2008
DOI: 10.1007/s10143-008-0143-7
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Morphometric three-dimensional computed tomography anatomy of the hypoglossal canal

Abstract: Optimal surgical exposure during the transcondylar approach may result in injury to the hypoglossal nerve. This study evaluated the utility of three-dimensional computed tomography (3-D CT) as a means of obtaining detailed anatomic information in an individual patient prior to surgery involving the hypoglossal canal. We studied 20 hypoglossal canals in ten patients using 3-D CT reconstructed from 1-mm CT slices. Detailed anatomic measurements were performed to define the relationship of the hypoglossal canal t… Show more

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Cited by 22 publications
(11 citation statements)
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“…(Table II). Pre-surgical evaluation has been supported by radiological CT images, which are used extensively in the recognition, evaluation and study of morphometric parameters related to the TA (Matsushima et al 2001;Day, 2004;Huynh-Le et al, 2004;Liu & Coudwell, 2005;Bulsara et al 2008;Menezes, 2008;Sen et al, 2010). Likewise, the evaluation and post-surgical follow-up need this resource.…”
Section: Computed Tomography Results Are Shown Inmentioning
confidence: 99%
“…(Table II). Pre-surgical evaluation has been supported by radiological CT images, which are used extensively in the recognition, evaluation and study of morphometric parameters related to the TA (Matsushima et al 2001;Day, 2004;Huynh-Le et al, 2004;Liu & Coudwell, 2005;Bulsara et al 2008;Menezes, 2008;Sen et al, 2010). Likewise, the evaluation and post-surgical follow-up need this resource.…”
Section: Computed Tomography Results Are Shown Inmentioning
confidence: 99%
“…Certain surgical approaches to optimize surgical exposure may result in injury of hypoglossal nerve, thus understanding its variations may be clinically important. A morphometric study of hypoglossal canal used three-dimensional computed tomography (3D-CT) for measurements (Bulsara et al 2008). In that study, the relationship of hypoglossal canal to occipital condyles and clivus was measured and significant intersubject variation was found; For example, the distance between the outer table of the clivus in the midline and the extracranial opening of the hypoglossal canal ranged between 15.7 and 24.7 mm.…”
Section: Discussionmentioning
confidence: 99%
“…[1] The variations observed therefore may be regarded as part of a pathological process such as (tumors, aneurysms, congenital or acquired malformations and trauma) [2] and their surgical approach is technically demanding and therefore requires a good understanding of anatomy. [3] The hypoglossal canal is surrounded by cortical bone and therefore transmits hypoglossal nerve, meningeal branch of ascending pharyngeal artery and an emissary vein from the basilar plexus internally to internal jugular vein externally [4] and knowing the precise location of the hypoglossal canal is important in understanding the spatial relationships of surrounding structures and in the resection of tumors lying close to or within the canal itself. The study therefore was aimed at studying the hypoglossal canal length and width of dry adult human skulls among two southern states in Nigeria and also to create a data base which will be useful to anthropologists and clinicians for future researches.…”
Section: Introductionmentioning
confidence: 99%