Skip to main content

Advertisement

Log in

Infraorbital canal bilaterally replaced by a lateroantral canal

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The infraorbital canal (IOC) normally courses above the maxillary sinus in the orbit floor. During a retrospective study of cone beam computed tomography (CBCT) scans, we found a previously unknown variant of the IOC. The IOCs were absent, being replaced by lateroantral canals coursing around and not above the maxillary sinus to open at infraorbital foramina which were located above the second upper premolar teeth. On coronal multiplanar reconstructions, the lateroantral canals were located anatomically at the outer limit of the zygomatic recess of each maxillary sinus, while the upper wall of the sinus was devoid of any canal. Such rare variant should be kept in mind by dental practitioners and surgeons, as it can determine modifications of common procedures. In this regard, the anatomy of maxilla, as well as mandible, should be evaluated in CBCT on a case-by-case basis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Agthong S, Huanmanop T, Chentanez V (2005) Anatomical variations of the supraorbital, infraorbital, and mental foramina related to gender and side. J Oral Maxillofac Surg 63(6):800–804. doi:10.1016/j.joms.2005.02.016

    Article  PubMed  Google Scholar 

  2. Apostolakis D, Brown JE (2013) The dimensions of the mandibular incisive canal and its spatial relationship to various anatomical landmarks of the mandible: a study using cone beam computed tomography. Int J Oral Maxillofac Implants 28(1):117–124. doi:10.11607/jomi.2372

    Article  PubMed  Google Scholar 

  3. Bergman RA, Afifi AK, Miyauchi R (1995) Illustrated encyclopedia of human anatomic variation: Opus V: skeletal systems: cranium. http://www.anatomyatlases.org/AnatomicVariants/SkeletalSystem/Text/Maxilla.shtml. Accessed 28 Mar 2015

  4. Canan S, Asim OM, Okan B, Ozek C, Alper M (1999) Anatomic variations of the infraorbital foramen. Ann Plast Surg 43(6):613–617

    Article  CAS  PubMed  Google Scholar 

  5. Chrcanovic BR, Abreu MH, Custodio AL (2011) A morphometric analysis of supraorbital and infraorbital foramina relative to surgical landmarks. Surg Radiol Anat 33(4):329–335. doi:10.1007/s00276-010-0698-1

    Article  PubMed  Google Scholar 

  6. Cutright B, Quillopa N, Schubert W (2003) An anthropometric analysis of the key foramina for maxillofacial surgery. J Oral Maxillofac Surg 61(3):354–357. doi:10.1053/joms.2003.50070

    Article  PubMed  Google Scholar 

  7. Hindy AM, Abdel-Raouf F (1993) A study of infraorbital foramen, canal and nerve in adult Egyptians. Egypt Dent J 39(4):573–580

    CAS  PubMed  Google Scholar 

  8. Hwang SH, Kim SW, Park CS, Kim SW, Cho JH, Kang JM (2013) Morphometric analysis of the infraorbital groove, canal, and foramen on three-dimensional reconstruction of computed tomography scans. Surg Radiol Anat 35(7):565–571. doi:10.1007/s00276-013-1077-5

    Article  PubMed  Google Scholar 

  9. Kapila S, Conley RS, Harrell WE Jr (2011) The current status of cone beam computed tomography imaging in orthodontics. Dentomaxillofac Radiol 40(1):24–34. doi:10.1259/dmfr/12615645

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Kazkayasi M, Ergin A, Ersoy M, Tekdemir I, Elhan A (2003) Microscopic anatomy of the infraorbital canal, nerve, and foramen. Otolaryngol Head Neck Surg 129(6):692–697

    Article  PubMed  Google Scholar 

  11. Kjaer I (1998) Neuro-osteology. Crit Rev Oral Biol Med 9(2):224–244

    Article  CAS  PubMed  Google Scholar 

  12. Lawson W, Patel ZM, Lin FY (2008) The development and pathologic processes that influence maxillary sinus pneumatization. Anat Rec (Hoboken) 291(11):1554–1563. doi:10.1002/ar.20774

    Article  Google Scholar 

  13. Leo JT, Cassell MD, Bergman RA (1995) Variation in human infraorbital nerve, canal and foramen. Ann Anat 177(1):93–95. doi:10.1016/S0940-9602(11)80139-1

    Article  CAS  PubMed  Google Scholar 

  14. Michalek P, Donaldson W, McAleavey F, Johnston P, Kiska R (2013) Ultrasound imaging of the infraorbital foramen and simulation of the ultrasound-guided infraorbital nerve block using a skull model. Surg Radiol Anat 35(4):319–322. doi:10.1007/s00276-012-1039-3

    Article  PubMed  Google Scholar 

  15. Parnia F, Moslehifard E, Hafezeqoran A, Mahboub F, Mojaver-Kahnamoui H (2012) Characteristics of anatomical landmarks in the mandibular interforaminal region: a cone-beam computed tomography study. Med Oral Patol Oral Cir Bucal 17(3):e420–e425

    Article  PubMed Central  PubMed  Google Scholar 

  16. Rusu MC (2011) Doubled foramen rotundum and maxillary nerve fenestration. Surg Radiol Anat 33(8):723–726. doi:10.1007/s00276-011-0810-1

    Article  PubMed  Google Scholar 

  17. Rusu MC, Didilescu AC, Jianu AM, Paduraru D (2013) 3D CBCT anatomy of the pterygopalatine fossa. Surg Radiol Anat 35(2):143–159. doi:10.1007/s00276-012-1009-9

    PubMed  Google Scholar 

  18. Satwik A, Kumar S (2014) Anatomical variations of supraorbital, infraorbital and mental foramen based on gender and side—a review. J Pharm Sci Res 6(1):60–62

    Google Scholar 

  19. Song WC, Kim SH, Paik DJ, Han SH, Hu KS, Kim HJ, Koh KS (2007) Location of the infraorbital and mental foramen with reference to the soft-tissue landmarks. Plast Reconstr Surg 120(5):1343–1347. doi:10.1097/01.prs.0000279558.86727.5a

    Article  CAS  PubMed  Google Scholar 

  20. Tubbs RS, Loukas M, May WR, Cohen-Gadol AA (2010) A variation of the infraorbital nerve: its potential clinical consequence especially in the treatment of trigeminal neuralgia: case report. Neurosurgery 67(3 Suppl Operative):onsE315. doi:10.1227/01.NEU.0000374675.19487.FA (discussion onsE315)

    PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. C. Rusu.

Additional information

All the authors have equally contributed to this study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rusu, M.C., Săndulescu, M. & Ilie, O.C. Infraorbital canal bilaterally replaced by a lateroantral canal. Surg Radiol Anat 37, 1149–1153 (2015). https://doi.org/10.1007/s00276-015-1468-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-015-1468-x

Keywords

Navigation