Yıl: 2022 Cilt: 4 Sayı: 1 Sayfa Aralığı: 49 - 54 Metin Dili: İngilizce DOI: 10.37990/medr.983113 İndeks Tarihi: 27-09-2022

The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches

Öz:
Aim: The present study aimed to reveal the frequency of the zygomatico-orbital foramen (ZOF) in the zygomatic bone, its location, and its connection with the zygomatico-orbital foramen (ZFF) and zygomaticotemporal foramen (ZTF). Material and Method: Ethics committe eapproval of our study was received by the Istanbul Medical Faculty Clinical Research Ethics Committee. Fifty (27 right; 23 left) hemicraniums of Istanbul University, Department of Anatomy of unknown gender were included in the study. Connections with ZOF were determined by passing fine wire through ZTF and ZFF. The closest point of the ZOF to the orbital rim was measured. The distance from the area used for retrobulbar injections (defined as the point where the 1/3 inferolateral edge and 2/3 inferomedial edge of the aditus orbitalis intersect.) to the ZOF was measured. All measurements were measured with a digital caliper and the data were evaluated with SPPS v.21. Results: The number of ZOF was found 46 (51.68%) on the right and 43 (48.32%) on the left side. ZOF, was found to be single in 18 (36%) orbits, double in 16 (32%) orbits, 3 (18%) in 9 orbits, and 4 (6%) in 3 orbits. ZOF was absent in 4 (8%) orbits. Of 89 ZOFs, 37 (20 right; 17 left) were found to be associated with (via a channel) ZFF and 16 (8 right; 8 left) with ZTF. It was noted that 36 (18 right; 18 left) ZOF had no connection with any foramina. The closest distance of ZOF to the orbital rim was 4.54±2.33 mm and the distance to the retrorobulbar injection area was 7.89±2.98 mm.Conclusion: The location and variations of FZO may be helpful in preventing complications during retrobulbar injection, lateral orbitotomy approach for intraorbital tumors, and during surgical interventions such as repair of zygomatic fractures.
Anahtar Kelime: Zygomatico-orbital foramen zygomaticofacial foramen zygomaticotemporal foramen zygomatic bone retrobulbar injection

Foramen Zygomaticoorbitale’nin Görülme Sıklığı ve Lokasyonunun Cerrahi Yaklaşımlardaki Önemi

Öz:
Amaç: Os zygomaticum’un facies orbitalis’inde bulunan foramen zygomaticoorbitale (FZO)’nin görülme sıklığının ortaya konulması, konumunun belirlenmesi, foramen zygomaticofaciale (FZF) ve foramen zygomaticotemporale (FZT) ile bağlantılarının tespit edilmesi amaçlanmıştır. Materyal ve Metot: Çalışmamızın Etik kurul onayı İstanbul Tıp Fakültesi Klinik Araştırmalar Etik Kurulu tarafından alındı. İstanbul Üniversitesi, İstanbul Tıp Fakültesi Anatomi Anabilim Dalı laboratuvarında bulunan, cinsiyeti bilinmeyen 50 adet (27 sağ; 23 sol) hemicranium çalışmaya dahil edildi. FZT ve FZF’den ince tel geçirilerek FZO ile olan bağlantılar tespit edildi. FZO’nin aditus orbitalis’in inferior kenarına olan en yakın mesafe ölçüldü. Son olarak, retrobulbar enjeksiyon için kullanılan noktadan (aditus orbitalis’in 1/3 inferolateral kenarı ile 2/3 inferomedial kenarının kesiştiği nokta) FZO’ye olan mesafe ölçüldü. Tüm ölçümler için dijital kaliper kullanıldı ve verilerin değerlendirilmesi SPPS v.21 ile gerçekleştirildi. Bulgular: FZO’nin sayısı sağ tarafta 46 (%51,68) sol tarafta ise 43 (%48,32) olarak bulundu. FZO; 18 (%36) orbitada tek, 16 (%32) orbitada çift, 9 (%18) orbitada 3 ve 3 (%6) orbitada 4 foramenli olarak bulundu. 4 (%8) orbitada ise FZO hiç görülmedi. 89 FZO’den 37’si (20 sağ; 17 sol) FZF ile 16’sı (8 sağ; 8sol) FZT ile bağlantılı (bir kanal aracılığı ile) olduğu bulundu. 36 (18 sağ; 18 sol) FZO’nin ise herhangi bir foramen ile bağlantısı olmadığı kaydedildi. FZO’nin aditus orbitalis’in inferior kenarına olan en yakın mesafe 4,54±2,33 mm ve retrorobulbar enjeksiyon noktasına olan mesafe 7,89±2,98 mm olarak ölçüldü. Sonuç: FZO’nin lokasyonu ve varyasyonları retrobulbar enjeksiyon sırasında, intraorbital tümörler için uygulanan lateral orbitotomi yaklaşımında ve zigomatik fraktürlerin onarımı gibi cerrahi girişimler esnasında komplikasyonlarının önlenmesinde yardımcı olabilecektir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Nteli Chatzioglou G, COŞKUN O, Ozturk A, Kale A, Gayretli Ö (2022). The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. , 49 - 54. 10.37990/medr.983113
Chicago Nteli Chatzioglou Gkionoul,COŞKUN OSMAN,Ozturk Adnan,Kale Aysin,Gayretli Özcan The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. (2022): 49 - 54. 10.37990/medr.983113
MLA Nteli Chatzioglou Gkionoul,COŞKUN OSMAN,Ozturk Adnan,Kale Aysin,Gayretli Özcan The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. , 2022, ss.49 - 54. 10.37990/medr.983113
AMA Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. . 2022; 49 - 54. 10.37990/medr.983113
Vancouver Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. . 2022; 49 - 54. 10.37990/medr.983113
IEEE Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö "The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches." , ss.49 - 54, 2022. 10.37990/medr.983113
ISNAD Nteli Chatzioglou, Gkionoul vd. "The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches". (2022), 49-54. https://doi.org/10.37990/medr.983113
APA Nteli Chatzioglou G, COŞKUN O, Ozturk A, Kale A, Gayretli Ö (2022). The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical records-international medical journal (Online), 4(1), 49 - 54. 10.37990/medr.983113
Chicago Nteli Chatzioglou Gkionoul,COŞKUN OSMAN,Ozturk Adnan,Kale Aysin,Gayretli Özcan The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical records-international medical journal (Online) 4, no.1 (2022): 49 - 54. 10.37990/medr.983113
MLA Nteli Chatzioglou Gkionoul,COŞKUN OSMAN,Ozturk Adnan,Kale Aysin,Gayretli Özcan The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical records-international medical journal (Online), vol.4, no.1, 2022, ss.49 - 54. 10.37990/medr.983113
AMA Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical records-international medical journal (Online). 2022; 4(1): 49 - 54. 10.37990/medr.983113
Vancouver Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches. Medical records-international medical journal (Online). 2022; 4(1): 49 - 54. 10.37990/medr.983113
IEEE Nteli Chatzioglou G,COŞKUN O,Ozturk A,Kale A,Gayretli Ö "The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches." Medical records-international medical journal (Online), 4, ss.49 - 54, 2022. 10.37990/medr.983113
ISNAD Nteli Chatzioglou, Gkionoul vd. "The Incidence of the Zygomatico-orbital Foramen and the Importance of Its Location in Surgical Approaches". Medical records-international medical journal (Online) 4/1 (2022), 49-54. https://doi.org/10.37990/medr.983113