Sains Malaysiana 50(5)(2021): 1467-1472

http://doi.org/10.17576/jsm-2021-5005-25

 

Morphologic Evaluations of Hypoglossal Canal using Cone Beam Computed Tomography

(Penilaian Morfologi Saluran Hipoglosus menggunakan Tomografi Pemancaran Kon Berkomputer)

 

ŞUAYİP BURAK DUMAN1*, MEHMET SEYREK2, YASİN YAŞA3, İSMAİL GÜMÜŞSOY4, NUMAN DEDEOĞLU1 & İBRAHİM ŞEVKİ BAYRAKDAR5

 

1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Inonu University Malatya, Turkey

 

2Department of Ortodontics, Faculty of Dentistry, Fırat University, Elazığ, Turkey

 

3Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ordu University, Ordu, Turkey

 

4Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Sakarya University, Sakarya, Turkey

 

5Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey

 

Diserahkan: 29 Oktober 2019/Diterima: 6 Oktober 2020

 

ABSTRACT

Hypoglossal canal (HC) which begins from very slightly above the inner part of the anterolateral portion of the foramen magnum and is located above the occipital condyle of the occipital bone. The aim of this study is to examine HC morphology and variations using cone beam computed tomography (CBCT). The morphology and types of HC were investigated with 303 CBCT images (606 side). Type 1 variation in 606 HC examined becomes the most commonly observed type (57.3%) while type 5 variation was the least common type of variation (0.8%). Type 1 HC was statistically higher in males (p=0.004). Because of HC, which is an anthropologically important point and enters the field of images in CBCT scan, it is recommended that dental radiologists should be aware of their variations and be wary of the pathologies that may occur in this region.

 

Keywords: CBCT; foramen magnum; hypoglossal canal; occipital condyle

 

ABSTRAK

Saluran hipoglosus (HC) yang bermula di bahagian atas sedikit pada bahagian dalaman anterosisi foramen magnum dan terletak di atas kondil oksipital tulang oksipital. Tujuan kajian ini adalah untuk mengkaji morfologi dan variasi HC menggunakan tomografi pemancar kon berkomputer (CBCT). Morfologi dan jenis HC dikaji dengan 303 imej CBCT (sisi 606). Variasi jenis 1 pada 606 HC yang disemak menjadi jenis yang paling sering diperhatikan (57.3%) sementara variasi jenis 5 adalah jenis variasi yang paling jarang (0.8%). HC Jenis 1 secara statistik lebih tinggi pada lelaki (p = 0.004). Oleh kerana HC, yang merupakan titik penting antropologi dan memasuki bidang pengimejan dalam imbasan CBCT, disarankan agar ahli radiologi gigi harus mengetahui variasinya dan berhati-hati dengan patologi yang mungkin berlaku pada bahagian ini.

 

Kata kunci: CBCT; foramen magnum; saluran hipoglosus; kondil oksipital

 

RUJUKAN

Ari, I., Kurt, M., Oygucu, I. & Sendemir, E. 2005. Variations in the bridging trait of the hypoglossal canal in 13th century Byzantine skulls. International Journal of Osteoarchaeology 15(2): 140-145.

Cheverud, J.M. & Buikstra, J.E. 1978. A study of intragroup biological change induced by social group fission in Macaca mulatta using discrete cranial traits. American Journal of Physical Anthropology 48(1): 41-45.

DeGusta, D., Gilbert, W.H. & Turner, S.P. 1999. Hypoglossal canal size and hominid speech. In Proceedings of the National Academy of Sciences. United States National Academy of Sciences. pp. 1800-1804.

Geist, J.R., Geist, S.R.Y. & Lin, L. 2014. A cone beam CT investigation of ponticulus posticus and lateralis in children and adolescents. Dentomaxillofacial Radiology 43(5): 1-7.

Hadley, K.S. & Shelton, C. 2004. Infratemporal fossa approach to the hypoglossal canal: Practical landmarks for elusive anatomy. The Laryngoscope 114(9): 1648-1651.

Hauser, G. & De Stefano, G. 1985. Variations in form of the hypoglossal canal. American Journal of Physical Anthropolog 67(1): 7-11.

Jones, F.W. & Wen, I.C. 1934. The development of the external ear.  Journal of Anatomy 68(4): 525-533.

Kadooka, K., Tanaka, M., Sakata, Y., Ideguchi, M., Inaba, M. & Hadeishi, H. 2018. Efficacy of cone beam computed tomography in treating cavernous sinus dural arteriovenous fistula. World Neurosurgery 109: 328-332.

Kanda, T., Kiritoshi, T., Osawa, M., Toyoda, K., Oba, H., Kotoku, J., Kitajima, K. & Furui, S. 2015. The incidence of double hypoglossal canal in Japanese: Evaluation with multislice computed tomography. PLoS ONE 10(2): 1-8.

Kay, R.F., Cartmill, M. & Balow, M. 1998. The hypoglossal canal and the origin of human vocal behavior. Proceedings of the National Academy of Sciences 95(9): 5417-5419.

Kondo, Y., Kiyose, H., Hori, Y., Kashiwagi, J., Sagara, Y. & Tanoue, S. 2007. Anterior condylar vein dural AVF with intraosseous vascular nidus in the hypoglossal canal: A case report. Journal of Neuroendovascular Therapy 1: 31-35.

Lang, J. & Hornung, G. 1993. The hypoglossal channel and its contents in the posterolateral access to the petroclival area. Neurochirurgia 36(3): 75-80.

Mah, J. 2003. 3-Dimensional Visualization of Impacted Maxillary Cuspids. http://www.aadmrt.com/article-1---2003.html. Accessed on 15 September 2019.

Muthukumar, N., Swaminathan, R., Venkatesh, G. & Bhanumathy, S. 2005. A morphometric analysis of the foramen magnum region as it relates to the transcondylar approach. Acta Neurochirurgica 147(8): 889-895.

Myatt, H., Holland, N. & Cheesman, A. 1998. A skull base extradural hypoglossal neurilemmoma resected via an extended posterolateral approach. The Journal of Laryngology & Otology 112(11): 1052-1057.

Okamura, A., Nakaoka, M., Ohbayashi, N., Yahara, K. & Nabika, S. 2016. Intraoperative cone-beam computed tomography contributes to avoiding hypoglossal nerve palsy during transvenous embolization for dural arteriovenous fistula of the anterior condylar confluence. Interventional Neuroradiolog 22(5): 584-589.

Paraskevas, G.K., Tsitsopoulos, P.P., Papaziogas, B., Kitsoulis, P., Spanidou, S. & Tsitsopoulos, P. 2009. Osseous variations of the hypoglossal canal area. Medical Science Monitor 15(3): 75-83.

Self, S.G. & Leamy, L. 1978. Heritability of quasi-continuous skeletal traits in a randombred population of house mice. Genetics 88(1): 109-120.

Sjøvold, T. 1984. A report on the heritability of some cranial measurements and non-metric traits. In Multivariate Statistical Methods in Physical Anthropology, edited by Van Vark G.N. & Howells, W.W. Dordrecht: Springer. pp. 223-246.

Standring, S. 2005. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 39th ed. New York: Elsevier Churchill Livingstone.

Steenbergen, T.R.V., Geest, I.C.M.V.D, Janssen, D., Rovers, M.M. & Fütterer, J.J. 2019. Feasibility study of intraoperative cone‐beam CT navigation for benign bone tumour surgery. The International Journal of Medical Robotics and Computer Assisted Surgery 15(3): 1-8

Takahata, M., Yamada, K., Akira, I., Endo, T., Sudo, H., Yokoyama, H. & Iwasaki, N. 2018. A novel technique of cervical pedicle screw placement with a pilot screw under the guidance of intraoperative 3D imaging from C-arm cone-beam CT without navigation for safe and accurate insertion. European Spine Journal 27(11): 2754-2762.

Tatagiba, M., Koerbel, A. & Roser, F. 2006. The midline suboccipital subtonsillar approach to the hypoglossal canal: Surgical anatomy and clinical application. Acta Neurochirurgica 148(9): 965-969.

Voyvodic, F., Whyte, A. & Slavotinek, J. 1995. The hypoglossal canal: Normal MR enhancement pattern. American Journal of Neuroradiology 16(8): 1707-1710.

Williams, P., Warwick, R., Dyson, M. & Bannister, L. 1989. The individual cranial bones: Occipital bone. In Gray's Anatomy: The Anatomical Basis of Clinical Practice, edited by Standring, S. London: Elsevier Churchill Livingstone. pp. 371-373.

 

*Pengarang untuk surat-menyurat; email: suayipburakduman@gmail.com

 

 

   

 

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