Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum
Samo za registrovane korisnike
2010
Članak u časopisu (Objavljena verzija)
Metapodaci
Prikaz svih podataka o dokumentuApstrakt
The anatomy of the pterygopalatine fossa pertinent to the technique of maxillary nerve block at the foramen rotundum was investigated and the ability of inexperienced surgeons to apply the required angles of the injection needle to the sagittal plane in a clinical environment. In 85 dried human skulls the volume, length, width and depth of 159 intact pterygopalatine fossae were measured. The frequency of reaching the sphenopalatine foramen using a 20 G spinal needle advanced from the frontozygomatic angle through the pterygomaxillary fissure was determined. 49 oral surgery postgraduates aligned the injection needle with angles of 60 degrees and 80 degrees to the sagittal plane of a volunteer's head. The dimensions of the pterygopalatine fossa were inconsistent; volume (0.1-1 cm(3)), width (1-9 mm) and depth (6-22 mm) showed the greatest variations. An enlarged sphenoidal process and a narrow pterygomaxillary fissure ( lt 2 mm) were found in 15% and 8%, respectively. The sphenopalatine ...foramen was reached successfully in 75%. Postgraduates in oral surgery were highly accurate in the assessment of the 60 and 80 angles to the sagittal plane. A previously described technique of blocking the maxillary nerve at the foramen rotundum was adjusted and recommendations given to overcome anatomical obstacles.
Ključne reči:
maxillary nerve / pterygopalatine fossa / local anaesthesia / extraoral techniqueIzvor:
International Journal of Oral & Maxillofacial Surgery, 2010, 39, 5, 493-496Izdavač:
- Churchill Livingstone, Edinburgh
DOI: 10.1016/j.ijom.2009.11.002
ISSN: 0901-5027
PubMed: 19959336
WoS: 000278584400013
Scopus: 2-s2.0-77952243810
Kolekcije
Institucija/grupa
Stomatološki fakultetTY - JOUR AU - Stojčev-Stajčić, Ljiljana AU - Gačić, Bojan AU - Popović, N. AU - Stajčić, Zoran PY - 2010 UR - https://smile.stomf.bg.ac.rs/handle/123456789/1589 AB - The anatomy of the pterygopalatine fossa pertinent to the technique of maxillary nerve block at the foramen rotundum was investigated and the ability of inexperienced surgeons to apply the required angles of the injection needle to the sagittal plane in a clinical environment. In 85 dried human skulls the volume, length, width and depth of 159 intact pterygopalatine fossae were measured. The frequency of reaching the sphenopalatine foramen using a 20 G spinal needle advanced from the frontozygomatic angle through the pterygomaxillary fissure was determined. 49 oral surgery postgraduates aligned the injection needle with angles of 60 degrees and 80 degrees to the sagittal plane of a volunteer's head. The dimensions of the pterygopalatine fossa were inconsistent; volume (0.1-1 cm(3)), width (1-9 mm) and depth (6-22 mm) showed the greatest variations. An enlarged sphenoidal process and a narrow pterygomaxillary fissure ( lt 2 mm) were found in 15% and 8%, respectively. The sphenopalatine foramen was reached successfully in 75%. Postgraduates in oral surgery were highly accurate in the assessment of the 60 and 80 angles to the sagittal plane. A previously described technique of blocking the maxillary nerve at the foramen rotundum was adjusted and recommendations given to overcome anatomical obstacles. PB - Churchill Livingstone, Edinburgh T2 - International Journal of Oral & Maxillofacial Surgery T1 - Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum VL - 39 IS - 5 SP - 493 EP - 496 DO - 10.1016/j.ijom.2009.11.002 ER -
@article{ author = "Stojčev-Stajčić, Ljiljana and Gačić, Bojan and Popović, N. and Stajčić, Zoran", year = "2010", abstract = "The anatomy of the pterygopalatine fossa pertinent to the technique of maxillary nerve block at the foramen rotundum was investigated and the ability of inexperienced surgeons to apply the required angles of the injection needle to the sagittal plane in a clinical environment. In 85 dried human skulls the volume, length, width and depth of 159 intact pterygopalatine fossae were measured. The frequency of reaching the sphenopalatine foramen using a 20 G spinal needle advanced from the frontozygomatic angle through the pterygomaxillary fissure was determined. 49 oral surgery postgraduates aligned the injection needle with angles of 60 degrees and 80 degrees to the sagittal plane of a volunteer's head. The dimensions of the pterygopalatine fossa were inconsistent; volume (0.1-1 cm(3)), width (1-9 mm) and depth (6-22 mm) showed the greatest variations. An enlarged sphenoidal process and a narrow pterygomaxillary fissure ( lt 2 mm) were found in 15% and 8%, respectively. The sphenopalatine foramen was reached successfully in 75%. Postgraduates in oral surgery were highly accurate in the assessment of the 60 and 80 angles to the sagittal plane. A previously described technique of blocking the maxillary nerve at the foramen rotundum was adjusted and recommendations given to overcome anatomical obstacles.", publisher = "Churchill Livingstone, Edinburgh", journal = "International Journal of Oral & Maxillofacial Surgery", title = "Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum", volume = "39", number = "5", pages = "493-496", doi = "10.1016/j.ijom.2009.11.002" }
Stojčev-Stajčić, L., Gačić, B., Popović, N.,& Stajčić, Z.. (2010). Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum. in International Journal of Oral & Maxillofacial Surgery Churchill Livingstone, Edinburgh., 39(5), 493-496. https://doi.org/10.1016/j.ijom.2009.11.002
Stojčev-Stajčić L, Gačić B, Popović N, Stajčić Z. Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum. in International Journal of Oral & Maxillofacial Surgery. 2010;39(5):493-496. doi:10.1016/j.ijom.2009.11.002 .
Stojčev-Stajčić, Ljiljana, Gačić, Bojan, Popović, N., Stajčić, Zoran, "Anatomical study of the pterygopalatine fossa pertinent to the maxillary nerve block at the foramen rotundum" in International Journal of Oral & Maxillofacial Surgery, 39, no. 5 (2010):493-496, https://doi.org/10.1016/j.ijom.2009.11.002 . .