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How   to   cite   this   Article:    M.   Veeramuthu,   Ravi   varman,   Shalini,   Manoranjitham.    MORPHOMETRIC   ANALYSIS   OF   INFRAORBITAL   FORAMEN AND    INCIDENCE    OF    ACCESSORY    FORAMEN    AND    ITS    CLINICAL    IMPLICATIONS    IN    DRY    ADULT    HUMAN    SKULL.     Int    J    Anatomy    Res 2016;4(4):2993-3000. DOI: 10.16965/ijar.2016.391.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijar.2016.391 Page No.:  2993-3000
MORPHOMETRIC     ANALYSIS     OF     INFRAORBITAL     FORAMEN     AND     INCIDENCE     OF     ACCESSORY     FORAMEN     AND     ITS     CLINICAL IMPLICATIONS IN DRY ADULT HUMAN SKULL M. Veeramuthu * 1 , Ravi varman 2 , Shalini 3 , Manoranjitham 4 .   *1 Tutor, Department of Anatomy, Dhanalakshmi Srinivasan Medical College & Hospital, 2 Athiparasakthi Melmaruvathur Dental College, Tamil Nadu, India. 3  Assistant Professor, Department of Anatomy, Dhanalakshmi Srinivasan Medical College & Hospital, Tamil Nadu, India. 4  Professor, Department of Anatomy, Dhanalakshmi Srinivasan Medical College & Hospital, Tamil Nadu, India. Correspondence   Address:   Mr.   M.   Veeramuthu,   Dhanalakshmi   Srinivasan   Medical   College   &   Hospital,   Siruvachur,   Perambalur–   621   113,   Tamil   Nadu,   India.   E-Mail:  veera3071985@gmail.com. ABSTRACT Background :   Effective   pain   control   in   dentistry   may   be   achieved   by   local   anaesthetic   techniques;   so   thorough   knowledge   of   the   possible   anatomical   and morphometric   variations   of   the   infra   orbital   foramen   and   accessory   foramen   is   important   for   safe   and   successful   regional   anesthesia   and   for   avoiding   nerve injuries during surgery. Materials   and   Methods :   The   study   was   conducted   in   105   adult   dry   skulls.      The   distance   from   infraorbital   foramen   to   infra   orbital   margin,   lateral   margin   of the    pyriform    aperture,    anterior    nasal    spine,    zygomatic    maxillary    suture,    supra    orbital    foramen/    notch,    and    the    maxillary    tooth    were    measured.      Measurements   were   done   bilaterally   by   using   digital   Vernier   calliper.   The   size,   shape,   direction   of   the   infra   orbital   Foramen   (IOF)   on   both   sides   &   the prevalence   of   accessory   IOF   were   observed      and   analysed   in   the   skulls.   Observations   thus   made   were   compiled   and   tabulated   followed   by   comparison   using appropriate statistical tests.   Results:    Mean   distance   of   infraorbital   foramen   from   infraorbital   margin   was   7.0±   1.64   mm,   the   mean   distance   between   the   infraorbital   foramen   and   the piriform   aperture   was   17.5   ±2.84mm.   Mean   distance   of   infra   orbital   foramen   from   Anterior   Nasal   Spine   and   Zygomatic   maxillary   suture   was   33.07±      3.43mm and   16.48±   2.80   mm   respectively.   Mean   distance   from   supraorbital   foramen/notch   was   42.32   ±   2.51mm.   The   most   common   occurrence   was   semilunar   shape (37%)      followed      by   oval   shape   (29%),round   shape   (22%)and   slit   shape(12%).The   mean   vertical   diameter   of   infra   orbital   foramen   was   3.78   ±   1.03mm   and transverse   diameter   was   3.87±1.52mm.The   most   common   position   of   infra   orbital   foramen   on   right   side   was   in   line   of   long   axis      in      between   1 st    and   2 nd    upper premolar(26%)   and   on   left   side   at   2 nd    upper   premolar   (32%).The   prevalence   of   accessory   infraorbital   foramen   was   24.28%,   while   bilateral   occurrence   was only 9.5%   and 14.76 % it was unilateral. Conclusion:    The   findings   of   the   present   study   can   be   helpful   for   clinicians   when   utilizing   the   infraorbital   nerve   block   for   various   procedures   in   localizing   the infraorbital foramen. KEY WORDS : Infra orbital foramen, (IOF) Accessory Infra orbital foramen, Infra orbital Nerve block. References 1 . Standring   S,      Borley      NR,      Collins   P   ,      Crossman   AR,      Gatzoulis      MA,   Healy      JC,   et   al.   Gray’s   Anatomy:   The   Anatomical   Basis   of   Clinical   Pra      ce.40 th    ed Philadelphia:Churchill Livingstone Elsevier; 2008.p.409. 2 . McMinn RMH. Pterygopalatine fossa. In: Sinnatamby CS, ed.Last’s Anatomy, Regional and Applied. London: Churchill Livingstone, 1990:451-67. 3 . Williams PL, Warwick R, Dyson M, et al. The cranial nervesneurology. In: Gray’s Anatomy. 37th ed. London: ChurchillLivingstone, 1989:1094-120. 4 . Moore   KL,   Dalley   AF.   Nerves   of   the   face.   In:   Moore   KL,   DalleyAF,   eds.   Clinically   Oriented   Anatomy.   4th   ed.   Philadelphia:Lippincott   Williams   &   Wilkins, 1999:832-993. 5 . Gruber W. [A hook-shaped termed Fortsatzchen over and abovethe infraorbital foramen.] Arc Pathol Anat Physiol Klin Med 1878;72:494-6. German. 6 . Gozdziewski   S,   Nizankowski   C,   Kindlik   R.   [The   morphologicalanalysis   of   human   canalis   infraorbitalis   and   forameninfraorbitale.]   Anat   Anz   1979;145:517- 27. German. 7 . Bolini P, Del Sol M. [Anatomical considerations of the canal andthe infra-orbital.] Rev Bras Oftal 1990;49:113-6. Portuguese. 8 . Triandafilidi   E,   Anagnostopoulou   S,   Soumila   M.   [The   infraorbitalforamen   (the   position   of   the   infraorbital   foramen   in   man)].Odontostomatol   Proodos 1990;44:87-91. Greek. 9 . Buckley MJ, Ochs MW. Maxillary osteotomies. Atlas OralMaxillofac Surg Clin North Am 1993;1:53-70. 1 0 . McQueen CT, DiRuggiero DC, Campbell JP, ShockleyWW. Orbital osteology: a study of the surgical landmarks.Laryngoscope 1995;105:783-8. 1 1 . Chung   MS,   Kim   HJ,   Kang   HS,   Chung   IH.   Locational   relationshipof   the   supraorbital   notch   or   foramen   and   infraorbital   and   mentalforamina   in   Koreans. Acta Anat 1995;154:162-6. 1 2 . Leo JT, Cassell MD, Bergman RA. Variation in human infraorbital nerve, canal and foramen. Ann Anat 1995;177:93-5. 1 3 . Aziz SR, Marchena JM, Puran A. Anatomic characteristics ofthe infraorbital foramen: a cadaver study. J Oral Maxillofac Surg2000;58:992-6 1 4 . Berry AC. Factors affecting the incidence of non-metrical skeletalvariants. J Anat 1975;120:519-35. 1 5 . Bergman   RA,   Thompson   SA,   Afifi   AK,   Saadeh   FA.   Compendiumof   Human   Anatomic   Variation:   Catalog,   Atlas   and   WorldLiterature.   Baltimore:   Urban   and Schwarzenberg, 1988. 1 6 . Hwang   K,   Han   JY,   Battuvshin   D,   Kim   DJ,   Chung   IH.   Communication   of   infraorbital   nerve   and   facial   nerve:   anatomic   and   histologic   study.   J   Craniofac   Surg. 2004;15:88–91. 1 7 . Karakas    P,    Bozkir    MG,    Oguz    Ö.    Morphometric    measurementsfrom    various    reference    points    in    the    orbit    of    male    Caucasians.Surg    Radiol    Anat 2003;24:358-62. 1 8 . O'Brien J . Proc (Bayl Univ Med Cent). 2004;17(4):418-419. 1 9 . Hindy AM, Abdel-Raouf F. A study of infraorbital foramen, canal and nerve in adult Egyptians. Egypt Dent J.1993;39:573-580. 2 0 . Varshney R, Sharma N. Infraorbital foramen-Morphometric study and clinical application in adult Indian skulls. Saudi J health Sci 2013;2:151-5. 2 1 . Tilak   Raj,   Anshu   Mishra,   Parmatma   Mishra.   Morphometric   analysis   of   infraorbital   foramen   in   north   indian   skulls.Indian   Journal   of   Basic   and   Applied Medical Research; December 2014;4(1):185-192. 2 2 . Singh R. Morphometric analysis of infraorbital foramen in Indian dry skulls. Anatomy & cell biology. 2011 Mar 1;44(1):79-83. 2 3 . Agthong   S,   Huanmanop   T,   Chentanez   V.   Anatomical   Variations   of   the   Supraorbital,   Infraorbital,   and   Mental   Foramina   Related   to   Gender   and   Side. JOralMaxillofacSurg. 2005;63:800-804. 2 4 . Elias   MG,   Silva   RB,   Pimentel   ML,   Cardoso   VTS,   Rivello   T,   Babinski   MA.Morphometric   analysis   of   the   infraorbital   foramen   and   acessoriesforaminas   in brazilian skulls. Int JMorphol 2004;22(4):273-278. 2 5 . Macedo VC, Cabrini RR, faig-leite H. Infraorbital foramen location in dry human skulls. Braz JMorphol Sci 2009;26(1):35-38. 2 6 . Lopes   PTC,   Pereira   GAM,   Santos   AMPV,   Freitas   CR,   Abreu   BRR,Malafaia   AC.   Morphometric   analysis   of   the   infraorbital   foramenrelated   to   gender   and laterality in dry skulls of adult individuals in southern Brazil. Braz JMorpholSci 2009;26(1):19-22. 2 7 . Gaur   KK,   Nair   S,   Trivedi   GN,   Guptha   SD.   Anthropometric   measurements   of   infraorbital   foramen   in   dried   human   skulls.   Int   J   BiolMedRes   2012;3(3):2003- 2006. 2 8 . Boopathi   S,   Chakravarthy   Marx   S,   Dhalapathy   S,   Anupa   S   Anthropometric   analysis   of   the   infraorbital   foramen   in   a   South   Indian   population   Singapore Med J 2010;51(9):730-735. 2 9 . Singh R. Morphometric analysis of infraorbital foramen in Indian dry skulls.Anat Cell Biol 2011;44:79-83 3 0 . Lokanayaki V. Anatomic variations of infra orbital foramen. CIB Tech Journal of Surgery 2013;2(2): 30-36. 3 1 . Malamed   SF.   Techniques   of   regional   anaesthesia   in   dentistry.In:   Malamed   SF,   eds.   Handbook   of   Local   Anaesthesia.   Noida:International   Print-O-Pac   Ltd, 2006:198-9. 3 2 . Bharti A, Puranik MG. Morphometric study of infraorbital foramen in dry human skulls. Natl J Intergr Res Med 2013;4:43-9.   3 3 . Ukoha   Ukoha   Ukoha,   Kosisochukwu   Emmanuel   Umeasalugo,   Onochie   Okwudili   Udemezue,   Henry   C   Nzeako,   Godwin   U   Ndukwe,   Perpetua   C   Nwankwo.   Anthropometric measurement of infraorbital Foramen in south-east and south-south Nigeria. National journal of medical research . 2014;4(3). 3 4 . Priya   Roy   P,   S   D   Jadhav,   Kumar   Sai   Sailesh   ,   MA   Doshi,   and   M   P   Ambali.   Morphometric   Analysis   of   Supraorbital   and   Infraorbital   Foramen   in   Maharastrian Skulls.   July– August 2015 Rjpbcs6(4):2036. 3 5 . Cutright B, Quillopa N, Schubert W: An anthropometric analysis of the key foramina for maxillofacial surgery. J Oral Maxillofac Surg. 2003;61:354-357. 3 6 . Apinhasmit   W,   Chompoopong   S,   Methathrathip   D,Sansuk   R,   Phetphunphiphat   W:   Supraorbital   notch/   foramen,   infraorbital   foramen   and   mental foramen in Thais: Anthropometric measurement and surgical relevance. J Med Assoc Thai 2006;89:975-2. 3 7 . Blanton PL, Jeske AH: The key to profound local anesthesia. J Am Dent Assoc 2003;134(6):753-760. 3 8 . Sivavadivel   swaminathan   et   al   ,   localization   and   morphometric   evaluation   of   supraorbital   and   infraorbital   foramen   in   dravidian   population   of   southern india: a paleoantropological study on dry skulls .  Iosr journal of dental and medical sciences (iosr-jdms) 2013;5(4):18-23. 3 9 . Oliveria   Junior   EMD,   Moreira   RT,   Neto   BL,   Silva   CMFD   &   Lima   FJCA.   Morphological   and   biometric   study   of   the   infraorbital   foramen   (E2-Sibai   point)   in   adult skulls. Int. J. Morphol., 2012;30(3):986-992. 4 0 . Sinnatamby, C. S. Last’s Anatomy Regional and Applied. 10th Ed. Edinburgh, Churchill Livingstone, 1999. 4 1 . Ongeti, K.; Hassanali, J.; Ogeng'o, J. & Saidi, H. Biometric features of facial foramina in adult Kenyan skulls. Eur.J. Anat., 2008;21:89-95. 4 2 . Ilayperuma Morphometric Analysis of the Infraorbital ForamenIn Adult Sri Lankan Skulls.   Int. J. Morphol., 2010;28(3):777-782. 43. Alok Kumar Singh Accessory infraorbital foramen and morphometric localization of infraorbital foramen NJIRM 2015;6(5).
Volume 4 |Issue 4.1 |  2016 Date of Publication:  31 October 2016