Skip to main content

14.03.2024 | Original Article

3D anatomy of the supraorbital and greater occipital nerve trajectories

verfasst von: Nicolas Van Vlasselaer, Lore Meganck, Elles Mulder, Luca Buzzatti, Erik Cattrysse

Erschienen in: Surgical and Radiologic Anatomy

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This research aims to enhance understanding of the anatomy of the supraorbital nerve (SON) and greater occipital nerve (GON), focusing on their exit points, distal trajectories, and variability, utilizing a novel 3D representation.

Methods

Ten cadaveric specimens underwent meticulous dissection, and 3D landmarks were registered. Models were generated from CT scans, and a custom 3D method was employed to visualize nerve trajectories. Measurements, including lengths and distances, were obtained for the SON and GON.

Results

The SON exhibited varied exit points, with the lateral branches being the longest. The GON showed distinct branching patterns, which are described relative to various anatomical reference points and planes. No systematic left–right differences were observed for either nerve. 3D analysis revealed significant interindividual variability in nerve trajectories. The closest approximation between the SON and GON occurred between lateral branches.

Conclusion

The study introduces a novel 3D methodology for analyzing the SON and GON, highlighting considerable anatomical variation. Understanding this variability is crucial for clinical applications and tools targeting the skull innervation. The findings serve as a valuable reference for future research, emphasizing the necessity for personalized approaches in innervation-related interventions.
Literatur
1.
Zurück zum Zitat Balta JY, Twomey M, Moloney F et al (2019) A comparison of embalming fluids on the structures and properties of tissue in human cadavers. Anat Histol Embryol 48(1):64–73CrossRefPubMed Balta JY, Twomey M, Moloney F et al (2019) A comparison of embalming fluids on the structures and properties of tissue in human cadavers. Anat Histol Embryol 48(1):64–73CrossRefPubMed
2.
Zurück zum Zitat Barker L, Naveed H, Adds PJ, Uddin JM (2013) Supraorbital notch and foramen: positional variation and relevance to direct brow lift. Ophthalmic Plast Reconstr Surg 29(1):67–70CrossRefPubMed Barker L, Naveed H, Adds PJ, Uddin JM (2013) Supraorbital notch and foramen: positional variation and relevance to direct brow lift. Ophthalmic Plast Reconstr Surg 29(1):67–70CrossRefPubMed
3.
Zurück zum Zitat Christensen KN, Lachman N, Pawlina W, Baum CL (2014) Cutaneous depth of the supraorbital nerve: a cadaveric anatomic study with clinical applications to dermatology. Dermatol Surg 40(12):1342–1348CrossRefPubMed Christensen KN, Lachman N, Pawlina W, Baum CL (2014) Cutaneous depth of the supraorbital nerve: a cadaveric anatomic study with clinical applications to dermatology. Dermatol Surg 40(12):1342–1348CrossRefPubMed
4.
Zurück zum Zitat Domeshek LF, Hunter DA, Santosa K et al (2019) Anatomic characteristics of supraorbital and supratrochlear nerves relevant to their use in corneal neurotization. Eye (Lond) 33(3):398–403CrossRefPubMed Domeshek LF, Hunter DA, Santosa K et al (2019) Anatomic characteristics of supraorbital and supratrochlear nerves relevant to their use in corneal neurotization. Eye (Lond) 33(3):398–403CrossRefPubMed
5.
Zurück zum Zitat Gil YC, Shin KJ, Lee SH et al (2017) Topography of the supraorbital nerve with reference to the lacrimal caruncle: danger zone for direct browplasty. Br J Ophthalmol 101(7):940–945CrossRefPubMed Gil YC, Shin KJ, Lee SH et al (2017) Topography of the supraorbital nerve with reference to the lacrimal caruncle: danger zone for direct browplasty. Br J Ophthalmol 101(7):940–945CrossRefPubMed
6.
Zurück zum Zitat Güvençer M, Akyer P, Sayhan S, Tetik S (2011) The importance of the greater occipital nerve in the occipital and the suboccipital region for nerve blockade and surgical approaches—an anatomic study on cadavers. Clin Neurol Neurosurg 113(4):289–294CrossRefPubMed Güvençer M, Akyer P, Sayhan S, Tetik S (2011) The importance of the greater occipital nerve in the occipital and the suboccipital region for nerve blockade and surgical approaches—an anatomic study on cadavers. Clin Neurol Neurosurg 113(4):289–294CrossRefPubMed
7.
Zurück zum Zitat Hong JH, Kim JS, Shin HK (2021) Studies of supraorbital notch and foramen using 3-dimensional facial bone CT scans. Pain Physician 24(8):E1273-e1278PubMed Hong JH, Kim JS, Shin HK (2021) Studies of supraorbital notch and foramen using 3-dimensional facial bone CT scans. Pain Physician 24(8):E1273-e1278PubMed
8.
Zurück zum Zitat Huanmanop T, Issara I, Agthong S, Chentanez V (2021) Evaluation of the greater occipital nerve location regarding its relation to intermastoid and external occipital protuberance to mastoid process lines. Folia Morphol (Warsz) 80(3):533–541CrossRefPubMed Huanmanop T, Issara I, Agthong S, Chentanez V (2021) Evaluation of the greater occipital nerve location regarding its relation to intermastoid and external occipital protuberance to mastoid process lines. Folia Morphol (Warsz) 80(3):533–541CrossRefPubMed
9.
Zurück zum Zitat Kikuta S, Yalcin B, Iwanaga J et al (2020) The supraorbital and supratrochlear nerves for ipsilateral corneal neurotization: anatomical study. Anat Cell Biol 53(1):2–7CrossRefPubMed Kikuta S, Yalcin B, Iwanaga J et al (2020) The supraorbital and supratrochlear nerves for ipsilateral corneal neurotization: anatomical study. Anat Cell Biol 53(1):2–7CrossRefPubMed
10.
11.
12.
Zurück zum Zitat Kwon HJ, Kim HS, Jehoon O et al (2018) Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management. J Pain Res 11:2023–2031CrossRefPubMedPubMedCentral Kwon HJ, Kim HS, Jehoon O et al (2018) Anatomical analysis of the distribution patterns of occipital cutaneous nerves and the clinical implications for pain management. J Pain Res 11:2023–2031CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Laine G, Jecko V, Wavasseur T et al (2022) Anatomy of the greater occipital nerve: implications in posterior fossa approaches. Surg Radiol Anat 44(4):573–583CrossRefPubMed Laine G, Jecko V, Wavasseur T et al (2022) Anatomy of the greater occipital nerve: implications in posterior fossa approaches. Surg Radiol Anat 44(4):573–583CrossRefPubMed
14.
Zurück zum Zitat Li J, Szabova A (2021) Ultrasound-guided nerve blocks in the head and neck for chronic pain management: the anatomy, sonoanatomy, and procedure. Pain Physician 24(8):533–548PubMed Li J, Szabova A (2021) Ultrasound-guided nerve blocks in the head and neck for chronic pain management: the anatomy, sonoanatomy, and procedure. Pain Physician 24(8):533–548PubMed
15.
Zurück zum Zitat Nanayakkara D, Manawaratne R, Sampath H, Vadysinghe A, Peiris R (2018) Supraorbital nerve exits: positional variations and localization relative to surgical landmarks. Anat Cell Biol 51(1):19CrossRefPubMedPubMedCentral Nanayakkara D, Manawaratne R, Sampath H, Vadysinghe A, Peiris R (2018) Supraorbital nerve exits: positional variations and localization relative to surgical landmarks. Anat Cell Biol 51(1):19CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Patel M, Iwanaga J, Oskouian RJ, Tubbs RS (2018) Communication between a dorsal and ventral ramus: a conflict for traditional anatomical teaching. Cureus 10(4):e2460PubMedPubMedCentral Patel M, Iwanaga J, Oskouian RJ, Tubbs RS (2018) Communication between a dorsal and ventral ramus: a conflict for traditional anatomical teaching. Cureus 10(4):e2460PubMedPubMedCentral
17.
Zurück zum Zitat Tepe N, Tertemiz OF (2021) Comparison of greater occipital nerve and greater occipital nerve + supraorbital nerve block effect in chronic medication overuse headache. Turk J Med Sci 51(3):1065–1070CrossRefPubMedPubMedCentral Tepe N, Tertemiz OF (2021) Comparison of greater occipital nerve and greater occipital nerve + supraorbital nerve block effect in chronic medication overuse headache. Turk J Med Sci 51(3):1065–1070CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Van Vlasselaer N, Van Roy P, Cattrysse E (2017) Morphological asymmetry of the superior cervical facets from C3 through C7 due to degeneration. Biomed Res Int 2017:5216087PubMedPubMedCentral Van Vlasselaer N, Van Roy P, Cattrysse E (2017) Morphological asymmetry of the superior cervical facets from C3 through C7 due to degeneration. Biomed Res Int 2017:5216087PubMedPubMedCentral
19.
Zurück zum Zitat Won H-J, Ji H-J, Song JK, Kim Y-D, Won H-S (2018) Topographical study of the trapezius muscle, greater occipital nerve, and occipital artery for facilitating blockade of the greater occipital nerve. PLoS ONE 13(8):e0202448CrossRefPubMedPubMedCentral Won H-J, Ji H-J, Song JK, Kim Y-D, Won H-S (2018) Topographical study of the trapezius muscle, greater occipital nerve, and occipital artery for facilitating blockade of the greater occipital nerve. PLoS ONE 13(8):e0202448CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Zipfel J, Kastler A, Tatu L et al (2016) Ultrasound-guided intermediate site greater occipital nerve infiltration: a technical feasibility study. Pain Physician 19(7):E1027–E1034CrossRefPubMed Zipfel J, Kastler A, Tatu L et al (2016) Ultrasound-guided intermediate site greater occipital nerve infiltration: a technical feasibility study. Pain Physician 19(7):E1027–E1034CrossRefPubMed
Metadaten
Titel
3D anatomy of the supraorbital and greater occipital nerve trajectories
verfasst von
Nicolas Van Vlasselaer
Lore Meganck
Elles Mulder
Luca Buzzatti
Erik Cattrysse
Publikationsdatum
14.03.2024
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-024-03322-z

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.