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Characterization and implications of the lingual process of the sphenoid bone: a cadaveric and radiographic study

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机构: [1]Department of Otolaryngology–Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China [2]Department of Otolaryngology–Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH [3]Department of Otolaryngology–Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD [4]Sinonasal and Skull Base Tumor Program, National Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD [5]Department of Neurological Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH
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关键词: lingual process of sphenoid bone sphenoid sinus pneumatization lateral recess quadrangular space Meckel's cave petrolingual ligament

摘要:
Background The surgical significance of the lingual process of the sphenoid bone (LPSB) has not been sufficiently addressed. The purpose of this study was to describe the anatomical details of the LPSB in relation to the quadrangular space. Moreover, the incidence of the LPSB and its correlation with the pneumatization of the sphenoid sinus and the development of the lateral recess of the sphenoid sinus (LRSS) were also evaluated. Methods A dissection and exposure of the LPSB and the quadrangular space was performed on 10 cadaveric specimens (20 sides). The incidence, length, and height of the LPSB were also assessed on computed tomography (CT) images (60 patients, 120 sides). The association between the presence of the LPSB with the pneumatization type of the sphenoid sinus and the presence of a LRSS was evaluated. Results In a cadaveric model, the LPSB, in association with the petrolingual ligament extending from the LPSB to the petrous apex, was identified on 7 sides (35%). The LPSB was continuous with the mandibular strut. The overall incidence of a LPSB was 48.33% on CT images, and the average length and height of the LPSB was (mean +/- standard deviation) 5.30 +/- 1.44 mm and 6.51 +/- 1.32 mm, respectively. A significant correlation was identified between presence of the LPSB with the pneumatization type of the sphenoid sinus (p= 0.004) but no correlation was identified with the presence of the LRSS (p= 0.071). Conclusion The LPSB and the petrolingual ligament are useful landmarks for procedures in the quadrangular space and Meckel's cave. However, the LPSB is not consistently present.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 3 区 耳鼻喉科学
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 耳鼻喉科学
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出版当年[2018]版:
Q1 OTORHINOLARYNGOLOGY
最新[2023]版:
Q1 OTORHINOLARYNGOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Department of Otolaryngology–Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China [2]Department of Otolaryngology–Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH
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通讯机构: [2]Department of Otolaryngology–Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH [5]Department of Neurological Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH [*1]Department of Otolaryngology–Head & Neck Surgery, The James Cancer Center, The Ohio State University Wexner Medical Center, Starling Loving Hall – Room B221, 320 West 10th Avenue, Columbus, OH 43210
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