Research Article
Unilateral Dudak Damak Yarıklı Hastalarda Nazopalatin Kanalın Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi Evaluation of the Nasopalatine Canal with Cone-Beam Computed Tomography in Patients with Unilateral Cleft Lip and Palate
Abstract
Amaç:
Dudak damak yarıkları (DDY) kraniyofasiyal bölgede en sık görülen malformasyonlardır. Nazopalatin kanal (NPK) genellikle maksiller orta hatta ve insizör dişlerin posteriorunda bulunur. Kanal oral kaviteye insiziv foramen (IF) aracılığı ile açılır; nazal septumun her iki tarafında Stensen foramen (SF) ile nazal kavitede sonlanır. DDY'li hastalarda oluşan çeşitli anatomik ve dental değişikliklere bağlı olarak maksillar ön bölgede estetik ve fonksiyonel bozulmalar söz konusudur. Bu bölgenin rehabilite edilebilmesi amacıyla implant tedavilerine sıklıkla başvurulur. İmplant cerrahisi sonrası olası post-operatif komplikasyonlardan kaçınılması amacıyla bölge anatomisinin Konik Işınlı Bilgisayarlı Tomografi (KIBT) ile değerlendirilmesi önemlidir. Bu çalışmanın amacı, KIBT görüntülerinde, DDY'li bireyler ile sağlıklı kontrollerde NPK morfolojisini ve lineer ölçümlerini karşılaştırmaktır.
Gereç ve Yöntemler:
Çalışma retrospektif olarak yürütülmüştür. Çalışmaya 22'si unilateral DDY hastası, 25'i kontrol grubu hastası olmak üzere 47 birey dahil edilmiştir. NPK'nın morfolojik, boyutsal özellikleri ayrıca Stenson foramen ve insiziv foramen çapları KIBT görüntüleri üzerinde değerlendirilmiştir.
Bulgular:
Çalışma grubu ve kontrol grubu arasında yaş ve cinsiyet açısından anlamlı fark yoktu. NPK morfolojisi, NPK uzunluğu, NPK sayısı, SF sayısı, SF çapı, IF çapı açısından iki grup arasında istatistiksel olarak anlamlı fark bulundu. DDY’li grupta huni şeklinde NPK daha fazla izlenirken, kontrol grubunda silindirik NPK daha fazlaydı. Çalışma grubunda daha geniş NF çapı ve SF çapı bulunmasına rağmen NPK uzunluğunun daha kısa olduğu saptandı. IF sayısı ise iki grup arasında istatistiksel anlamlı fark göstermedi.
Sonuç:
Bu çalışma, DDY'li hastalarda NPK'nin anatomik değişkenlik gösterdiğini doğrulamaktadır. Bu nedenle, DDY hastalarında maksillar ön bölgeye yönelik cerrahi girişimler öncesinde bölgenin KIBT ile ayrıntılı anatomik değerlendirilmesinin yapılması önem arz etmektedir.
References
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- 5. Radlanski R, Emmerich S & Renz H. Prenatal Morphogenesis of the Human Incisive Canal. Anatomy and embryology. 2004;208(4):265-71.
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- 13. Güncü GN, Yıldırım YD, Yılmaz HG, Galindo‐Moreno P, Velasco‐Torres M, Al‐Hezaimi K, et al. Is There a Gender Difference in Anatomic Features of Incisive Canal and Maxillary Environmental Bone? Clinical oral implants research, 2013;24(9):1023-6.
- 14. Bornstein MM, Balsiger R, Sendi P & Von Arx T. Morphology of the Nasopalatine Canal and Dental Implant Surgery: A Radiographic Analysis of 100 Consecutive Patients Using Limited Cone‐beam Computed Tomography, Clinical oral implants research, 2011;22(3):295-301.
- 15. Etoz M, Sisman Y. Evaluation of the Nasopalatine Canal and Variations with Cone-beam Computed Tomography, Surgical and Radiologic Anatomy, 2014;36(8):805-12.
- 16. Fernández-Alonso A, Suárez-Quintanilla J, Muinelo-Lorenzo J, Bornstein MM, Blanco-Carrión A & Suárez-Cunqueiro M. Three-dimensional Study of Nasopalatine Canal Morphology: A Descriptive Retrospective Analysis Using Cone-beam Computed Tomography, Surgical and radiologic anatomy, 2014;36(9):895-905.
- 17. Bahşi I, Orhan M, Kervancıoğlu P, Yalçın ED&Aktan AM. Anatomical Evaluation of Nasopalatine Canal on Cone-beam Computed Tomography Images, Folia morphologica, 2019;78(1):153-62.
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- 19. Liang X, Jacobs R, Martens W, Hu Y, Adriaensens P, Quirynen M, et al. Macro‐and Micro‐anatomical, Histological and Computed Tomography Scan Characterization of the Nasopalatine Canal, Journal of clinical periodontology, 2009;36(7):598-603.
- 20. Da Costa ED, Nejaim Y, Martins LAC, Peyneau PD, Ambrosano GMB & Oliveira ML. Morphological Evaluation of the Nasopalatine Canal in Patients with Different Facial Profiles and Ages, Journal of Oral and Maxillofacial Surgery, 2019;77(4):721-9.
- 21. Lopez Jornet P, Boix P, Sanchez Perez A & Boracchia A. Morphological Characterization of the Anterior Palatine Region Using Cone-beam Computed Tomography, Clinical implant dentistry and related research, 2015;17:e459-e64.
- 22. Al-Amery SM, Nambiar P, Jamaludin M, John J & Ngeow WC. Cone-beam Computed Tomography Assessment of the Maxillary Incisive Canal and Foramen: Considerations of Anatomical Variations when Placing Immediate Implants, PloS one, 2015;10(2):e0117251.
- 23. Thakur AR, Burde K, Guttal K & Naikmasur VG. Anatomy and Morphology of the Nasopalatine Canal Using Cone-beam Computed Tomography, Imaging science in dentistry, 2013;43(4):273-81.
- 24. Kim G-T, Hwang E-H & Lee S-R. A Study of Incisive Canal Using a Cone-beam Computed Tomography, Imaging Science in Dentistry, 2004;34(1):7-12.
- 25. Song W-C, Jo D-I, Lee J-Y, Kim J-N, Hur M-S, Hu K-S, et al. Microanatomy of the Incisive Canal Using Three-dimensional Reconstruction of MicroCT Images: An ex vivo study, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2009;108(4):583-90.
- 26. Inocentes R, Espínola G, Yatabe M & Trindade Suedam IK. Análise Tomográfica em 3D da Cavidade Nasal de Indivíduos com Fissura Labiopalatina Unilateral e Bilateral, Brazilian Oral Research, 2017.
Year 2023,
Volume: 10 Issue: 4, 184 - 190, 15.06.2023
Abstract
References
- 1. Cobourne MT. (2012) Cleft Lip and Palate: Epidemiology, aetiology, and treatment: Karger Medical and Scientific Publishers, Basel, Switzerland.
- 2. Kianifar H, Hasanzadeh N, Jahanbin A, Ezzati A & Kianifar H. Cleft Lip and Palate: a 30-Year Epidemiologic Study in North-east of Iran. Iranian journal of otorhinolaryngology. 2015;27(78):35.
- 3. Curtis EJ, Fraser FC & Warburton D. Congenital cleft lip and palate: Risk Figures for Counseling. American Journal of Diseases of Children. 1961;102(6):853-7.
- 4. Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N & Adriaensens P. Neurovascularization of the Anterior Jaw Bones Revisited Using High-resolution Magnetic Resonance Imaging. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2007;103(5):683-93.
- 5. Radlanski R, Emmerich S & Renz H. Prenatal Morphogenesis of the Human Incisive Canal. Anatomy and embryology. 2004;208(4):265-71.
- 6. Acar B, Kamburoğlu K. Morphological and Volumetric Evaluation of the Nasopalatinal Canal in a Turkish Population Using Cone-beam Computed Tomography. Surgical and Radiologic Anatomy. 2015;37(3):259-65.
- 7. Ćetković D. Morphological Characteristics of The Nutrient Canals of the Maxillary Alveolar and Palatine Process and Their Anatomic Relationship with the Greater Palatine Artery and Nerve, Doctoral Thesis, University of Belgrad, Faculty of Dental Medicine, 2018.
- 8. Härtel J, Pögl C, Henkel K-O, Gundlach KK. Dental Implants in Alveolar Cleft Patients: A Retrospective Study, Journal of Cranio-Maxillofacial Surgery, 1999;27(6):354-7.
- 9. Kramer F-J, Baethge C, Swennen G, Bremer B, Schwestka-Polly R & Dempf R. Dental Implants in Patients with Orofacial Clefts: A Long-term Follow-up Study, International journal of oral and maxillofacial surgery, 2005;34(7):715-21.
- 10. Lopes IA, Chicrala GM, Soares MQS & Capelozza ALA, Evaluation of the Nasopalatine Canal of Patients With and Without Cleft Lip and Palate in CBCT Exams, The Cleft Palate-Craniofacial Journal, Published online: October 22, 2022.
- 11. Mraiwa N, Jacobs R, Van Cleynenbreugel J, Sanderink G, Schutyser F, Suetens P, et al. The Nasopalatine Canal Revisited Using 2D and 3D CT Imaging, Dentomaxillofacial Radiology, 2004;33(6):396-402.
- 12. Mardinger O, Namani‐Sadan N, Chaushu G, Schwartz‐Arad D. Morphologic Changes of the Nasopalatine Canal Related to Dental Implantation: A Radiologic Study in Different Degrees of Absorbed Maxillae, Journal of periodontology, 2008;79(9):1659-62.
- 13. Güncü GN, Yıldırım YD, Yılmaz HG, Galindo‐Moreno P, Velasco‐Torres M, Al‐Hezaimi K, et al. Is There a Gender Difference in Anatomic Features of Incisive Canal and Maxillary Environmental Bone? Clinical oral implants research, 2013;24(9):1023-6.
- 14. Bornstein MM, Balsiger R, Sendi P & Von Arx T. Morphology of the Nasopalatine Canal and Dental Implant Surgery: A Radiographic Analysis of 100 Consecutive Patients Using Limited Cone‐beam Computed Tomography, Clinical oral implants research, 2011;22(3):295-301.
- 15. Etoz M, Sisman Y. Evaluation of the Nasopalatine Canal and Variations with Cone-beam Computed Tomography, Surgical and Radiologic Anatomy, 2014;36(8):805-12.
- 16. Fernández-Alonso A, Suárez-Quintanilla J, Muinelo-Lorenzo J, Bornstein MM, Blanco-Carrión A & Suárez-Cunqueiro M. Three-dimensional Study of Nasopalatine Canal Morphology: A Descriptive Retrospective Analysis Using Cone-beam Computed Tomography, Surgical and radiologic anatomy, 2014;36(9):895-905.
- 17. Bahşi I, Orhan M, Kervancıoğlu P, Yalçın ED&Aktan AM. Anatomical Evaluation of Nasopalatine Canal on Cone-beam Computed Tomography Images, Folia morphologica, 2019;78(1):153-62.
- 18. Gönül Y, Bucak A, Atalay Y, Beker-Acay M, Çalişkan A, Sakarya G, et al. MDCT Evaluation of Nasopalatine Canal Morphometry and Variations: An Analysis of 100 Patients, Diagnostic and interventional imaging, 2016;97(11):1165-72.
- 19. Liang X, Jacobs R, Martens W, Hu Y, Adriaensens P, Quirynen M, et al. Macro‐and Micro‐anatomical, Histological and Computed Tomography Scan Characterization of the Nasopalatine Canal, Journal of clinical periodontology, 2009;36(7):598-603.
- 20. Da Costa ED, Nejaim Y, Martins LAC, Peyneau PD, Ambrosano GMB & Oliveira ML. Morphological Evaluation of the Nasopalatine Canal in Patients with Different Facial Profiles and Ages, Journal of Oral and Maxillofacial Surgery, 2019;77(4):721-9.
- 21. Lopez Jornet P, Boix P, Sanchez Perez A & Boracchia A. Morphological Characterization of the Anterior Palatine Region Using Cone-beam Computed Tomography, Clinical implant dentistry and related research, 2015;17:e459-e64.
- 22. Al-Amery SM, Nambiar P, Jamaludin M, John J & Ngeow WC. Cone-beam Computed Tomography Assessment of the Maxillary Incisive Canal and Foramen: Considerations of Anatomical Variations when Placing Immediate Implants, PloS one, 2015;10(2):e0117251.
- 23. Thakur AR, Burde K, Guttal K & Naikmasur VG. Anatomy and Morphology of the Nasopalatine Canal Using Cone-beam Computed Tomography, Imaging science in dentistry, 2013;43(4):273-81.
- 24. Kim G-T, Hwang E-H & Lee S-R. A Study of Incisive Canal Using a Cone-beam Computed Tomography, Imaging Science in Dentistry, 2004;34(1):7-12.
- 25. Song W-C, Jo D-I, Lee J-Y, Kim J-N, Hur M-S, Hu K-S, et al. Microanatomy of the Incisive Canal Using Three-dimensional Reconstruction of MicroCT Images: An ex vivo study, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2009;108(4):583-90.
- 26. Inocentes R, Espínola G, Yatabe M & Trindade Suedam IK. Análise Tomográfica em 3D da Cavidade Nasal de Indivíduos com Fissura Labiopalatina Unilateral e Bilateral, Brazilian Oral Research, 2017.
There are 26 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Research |
| Authors | |
| Publication Date | June 15, 2023 |
| Submission Date | January 10, 2023 |
| Published in Issue | Year 2023 Volume: 10 Issue: 4 |
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