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Pshennikov DS, Angotoeva IB, Kosiakov SY. [Piriform aperture as a cause of nasal obstruction. Part I. Anthropometric characteristics in different populations (systematic review).]. Vestn Otorinolaringol 2022; 87:81-85. [PMID: 36404696 DOI: 10.17116/otorino20228705181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
The piriform aperture (PA) is anatomically an opening in the central part of the facial skull. To date, the piriform aperture, as an element of the static component of the internal nasal valve (INV) and as a possible cause of its dysfunction, has not received proper surgical attention. If PA is considered as a possible cause of nasal obstruction, then the main parameter is its width, which has a direct effect on the volume of the INV area. This parameter is the focus of the presented work. Despite the absence of generally accepted normative indicators for PA, we currently know the shape and size of the piriform aperture in different ethnic groups of the population, described in the article. As a result of the analysis of the presented research results, it was revealed that the width of the PA is influenced by the gender, age and ethnicity of the individual. The anthropometric data of the piriform aperture require further study, since they are of important reference value not only in the theory of medical research, but also in practical otorhinolaryngology, maxillofacial and plastic surgery, pulmonology.
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Affiliation(s)
- D S Pshennikov
- Ryazan State Medical University, Ryazan, Russia
- Ryazan Regional Clinical Hospital, Ryazan, Russia
| | - I B Angotoeva
- Russian Medical Academy of Postgraduate Education, Moscow, Russia
| | - S Ya Kosiakov
- Russian Medical Academy of Postgraduate Education, Moscow, Russia
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Analysis of Facial Skeletal Morphology: Nasal Bone, Maxilla, and Mandible. BIOMED RESEARCH INTERNATIONAL 2021; 2021:5599949. [PMID: 34124250 PMCID: PMC8169245 DOI: 10.1155/2021/5599949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 03/29/2021] [Accepted: 05/04/2021] [Indexed: 11/25/2022]
Abstract
The growth and development of facial bones are closely related to each other. The present study investigated the differences in the nasomaxillary and mandibular morphology among different skeletal patterns. Cephalograms of 240 participants were divided into 3 groups based on the skeletal pattern (Class I, Class II, and Class III). The dimensions of nasomaxilla (nasal bone length, nasal ridge length, nasal depth, palatal length, and maxillary height) and mandible (condylar length, ramus length, body length, symphysis length, and entire mandibular length) were measured. One-way analysis of variance and Pearson's correlation test were used for statistical analysis. No significant differences were observed among the skeletal patterns in terms of nasal bone length, palatal length, maxillary height, or condylar length. Class II had a significantly shorter ramus, mandibular body, and entire mandibular length compared with those of Class I and Class III. Nasal ridge length exhibited a significant moderate correlated with nasal bone length (correlation coefficient: 0.433) and maxillary height (correlation coefficient: 0.535). The entire mandibular length exhibited a significant moderate correlated with ramus length (correlation coefficient: 0.485) and body length (correlation coefficient: 0.536). In conclusion, nasal and maxillary dimensions exhibited no significant difference among the 3 skeletal patterns. Mandibular body and entire mandibular lengths were significantly positively correlations with Class III skeletal patterns.
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Examination of craniofacial parameters in Turkish males with golden ratio in piriform aperture size. JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.860747] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Zhao CL, Teo S, Lim L, Uppal S. Computed Tomography Evaluation of Nasal Dimensions among Different Singaporean Ethnicities. Facial Plast Surg 2020; 36:499-504. [PMID: 33368074 DOI: 10.1055/s-0040-1715615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Osteotomies in rhinoplasty are performed to correct deformities in nasal contour. The size of osteotome used is dictated by the thickness of the bony nasal pyramid along the osteotomy route. The aim of this study is to determine whether nasal bony dimensions differ between different ethnic groups in Singapore. Randomly selected patients' computed tomography (CT) scans of the face performed between the years 2010 to 2013 in our institution (Khoo Teck Puat Hospital) were evaluated. The setting was a tertiary government hospital. CT images of 309 patients (233 Chinese [147 males, 86 females], 32 Malays [16 males, 16 females], and 44 Indians [33 males, 11 females]) were evaluated. Anthropomorphic measurements of the nasal bone along the track of the lateral, medial, and intermediate osteotomies, as well as the nasal bone length and pyriform aperture width were measured on the CT images by two independent observers. Statistical analysis was performed using Student's t-test and two-way analysis of variance (ANOVA) test. There was no significant difference between the nasal pyramid bone thickness between different ethnicities along the osteotomy tracks (p > 0.05; degrees of freedom [df] = 2). However, there was a significant difference between males and females of the same ethnicity at the low level of the lateral osteotomy (p = 0.003) and the midlevel (p = 0.002) and high-level (p = 0.004) of the intermediate osteotomy. There was a statistically significant difference in nasal pyramid length (p < 0.05, df = 2) and pyriform aperture width (p < 0.05, df = 2) among the races and between the genders (p < 0.05). The mean difference in nasal pyramid length of 2.54 mm and pyriform aperture width of 1.89 mm was particularly significant between the Chinese and the Indians. Gender and ethnic differences in nasal bony dimensions should be considered in surgical planning for rhinoplasty.
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Affiliation(s)
- Charmain Liling Zhao
- Department of Otorhinolaryngology, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Suzanne Teo
- Department of Otorhinolaryngology, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Lisa Lim
- Department of Otorhinolaryngology, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Sandeep Uppal
- Department of Otorhinolaryngology, Khoo Teck Puat Hospital, Singapore, Singapore
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YEĞİN ME. Anadolu’daki rinoplasti adaylarının radyo-paleontolojik değerlendirilmesi ve karşılaştırılması. Kimi ameliyat ediyoruz? EGE TIP DERGISI 2020. [DOI: 10.19161/etd.756239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Riechelmann H, Widmann G, Kofler B, Arminger R, Url C, Giotakis AI. Nasal Floor Asymmetry Is Associated With Nasal Obstruction. J Oral Maxillofac Surg 2020; 78:1833.e1-1833.e9. [PMID: 32544472 DOI: 10.1016/j.joms.2020.05.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 05/07/2020] [Accepted: 05/07/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE The role of morphologic characteristics of the nasal cavity in nasal obstruction is not yet sufficiently understood. The aim of this study was to determine which morphometric parameters of the nasal cavity severely impair nasal breathing and when. PATIENTS AND METHODS In a hospital-based, computed tomography-morphometric cross-sectional study, we evaluated computed tomography coronal scans of patients with known nasal obstruction scheduled to undergo functional nasal surgical procedures (cases) and trauma patients without facial involvement or known nasal obstruction (controls). The primary predictor variable was case versus control. In both groups, we measured and compared the piriform aperture width; nasal floor canting; piriform aperture vertical height, height-width ratio, and total cross-sectional area; height difference between the right and left nasal floors; and nasal septal thickness; as well as age and gender differences. Metric data means, standard deviations, and 95% confidence intervals were calculated and analyzed. RESULTS The sample was composed of 60 patients evenly divided between cases and controls. Of these, 30 were men. The average age of the cases and controls was 27.4 ± 7.8 years and 38.5 ± 18.6 years, respectively (P < .001). The differences in piriform aperture width were not statistically significant between cases and controls (23.3 ± 1.9 mm and 23.8 ± 1.7 mm, respectively; P > .2). In contrast, we noted statistically significant differences between cases and controls in nasal floor canting (5.4° ± 4.6° and 1.8° ± 1.5°, respectively; P < .001) and height difference between the right and left nasal floors (1.8 ± 1.2 mm and 1.0 ± 0.7 mm, respectively; P = .002). CONCLUSIONS Nasal floor canting of 3° or greater and a height difference between the right and left nasal floors of 1.5 mm or greater may contribute to the etiology of clinically relevant nasal obstruction. A piriform aperture width of 22 mm or less may be considered narrow. Future studies can determine when and how exactly to surgically address a clinically relevant narrow piriform aperture and nasal floor canting.
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Affiliation(s)
- Herbert Riechelmann
- Department Head, Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Gerlig Widmann
- Private Dozent Consultant, Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria
| | - Barbara Kofler
- Consultant, Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Roman Arminger
- Medical Student, Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Christoph Url
- Consultant, Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Aris I Giotakis
- Consultant, Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria.
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An Analysis of Association Between Nasal Bone Morphology and Sinonasal Anatomical Variations. J Craniofac Surg 2020; 31:37-40. [PMID: 31403512 DOI: 10.1097/scs.0000000000005801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
The goal of this study was to investigate the association between various sinonasal anatomical variations and the morphological features of lateral nasal bone, using paranasal computerized tomography (PNCT) sections. Two hundred and fifty patients who underwent a PNCT scan because of a prediagnosis of nasal septum deviation or sinusitis were included in the study. For each patient, presence of the following anatomical variations was determined on CT sections: length and thickness of nasal bone, thickness of intermediate nasal bone, pneumatized middle turbinate, paradox middle turbinate, Agger nasi cell, Haller cell, Onodi cell, supraorbital cell, pneumatized uncinate process, and nasal septal deviation. The effect of each anatomical variation on the length and thickness of the lateral nasal bone was investigated. The patients with bilateral pneumatized middle turbinate and the patients with bilateral Agger nasi cell had a thinner lateral nasal bone both on the right and the left sides compared to those without. The patients with bilateral Onodi cell and Agger nasi cell had a longer lateral nasal bone both on the right and the left sides compared to those without. The nasal bone thickness was significantly thicker on the deviation side than the contralateral nasal bone. The nasal bone length was significantly longer on the side of the septum deviation. In this study, we found that sex, presence of Agger nasi and Onodi cells, pneumatization of middle turbinate, and direction of nasal septal deviation influenced the morphology of the nasal bone. For successful nasal surgery, careful examination of preoperative anatomical variations is very important.
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Hsiao SY, Cheng JH, Tseng YC, Chen CM, Hsu KJ. Nasomaxillary and mandibular bone growth in primary school girls aged 7 to 12 years. J Dent Sci 2020; 15:147-152. [PMID: 32595894 PMCID: PMC7305422 DOI: 10.1016/j.jds.2020.03.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 03/21/2020] [Indexed: 11/19/2022] Open
Abstract
Background/purpose Facial bone growth manifests in primary school-aged children, especially girls. This study investigated the changes in nasomaxillary and mandibular morphology of primary school girls. Materials and methods Cephalograms of 60 primary school girls were divided into 3 groups (group I, aged 7–8 years; group II, aged 9–10 years; and group III, aged 11–12 years). The dimensions of the nasomaxilla (nasal bone length, nasal ridge length, nasal depth, palatal length, and maxillary height) and mandible (condylar length, condylar width, coronoid length, coronoid width, ramus length, body length, symphysis length, and entire mandibular length) were measured. One-way ANOVA and Pearson's correlation coefficient were used for statistical analysis. Results Nasal ridge length, nasal depth, and maxillary height were significantly greater in group III than in group I and group II. Condylar width and body length were significantly greater in group III than in group I and group II. Pearson's correlation revealed significant positive correlations between age and nasal ridge length, nasal depth, or maxillary height. There were also significant positive correlations between age and ramus length, body length, or entire length of the mandible. Conclusion We found that nasal ridge length, nasal depth, maxillary height, condylar width and body length were significantly greater in group III than in group I or in group II. Moreover, there were significant correlations between age and the nasal ridge length, nasal depth, maxillary height, ramus length, body length, or entire length of the mandible.
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Affiliation(s)
- Szu-Yu Hsiao
- Department of Dentistry for Child and Special Needs, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Jung-Hsuan Cheng
- Department of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Yu-Chuan Tseng
- Department of Orthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,School of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chun-Ming Chen
- School of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan
| | - Kun-Jung Hsu
- School of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Dental Department, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
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Scariot R, Corso P, Gonsar B, Gill N, Trevillato PC, Potluri A, Vieira AR. TMJ arthrosis: does the occlusal relationship really interfere? A comparison between cone beam computed tomography and dried skulls. Surg Radiol Anat 2018; 41:469-476. [PMID: 30552486 DOI: 10.1007/s00276-018-2167-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 12/08/2018] [Indexed: 11/25/2022]
Abstract
The aim of this study was to investigate the association between condylar bone morphological characteristics with occlusal conditions. Besides the study will compare the tomography images with the real condition in 122 temporomandibular joints from 61 skulls. The occlusal conditions were evaluated by number of teeth missing, measurement of overjet and overbite, in millimeters, and presence or absence of crossbite, openbite and dental rotation. The condylar bone morphological conditions were classified in five types (normal, presence of erosion, presence of osteophytes, flattening and/or deformation). This classification was used in real skulls and in Cone Beam Computed tomography (CBCT) images. The data were submitted to statistical analysis with a level of significance of 0.05. Occlusal variables have no association to morphologic data (p > 0.05). Normal condylar bone was seen in 62 CBCT versus 53 in real skulls while morphological alterations were seen in 60 CBCT versus 67-real condyles. The clinical and tomographic measurements were compared, demonstrating an important difference in the classification demonstrating poor association between detection methods (k - 0.3, p < 0.001). The occlusal conditions appear to have no correlation with the morphological condyle conditions. The CBCT is a reliable diagnostic method, although it may present divergences of findings when compared with clinical raw examination to morphologic condylar conditions.
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Affiliation(s)
- Rafaela Scariot
- School of Health Science, Dentistry, Positivo University, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR, 81280-330, Brazil.
| | - Paola Corso
- School of Health Science, Dentistry, Positivo University, 5300 Professor Pedro Viriato Parigot de Souza Street, Curitiba, PR, 81280-330, Brazil
| | - Briana Gonsar
- Department of Oral Biology, University of Pittsburgh, 412 Salk Pavilion, Pittsburgh, PA, 15261, USA
| | - Navenett Gill
- Department of Oral Biology, University of Pittsburgh, 412 Salk Pavilion, Pittsburgh, PA, 15261, USA
| | - Paula Cristina Trevillato
- School of Life Sciences, Pontifical Catholic University of Parana, 1155 Imaculada Conceição Street, Curitiba, PR, 80215-901, Brazil
| | - Anitha Potluri
- Department of Diagnostic Sciences, University of Pittsburgh, Pittsburgh, PA, USA
| | - Alexandre Rezende Vieira
- Department of Oral Biology, University of Pittsburgh, 412 Salk Pavilion, Pittsburgh, PA, 15261, USA
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Computed Tomography Evaluation of Nasal Bone and Nasal Pyramid in the Turkish Population. J Craniofac Surg 2018; 28:1063-1067. [PMID: 28230603 DOI: 10.1097/scs.0000000000003622] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE To classify shapes of the nasal bones in the Turkish population and comparatively evaluate the sizes of nasal bone and piriform apertures. METHODS Two- and three-dimensional paranasal sinus computed tomography images of 363 patients were evaluated. Upper, intermediate, and inferior thickness of bilateral nasal bones and thickness of medial and lateral osteotomy line were measured. The shapes of the nasal bones were classified. RESULTS The mean thickness of nasal bone in the study participants was 1.99 ± 0.40 mm, the mean thickness at the level of medial osteotomy line was 1.99 ± 0.40 mm, the mean thickness at the level of lateral osteotomy line was 1.75 ± 0.30 mm, the mean length of nasal bone was 1.75 ± 0.30 mm, maximum width and height of piriform aperture were 23.41 ± 2.68 and 36.76 ± 7.06 mm, respectively. When the patients were classified according to the type of nasal bone, 26.7% had type A, 10.5% had type B, 19.6% had type D, and 15.4% had type E nasal bone. CONCLUSION The results of the current study provide information about morphological characteristics of nasal bone and piriform aperture in the Turkish population and would therefore reduce postoperative complications after reconstructive surgery and contribute otolaryngology and anthropology.
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Serifoglu I, Oz İİ, Damar M, Buyukuysal MC, Tosun A, Tokgöz Ö. Relationship between the degree and direction of nasal septum deviation and nasal bone morphology. Head Face Med 2017; 13:3. [PMID: 28245851 PMCID: PMC5331660 DOI: 10.1186/s13005-017-0136-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Accepted: 02/24/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Nasal septal deviation may affect nasal bone growth and facial morphology. Knowledge of nasal morphologic parameters may plays an important role in planning successful rhinoplasty and septoplasty operation. The aim of our study was to evaluate the relationship between the direction and degree of nasal septal deviation with nasal bone morphology, along with factors such as age and gender. METHODS Maxillofacial computed tomography (CT) of 250 patients with nasal septal deviation was analyzed retrospectively in this study. We excluded patients with factors that could affect their nasal bone morphology, and a total of 203 patients (111 males, 92 females; mean age, 36.23 years; age range, 18-79 years) were evaluated. The nasal deviation angle was measured on coronal CT images as the angle between the most deviated point of the septum, and the midline nasal morphology was determined by measuring nasal length, internasal angle and lateral and intermediate nasal thickness on both sides. RESULTS The deviation of nasal septum has been detected as to the right in 107 patients (52.7%) and to the left in 96 patients (47.3%). Lateral and intermediate nasal bone thickness and nasal bone length were significantly greater on the ipsilateral deviation side (Table 3). No significant correlation was found between the variation of the nasal deviation angle and nasal bone morphology (Table 4). There were significant differences between the sexes for all investigated parameters except for the nasal deviation angle (p = 0.660). We found that the only internasal angle increases with aging (p = 0.002). CONCLUSION The study shows that the direction of nasal septal deviation may be a factor that affects nasal bone morphology.
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Affiliation(s)
- Ismail Serifoglu
- Department of Radiology, Bagcilar Training and Research Hospital, Istanbul, Turkey.
| | - İbrahim İlker Oz
- Department of Radiology, Bulent Ecevit University Faculty of Medicine, Zonguldak, Turkey
| | - Murat Damar
- Department of Head and Neck Surgery, Bulent Ecevit University Faculty of Medicine, Zonguldak, Turkey
| | | | - Alptekin Tosun
- Department of Radiology, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Özlem Tokgöz
- Department of Radiology, Antalya Eğitim ve Araştırma Hastanesi, Antalya, Turkey
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Abstract
BACKGROUND The pyriform aperture comprises the central area of facial bone structure. It is formed by the free corners of the nasal bone and the frontal processes of the maxillae, which articulate with each other at the nasomaxillary suture lines. Congenital nasal pyriform aperture stenosis might be linked to various craniofacial problems. This review presents all aspects of pyriform aperture stenosis and enlargement. METHODS A literature search was conducted. Pyriform aperture definition, nasal development, congenital nasal pyriform aperture stenosis and pyriform aperture enlargement were reviewed. RESULTS One of the most common abnormalities is holoprosencephaly, which is a midline developmental deficiency that may also be present in combination with facial clefting. The aetiology of nasal pyriform aperture stenosis remains unclear. When diagnosed, the choice of treatment is between non-surgical and operative methods, depending on the seriousness of the problem. Provided the sufferer can maintain a secure air passage with the help of specialised medical procedures and respiratory tract adjuvants, operative therapy may be delayed. CONCLUSION The operative outcomes are extremely good, and the prognosis relies mainly on coexisting neural and endocrine problems. This paper evaluates the nasal pyriform aperture in detail.
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Asghar A, Dixit A, Rani M. Morphometric Study of Nasal Bone and Piriform Aperture in Human Dry Skull of Indian Origin. J Clin Diagn Res 2016; 10:AC05-7. [PMID: 26894050 DOI: 10.7860/jcdr/2016/15677.7148] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2015] [Accepted: 11/03/2015] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Nasal bone and piriform aperture shows racial and geographical differences because of variable climate. The aim of this study was to evaluate the dimensions (maximal width and length), the size and the shape of the piriform aperture (PA) and their sexual dimorphism in North Indian adult. MATERIALS AND METHODS In this observational study, dimension of piriform aperture and nasal bone were measured using digital vernier caliper after assessing landmarks around the piriform aperture on the norma frontalis in Frankfurt plane in 40 skull of Indian orgin. RESULTS The mean width of the piriform aperture was 24.9±1.59 mm in males and 22.77±1.57 mm in females, the mean length was 29.57±3.28mm in females and 31.16±3.58mm in males. The difference between males and females was significant, and our data correlates well with the previously data acquired from humans skulls. Most of North Indian skulls have platyrhine type of piriform aperture (triangular to oval shape with pyriform aperture index of 0.79). Mean length and width of nasal bone were 17.58±2.47mm and 12.1±0.97mm respectively without sexual. CONCLUSION Shape and size analysis of the piriform aperture and nasal bone showed the existence of a significant sexual dimorphism. These results encourage us to go further with functional and imaging correlations. This study will also be helpful in forensic research and anthropology.
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Affiliation(s)
- Adil Asghar
- Assistant Professor, Department of Anatomy, UPRIMSR Saifai Etawah, Uttar Pradesh, India
| | - Aparna Dixit
- Demonstrator, Department of Anatomy, UPRIMSR Saifai Etawah, Uttar Pradesh, India
| | - Mamta Rani
- Junior Resident, Department of Anatomy, UPRIMSR Saifai Etawah, Uttar Pradesh, India
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The evaluation of morphometry of nasal bone and pyriform aperture using multidetector computed tomography. J Craniofac Surg 2015; 25:2214-9. [PMID: 25377975 DOI: 10.1097/scs.0000000000001063] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION The aim of this study was to measure nasal bone (NB) and pyriform aperture (PA), morphometrically. Besides, the different types of NB and PA were classified and determined the sexual differences. MATERIALS AND METHODS Our study was performed on 120 (60 women, 60 men) multidetector computed tomography images obtained from patients who underwent radiologic examination in the Department of Radiology of Meram Faculty of Medicine, Necmettin Erbakan University. The right, left, and median heights of NB; the superior and inferior widths of NB; the width of PA; and the distance between rhinion and anterior nasal spine (as the height of PA) were measured. Frontonasal and internasal angles were also determined. All data were analyzed statistically using Student's t-test. RESULTS The other data of men were higher than of women except for the superior and inferior widths of NB and the frontonasal angle. We also determined the ratio of the height of PA to the height of NB on median plane and the ratio of the height of PA to the width of PA. They were found less than 2.0 in 64.2% and 100% of the cases, respectively. The NB and PA were classified into 8 and 7 different types, respectively. CONCLUSIONS The knowledge of the morphometric data and different types of the NB and PA is essential for sex determination, all surgical procedures related to this area, and nasal reconstructions.
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CBCT Evaluation of Bony Nasal Pyramid Dimensions in Iranian Population: A Comparative Study with Ethnic Groups. INTERNATIONAL SCHOLARLY RESEARCH NOTICES 2014; 2014:819378. [PMID: 27437462 PMCID: PMC4897275 DOI: 10.1155/2014/819378] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2014] [Revised: 07/02/2014] [Accepted: 07/03/2014] [Indexed: 11/17/2022]
Abstract
Background. The aim of the present study was to have normative data of nasal bone thickness for use before reconstructive surgery and nasal augmentation through radiography analysis. Methods and Materials. In this descriptive-analytical study, 74 patients were selected from people referred to Radiology Department of Isfahan University for CBCT examination in 2012. Patients with a history of nasal surgery or facial trauma and known congenital anomaly were excluded from the study. Height of nasal bone and width of pyriform aperture and nasal bone thickness in lateral and medial osteotomy line were measured. All these measurements were repeated by two radiologists; finally one sample t-test was performed. Results. The mean thickness of nasal bone on the lateral osteotomy line was 1.92 ± 0.29 mm in females and 1.73 ± 0.32 mm in males (P value = 0.39). The mean thickness of medial osteotomy line was 1.63 ± 0.47 mm in females and 1.94 ± 0.19 mm in males (P value = 0.31). The mean length of nasal bone was 23.5 ± 3.34 mm in females and 25.7 ± 2.96 mm in males (P value = 0.11). The mean width of pyriform aperture was 23.77 ± 2.58 mm in females and 25.67 ± 1.79 mm in males (P value = 0.25). Conclusions. The dimensions of nasal pyramid are known to be significant in choosing suitable osteotome size for reducing surgery side effect. Our results can be used for preoperative estimation of nasal bone dimension of people undergoing reconstructive surgery and augmentation.
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