A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa
Abstract This study describes the clinical anatomical topography and relationship of the terminal branches of the maxillary artery to the bony wall of the maxillary sinus in the pterygopalatine fossa (PPF) to estimate the bleeding risk during surgical interventions. Using contrasted computer tomogra...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-02-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-29975-1 |
| _version_ | 1797864897228308480 |
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| author | Kolos Lovász Péter Magyar Tibor Szalóki Pal Maurovich-Horvat Károly Altdorfer László Tamás Alán Alpár |
| author_facet | Kolos Lovász Péter Magyar Tibor Szalóki Pal Maurovich-Horvat Károly Altdorfer László Tamás Alán Alpár |
| author_sort | Kolos Lovász |
| collection | DOAJ |
| description | Abstract This study describes the clinical anatomical topography and relationship of the terminal branches of the maxillary artery to the bony wall of the maxillary sinus in the pterygopalatine fossa (PPF) to estimate the bleeding risk during surgical interventions. Using contrasted computer tomography records, (i) the route of the maxillary artery in the infratemporal fossa, (ii) the number of the arteries in the critical PPF surgery plane, (iii) the diameter of the largest artery in the area and (iv) its relation to the posterior wall of the maxillary sinus were examined. Furthermore, measurements were extended with (v) the minerality of the bony posterior wall of the maxillary sinus on bone-window images. For statistical analyses Student’s t- and Fisher-test were applied. 50 patients (n = 50, 100 cases including both sides) were examined in this study. The maxillary artery reached the pterygomaxillary fissure on the lateral side of the lateral pterygoid muscle in 56% of the cases (n = 32), in 37% (n = 23) on its medial side and in 7% (n = 4) on both sides. The number of arteries at the level of the Vidian canal in the PPF varied between 1 and 4 with a median of 2. The diameter of the biggest branch was 1.2–4.7 mm, the median diameter was 1.90 mm. In 41% (n = 30) of the cases the biggest artery directly contacted the posterior wall of the maxillary sinus, and the mineral density of the posterior wall was decreased in 14.3% (n = 12) of all investigated cases. The present description and statistical analysis of the vasculature of the PPF optimizes operative planning—like clip size or the type and direction of the surgical approach—in this hidden and deep head/neck region. |
| first_indexed | 2024-04-09T22:59:20Z |
| format | Article |
| id | doaj.art-48f15671d2014465ad01d463e2d38f47 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-09T22:59:20Z |
| publishDate | 2023-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-48f15671d2014465ad01d463e2d38f472023-03-22T11:02:20ZengNature PortfolioScientific Reports2045-23222023-02-011311710.1038/s41598-023-29975-1A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossaKolos Lovász0Péter Magyar1Tibor Szalóki2Pal Maurovich-Horvat3Károly Altdorfer4László Tamás5Alán Alpár6Department of Anatomy, Histology and Embryology, Semmelweis UniversityDepartment of Medical Imaging, Semmelweis UniversityDepartment of Otorhinolaryngology and Head and Neck Surgery, Semmelweis UniversityDepartment of Medical Imaging, Semmelweis UniversityDepartment of Anatomy, Histology and Embryology, Semmelweis UniversityDepartment of Otorhinolaryngology and Head and Neck Surgery, Semmelweis UniversityDepartment of Anatomy, Histology and Embryology, Semmelweis UniversityAbstract This study describes the clinical anatomical topography and relationship of the terminal branches of the maxillary artery to the bony wall of the maxillary sinus in the pterygopalatine fossa (PPF) to estimate the bleeding risk during surgical interventions. Using contrasted computer tomography records, (i) the route of the maxillary artery in the infratemporal fossa, (ii) the number of the arteries in the critical PPF surgery plane, (iii) the diameter of the largest artery in the area and (iv) its relation to the posterior wall of the maxillary sinus were examined. Furthermore, measurements were extended with (v) the minerality of the bony posterior wall of the maxillary sinus on bone-window images. For statistical analyses Student’s t- and Fisher-test were applied. 50 patients (n = 50, 100 cases including both sides) were examined in this study. The maxillary artery reached the pterygomaxillary fissure on the lateral side of the lateral pterygoid muscle in 56% of the cases (n = 32), in 37% (n = 23) on its medial side and in 7% (n = 4) on both sides. The number of arteries at the level of the Vidian canal in the PPF varied between 1 and 4 with a median of 2. The diameter of the biggest branch was 1.2–4.7 mm, the median diameter was 1.90 mm. In 41% (n = 30) of the cases the biggest artery directly contacted the posterior wall of the maxillary sinus, and the mineral density of the posterior wall was decreased in 14.3% (n = 12) of all investigated cases. The present description and statistical analysis of the vasculature of the PPF optimizes operative planning—like clip size or the type and direction of the surgical approach—in this hidden and deep head/neck region.https://doi.org/10.1038/s41598-023-29975-1 |
| spellingShingle | Kolos Lovász Péter Magyar Tibor Szalóki Pal Maurovich-Horvat Károly Altdorfer László Tamás Alán Alpár A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa Scientific Reports |
| title | A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| title_full | A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| title_fullStr | A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| title_full_unstemmed | A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| title_short | A radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| title_sort | radioanatomical study of 3rd segment terminal branches of the maxillary artery in the pterygopalatine fossa |
| url | https://doi.org/10.1038/s41598-023-29975-1 |
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