with 0.5 mm slice thicknesses were used to evaluate the presence of CS and associated accessory canal (AC).
Results: Bilateral CS was detected in the entire sample (n=568, 100%). A total of 340 ACs were detected, including at least one AC in 41.9% of the patients. The median value of AC diameter was calculated as 0.89 mm both for females and males. ACs were found in 135 females and in 103 males. One up to five ACs were found per patient. However, the majority of the patients had one AC. ACs were mostly located at tooth
region 11 (17.9%) and tooth region 12 (16.4%). Only 59.71% of ACs had a radiographically observed foramen.
Conclusion: In conclusion, all patients had CS and ACs were in nearly half of the patients. Knowledge about these structures aid to correct radiographic diagnosis of these canals and minimize the risk of complications during surgical procedures.
Kaynakça
- White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th ed. St. Louis, Missouri: Mosby Elsevier; 2014.
- Özdede M, Paksoy CS. Konik ışınlı bilgisayarlı tomografi: teknik, çalışma ilkeleri ve görüntü oluşumu. Türkiye Klinikleri J Oral Maxillofac Radiol-Special Topics. 2019;5(1):1-6. (Turkish)
- Von Arx T, Lozanoff S, Sendi P, Bornstein MM. Assessment of bone channels other than the nasopalatine canal in the anterior maxilla using limited cone beam computed tomography. Surg Radiol Anat. 2013;35(9):783-790. DOI: 10.1007/s00276-013-1110-8
- Rodella LF, Buffoli B, Labanca M, Rezzani R. A review of the mandibular and maxillary nerve supplies and their clinical relevance. Arch Oral Biol. 2012;57(4):323-334. DOI: 10.1016/j.archoralbio.2011.09.007
- Liang X, Lambrichts I, Corpas L, Politis C, Vrielinck L, Ma GW, Jacobs R. Neurovascular disturbance associated with implant placement in the anterior mandible and its surgical implications: Literature review including report of a case. Chin J Dent Res. 2008;11(1):56-64.
- Jones FW. The anterior superior alveolar nerve and vessels. Journal Anat. 1939;73(Pt 4):583-591.
- Lester Mc Daniel WM. Variations in nerve distributions of the maxillary teeth. Journal Dent Res. 1956;35(6):916-921. DOI: 10.1177/00220345560350061301
- Shelley AM, Rushton VE, Horner K. Canalis sinuosus mimicking a periapical inflammatory lesion. Br Dent J. 1999;186(8):378-379. DOI: 10.1038/sj.bdj.4800116
- Leven AJ, Sood B. Pathosis or additional maxillary neurovascular channel? A case report. J Endod. 2018;44(6):1048-1051. DOI: 10.1016/j.joen.2018.02.025
- Talim JS, Schechter D, Roges R, Rotstein I. Canalis sinuosus mimicking root resorption lesion. Endodontology. 2018;30(2):140-143.
- Shah PN, Arora AV, Kapoor SV. Accessory branch of canalis sinuosus mimicking external root resorption: A diagnostic dilemma. J Conserv Dent. 2017;20(6):479-481.
- Shintaku WH, Ferreira CF, de Souza Venturin J. Invasion of the canalis sinuosus by dental implants: A report of 3 cases. Imaging Sci Dent. 2020;50(4):353-357. DOI: 10.5624/isd.2020.50.4.353
- Arruda JA, Silva P, Silva L, Álvares P, Silva L, Zavanelli R, Rodrigues C, Gerbi M, Sobral AP, Silveira M. Dental implant in the canalis sinuosus: A case report and review of the literature. Case Rep Dent. 2017:2017:4810123. DOI: 10.1155/2017/4810123
- Volberg R, Mordanov O. Canalis sinuosus damage after immediate dental implant placement in the esthetic zone. Case Rep Dent. 2019 Dec 16:2019:3462794. DOI: 10.1155/2019/3462794
- Ananthaneni A, Srilekha N, Guduru VS, Kiresur MA. Rare case report of traumatic neuroma of anterior superior alveolar nerve associated with high frenal attachment. Asian J Neurosurg. 2015;10(2):169-171. DOI: 10.4103/1793-5482.153502
- Dorafshar AH, Dellon AL, Wan EL, Reddy S, Wong VW. Injured anterior superior alveolar nerve endoscopically resected within maxillary sinus. Craniomaxillofac Trauma Reconstr. 2017;10(3):208-211. DOI: 10.1055/s-0036-1592088
- Olenczak JB, Hui-Chou HG, Aguila III DJ, Shaeffer CA, Dellon AL, Manson PN. Posttraumatic midface pain: Clinical significance of the anterior superior alveolar nerve and canalis sinuosus. Ann Plast Surg. 2015;75(5):543-547. DOI: 10.1097/SAP.0000000000000335
- De Oliveira-Santos C, Rubira-Bullen IRF, Monteiro SAC, Leon JE, Jacobs R. Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral İmplants Res. 2013;24(9):1044-1048. DOI: 10.1111/j.1600-0501.2012.02497.x
- Aoki R, Massuda M, Zenni LTV, Fernandes KS. Canalis sinuosus: Anatomical variation or structure? Surg Radiol Anat. 2020;42(1):69-74. DOI: 10.1007/s00276-019-02352-2
- Anatoly A, Sedov Y, Gvozdikova E, Mordanov O, Kruchinina L, Avanesov K, Vinogradova A, Golub S, Khaydar D, Hoang NG, Darawsheh HM. Radiological and morphometric features of canalis sinuosus in russian population: Cone-beam computed tomography study. Int J Dent. 2019 Dec 16:2019:2453469. DOI: 10.1155/2019/2453469
- Etöz M, Yılmaz S. Anterior palatal açıklığı olan canalis sinuosus varyasyonları. Türkiye Klinikleri J Dent Sci. 2019;25(3):241-247. (Turkish)
- Heasman PA. Clinical anatomy of the superior alveolar nerves. Br J Oral Maxillofac Surg. 1984;22(6):439-447. DOI: 10.1016/0266-4356(84)90051-2
- Robinson S, Wormald PJ. Patterns of innervation of the anterior maxilla: A cadaver study with relevance to canine fossa puncture of the maxillary sinus. Laryngoscope. 2005;115(10):1785-1788. DOI: 10.1097/01.mlg.0000176544.72657.a6
- Scarfe WC, Langlais RP, Ohba T, Kawamata A, Maselle I. Panoramic radiographic patterns of the infraorbital canal and anterior superior dental plexus. Dentomaxillofac Radiol. 1998;27(2):85-92.
- Manhães júnior LRC, Villaça-Carvalho MFL, Moraes MEL, Lopes SLPDC, Silva MBF, Junqueira JLC. Location and classification of canalis sinuosus for cone beam computed tomography: Avoiding misdiagnosis. Brazil Oral Res. 2016;30(1):e49. DOI: 10.1590/1807-3107BOR-2016.vol30.0049
- Gurler G, Delilbasi C, Ogut EE, Aydin K, Sakul U. Evaluation of the morphology of the canalis sinuosus using cone-beam computed tomography in patients with maxillary impacted canines. Imaging Sci Dent. 2017;47(2):69-74. DOI: 10.5624/isd.2017.47.2.69
- Wanzeler AMV, Marinho CG, Junior SMA, Manzi FR, Tuji FM. Anatomical study of the canalis sinuosus in 100 cone beam computed tomography examinations. Oral Maxillofac Surg. 2015;19(1):49-53. DOI: 10.1007/s10006-014-0450-9
- Baena-Caldas GP, Rengifo-Miranda HL, Herrera-Rubio AM, Peckham X, Zúñiga JR. Frequency of canalis sinuosus and its anatomic variations in cone beam computed tomography images. Int J Morphol. 2019;37(3):852-857.
- Ghandourah AO, Rashad A, Heiland M, Hamzi BM, Friedrich RE. Cone-beam tomographic analysis of canalis sinuosus accessory intraosseous canals in the maxilla. Ger Med Sci. 2017 Dec 19:15:Doc20. DOI: 10.3205/000261
- Neves FS, Crusoé-Souza M, Franco LCS, Caria PHF, Bonfim-Almeida P, Crusoé-Rebello I. Canalis sinuosus: A rare anatomical variation. Surg Radiol Anat. 2012;34(6):563-566. DOI: 10.1007/s00276-011-0907-6
- Tomrukçu DN, Köse TE. Assesment of accessory branches of canalis sinuosus on CBCT images. Med Oral Patol Oral Cir Bucal. 2020;25(1):e124-e130. DOI: 10.4317/medoral.23235
- Vâlcu M, Rusu MC, Sendroiu VM, Didilescu AC. The lateral incisive canals of the adult hard palate-aberrant anatomy of a minor form of clefting. Rom J Morphol Embryol. 2011;52(3):947-949.
- Machado VC, Chrcanovic BR, Felippe MB, Manhães Júnior LRC, de Carvalho PSP. Assessment of accessory canals of the canalis sinuosus: A study of 1000 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2016;45(12):1586-1591. DOI: 10.1016/j.ijom.2016.09.007
- Temmerman A, Hertelé S, Teughels W, Dekeyser C, Jacobs R, Quirynen M. Are panoramic images reliable in planning sinus augmentation procedures? Clin Oral İmplants Res. 2011;22(2):189-194. DOI: 10.1111/j.1600-0501.2010.02000.x
- Sekerci AE, Cantekin K, Aydınbelge M. Cone beam computed tomographic analysis of neurovascular anatomical variations other than the nasopalatine canal in the anterior maxilla in a pediatric population. Surg Radiol Anat. 2015;37(2):181-186. DOI: 10.1007/s00276-014-1303-9
- Orhan K, Görürgöz C, Akyol M, Özarslanturk S, Avsever H. An anatomical variant: Evaluation of accessory canals of the canalis sinuosus using cone beam computed tomography. Folia Morphol. 2018;77(3):551-557. DOI: 10.5603/FM.a2018.0003
- Şallı GA, Öztürkmen Z. Evaluation of location of canalis sinuosus in the maxilla using cone beam computed tomography. Balk J Dent Med. 2021;25(1):7-12.
- Alkis HT, Ata GC, Tas A. Evaluation of the morphology of accessory canals of the canalis sinuosus via cone-beam computed tomography. J Stomatol Oral Maxillofac Surg. 2023;124(4):101406. DOI: 10.1016/j.jormas.2023.101406
Yıl 2024,
Cilt: 14 Sayı: 3, 835 - 842, 30.09.2024
Hatice Tetik
,
Zühre Zafersoy Akarslan
Kaynakça
- White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th ed. St. Louis, Missouri: Mosby Elsevier; 2014.
- Özdede M, Paksoy CS. Konik ışınlı bilgisayarlı tomografi: teknik, çalışma ilkeleri ve görüntü oluşumu. Türkiye Klinikleri J Oral Maxillofac Radiol-Special Topics. 2019;5(1):1-6. (Turkish)
- Von Arx T, Lozanoff S, Sendi P, Bornstein MM. Assessment of bone channels other than the nasopalatine canal in the anterior maxilla using limited cone beam computed tomography. Surg Radiol Anat. 2013;35(9):783-790. DOI: 10.1007/s00276-013-1110-8
- Rodella LF, Buffoli B, Labanca M, Rezzani R. A review of the mandibular and maxillary nerve supplies and their clinical relevance. Arch Oral Biol. 2012;57(4):323-334. DOI: 10.1016/j.archoralbio.2011.09.007
- Liang X, Lambrichts I, Corpas L, Politis C, Vrielinck L, Ma GW, Jacobs R. Neurovascular disturbance associated with implant placement in the anterior mandible and its surgical implications: Literature review including report of a case. Chin J Dent Res. 2008;11(1):56-64.
- Jones FW. The anterior superior alveolar nerve and vessels. Journal Anat. 1939;73(Pt 4):583-591.
- Lester Mc Daniel WM. Variations in nerve distributions of the maxillary teeth. Journal Dent Res. 1956;35(6):916-921. DOI: 10.1177/00220345560350061301
- Shelley AM, Rushton VE, Horner K. Canalis sinuosus mimicking a periapical inflammatory lesion. Br Dent J. 1999;186(8):378-379. DOI: 10.1038/sj.bdj.4800116
- Leven AJ, Sood B. Pathosis or additional maxillary neurovascular channel? A case report. J Endod. 2018;44(6):1048-1051. DOI: 10.1016/j.joen.2018.02.025
- Talim JS, Schechter D, Roges R, Rotstein I. Canalis sinuosus mimicking root resorption lesion. Endodontology. 2018;30(2):140-143.
- Shah PN, Arora AV, Kapoor SV. Accessory branch of canalis sinuosus mimicking external root resorption: A diagnostic dilemma. J Conserv Dent. 2017;20(6):479-481.
- Shintaku WH, Ferreira CF, de Souza Venturin J. Invasion of the canalis sinuosus by dental implants: A report of 3 cases. Imaging Sci Dent. 2020;50(4):353-357. DOI: 10.5624/isd.2020.50.4.353
- Arruda JA, Silva P, Silva L, Álvares P, Silva L, Zavanelli R, Rodrigues C, Gerbi M, Sobral AP, Silveira M. Dental implant in the canalis sinuosus: A case report and review of the literature. Case Rep Dent. 2017:2017:4810123. DOI: 10.1155/2017/4810123
- Volberg R, Mordanov O. Canalis sinuosus damage after immediate dental implant placement in the esthetic zone. Case Rep Dent. 2019 Dec 16:2019:3462794. DOI: 10.1155/2019/3462794
- Ananthaneni A, Srilekha N, Guduru VS, Kiresur MA. Rare case report of traumatic neuroma of anterior superior alveolar nerve associated with high frenal attachment. Asian J Neurosurg. 2015;10(2):169-171. DOI: 10.4103/1793-5482.153502
- Dorafshar AH, Dellon AL, Wan EL, Reddy S, Wong VW. Injured anterior superior alveolar nerve endoscopically resected within maxillary sinus. Craniomaxillofac Trauma Reconstr. 2017;10(3):208-211. DOI: 10.1055/s-0036-1592088
- Olenczak JB, Hui-Chou HG, Aguila III DJ, Shaeffer CA, Dellon AL, Manson PN. Posttraumatic midface pain: Clinical significance of the anterior superior alveolar nerve and canalis sinuosus. Ann Plast Surg. 2015;75(5):543-547. DOI: 10.1097/SAP.0000000000000335
- De Oliveira-Santos C, Rubira-Bullen IRF, Monteiro SAC, Leon JE, Jacobs R. Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral İmplants Res. 2013;24(9):1044-1048. DOI: 10.1111/j.1600-0501.2012.02497.x
- Aoki R, Massuda M, Zenni LTV, Fernandes KS. Canalis sinuosus: Anatomical variation or structure? Surg Radiol Anat. 2020;42(1):69-74. DOI: 10.1007/s00276-019-02352-2
- Anatoly A, Sedov Y, Gvozdikova E, Mordanov O, Kruchinina L, Avanesov K, Vinogradova A, Golub S, Khaydar D, Hoang NG, Darawsheh HM. Radiological and morphometric features of canalis sinuosus in russian population: Cone-beam computed tomography study. Int J Dent. 2019 Dec 16:2019:2453469. DOI: 10.1155/2019/2453469
- Etöz M, Yılmaz S. Anterior palatal açıklığı olan canalis sinuosus varyasyonları. Türkiye Klinikleri J Dent Sci. 2019;25(3):241-247. (Turkish)
- Heasman PA. Clinical anatomy of the superior alveolar nerves. Br J Oral Maxillofac Surg. 1984;22(6):439-447. DOI: 10.1016/0266-4356(84)90051-2
- Robinson S, Wormald PJ. Patterns of innervation of the anterior maxilla: A cadaver study with relevance to canine fossa puncture of the maxillary sinus. Laryngoscope. 2005;115(10):1785-1788. DOI: 10.1097/01.mlg.0000176544.72657.a6
- Scarfe WC, Langlais RP, Ohba T, Kawamata A, Maselle I. Panoramic radiographic patterns of the infraorbital canal and anterior superior dental plexus. Dentomaxillofac Radiol. 1998;27(2):85-92.
- Manhães júnior LRC, Villaça-Carvalho MFL, Moraes MEL, Lopes SLPDC, Silva MBF, Junqueira JLC. Location and classification of canalis sinuosus for cone beam computed tomography: Avoiding misdiagnosis. Brazil Oral Res. 2016;30(1):e49. DOI: 10.1590/1807-3107BOR-2016.vol30.0049
- Gurler G, Delilbasi C, Ogut EE, Aydin K, Sakul U. Evaluation of the morphology of the canalis sinuosus using cone-beam computed tomography in patients with maxillary impacted canines. Imaging Sci Dent. 2017;47(2):69-74. DOI: 10.5624/isd.2017.47.2.69
- Wanzeler AMV, Marinho CG, Junior SMA, Manzi FR, Tuji FM. Anatomical study of the canalis sinuosus in 100 cone beam computed tomography examinations. Oral Maxillofac Surg. 2015;19(1):49-53. DOI: 10.1007/s10006-014-0450-9
- Baena-Caldas GP, Rengifo-Miranda HL, Herrera-Rubio AM, Peckham X, Zúñiga JR. Frequency of canalis sinuosus and its anatomic variations in cone beam computed tomography images. Int J Morphol. 2019;37(3):852-857.
- Ghandourah AO, Rashad A, Heiland M, Hamzi BM, Friedrich RE. Cone-beam tomographic analysis of canalis sinuosus accessory intraosseous canals in the maxilla. Ger Med Sci. 2017 Dec 19:15:Doc20. DOI: 10.3205/000261
- Neves FS, Crusoé-Souza M, Franco LCS, Caria PHF, Bonfim-Almeida P, Crusoé-Rebello I. Canalis sinuosus: A rare anatomical variation. Surg Radiol Anat. 2012;34(6):563-566. DOI: 10.1007/s00276-011-0907-6
- Tomrukçu DN, Köse TE. Assesment of accessory branches of canalis sinuosus on CBCT images. Med Oral Patol Oral Cir Bucal. 2020;25(1):e124-e130. DOI: 10.4317/medoral.23235
- Vâlcu M, Rusu MC, Sendroiu VM, Didilescu AC. The lateral incisive canals of the adult hard palate-aberrant anatomy of a minor form of clefting. Rom J Morphol Embryol. 2011;52(3):947-949.
- Machado VC, Chrcanovic BR, Felippe MB, Manhães Júnior LRC, de Carvalho PSP. Assessment of accessory canals of the canalis sinuosus: A study of 1000 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2016;45(12):1586-1591. DOI: 10.1016/j.ijom.2016.09.007
- Temmerman A, Hertelé S, Teughels W, Dekeyser C, Jacobs R, Quirynen M. Are panoramic images reliable in planning sinus augmentation procedures? Clin Oral İmplants Res. 2011;22(2):189-194. DOI: 10.1111/j.1600-0501.2010.02000.x
- Sekerci AE, Cantekin K, Aydınbelge M. Cone beam computed tomographic analysis of neurovascular anatomical variations other than the nasopalatine canal in the anterior maxilla in a pediatric population. Surg Radiol Anat. 2015;37(2):181-186. DOI: 10.1007/s00276-014-1303-9
- Orhan K, Görürgöz C, Akyol M, Özarslanturk S, Avsever H. An anatomical variant: Evaluation of accessory canals of the canalis sinuosus using cone beam computed tomography. Folia Morphol. 2018;77(3):551-557. DOI: 10.5603/FM.a2018.0003
- Şallı GA, Öztürkmen Z. Evaluation of location of canalis sinuosus in the maxilla using cone beam computed tomography. Balk J Dent Med. 2021;25(1):7-12.
- Alkis HT, Ata GC, Tas A. Evaluation of the morphology of accessory canals of the canalis sinuosus via cone-beam computed tomography. J Stomatol Oral Maxillofac Surg. 2023;124(4):101406. DOI: 10.1016/j.jormas.2023.101406