PTERYGOSPINOUS BAR AND MULTIPLE CIVININI FORAMEN- A RARE ANATOMICAL VARIANT AND ITS CLINICAL IMPLICATIONS

Thomson Jones Ebenraj; NagarajanVishali

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IJCRR - 6(10), May, 2014

Pages: 126-133

PTERYGOSPINOUS BAR AND MULTIPLE CIVININI FORAMEN- A RARE ANATOMICAL VARIANT AND ITS CLINICAL IMPLICATIONS

Author: Thomson Jones Ebenraj, NagarajanVishali

Category: Healthcare

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Abstract:

Objectives: Our aim is to study the prevalence of Pterygospinous bar and analyzemorphometrically the homonyms foramen in a collection of existing skulls and discuss their clinical implications. Methods: 90 dried adult human skulls were used for the study. The base of the skull was examined both macroscopically and radiologically for the presence of abnormal osseous structures extending from the lateral pterygoid plate. Average diameter of the Civinini’s foramen, width of the lateral pterygoid plate, width of the extending bar from the pterygospinous process and sphenoid spine were measured using the vernier caliper. Results: Out of 90 skulls reviewed, only 5 skulls showed the presence of complete pterygospinous bar with enclosed Civinini’s foramen, in which 2 skulls showed the multiple Civinini’s foramen. 58 skulls showed the presence of incomplete pterygospinous bar. Conclusion: It is obvious from the results that the incomplete pterygospinous bar is more prevalent, which may lead to altered course of the structures passing through foramen ovale and foramen spinosum. Some of the structures may also be entrapped in the enclosed Civnini’s foramen there by resulting in neural and vascular complications. Hence, the vivid knowledge of such presence is highly beneficial to anaesthetists, dental and maxillo – facial surgeons in day to day clinical practice.

Keywords: pterygospinous ligament, pterygospinous bar, civinini’s foramen, lateral pterygoid plate, spine of the sphenoid.

Citation:

Thomson Jones Ebenraj, NagarajanVishali. PTERYGOSPINOUS BAR AND MULTIPLE CIVININI FORAMEN- A RARE ANATOMICAL VARIANT AND ITS CLINICAL IMPLICATIONS International Journal of Current Research and Review. 6(10), May, 126-133

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