Radio-Anatomical Evaluation of the Nasopalatine Canal and its Clinical implication

Authors

  • Erekosima B Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
  • Robinson ED Department of Radiology, Rivers State University Teaching Hospital/ Faculty of Clinical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
  • Horsfall AU Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
  • Didia MK Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
  • Israel J Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

DOI:

https://doi.org/10.60787/tnhj.v24i3.880

Keywords:

Nasopalatine canal, incisive foramen, cylindrical, funnel

Abstract

Background: Nasopalatine canal (NPC), also known as incisive canal is in the anterior part of the hard palate posterior to the maxillary incisor and serves as a channel between the oral and nasal cavities. Incisive foramen is the distal opening of the incisive canal on the hard palate. This study evaluated the nasopalatine canal and its morphological variations amongst Nigerians.

Method: This cross-sectional research was done in Radiology department of Rivers State University Teaching Hospital, Nigeria. One hundred computed tomography images of adults (≥18years) were studied. Data were analyzed using SPSS version 22.0. Independent t- test, ANOVA, paired t - test were used for comparison. A p<0.05 was considered statistically significant.

Result: Cylindrical shape of NPC was most prevalent 43(23%), males had more cylindrical shape 38(27.6%), females had more funnel shape 26(24.8%). NPC length for males and females were 16.31+2.904mm and 13.92+2.638mm respectively and is statistically significant. The diameter of the incisive canal was 3.17±1.17mm and 3.24±1.10mm; males and females respectively, not statistically significant. Incisive foramen had no significant correlation as regards age and gender; double foramina was also observed in four female subjects.

Conclusion: Knowledge of this structure and its morphological variations will help surgeons operating in that region in avoiding injury to neurovascular and other related structures. This study also found double foramina in four female subjects.

Downloads

Download data is not yet available.

References

Venkatesh E, Elluru SV. Cone beam computed tomography: basics and applications in dentistry. J Istanb Fac Dent. 2017;;51(3):102-121, doi: 10.17096/jiuf

Salemi F, Moghadam FA, Shakibai Z, Farhadian M. Three-dimensional assessment of the nasopalatine canal and the surrounding bone using cone-beam computed tomography. J Periodontol Implant Dent. 2016;8(1):1-7.

Bornstein MM, Balsiger R, Sendi P, von Arx T. Morphology of the nasopalatine canal and dental implant surgery: A radiographic analysis of 100 consecutive patients using limited cone-beam computed tomography. Clin Oral Implants Res; 2011; 22:295-301.

Asaumi R, Kawai T, Sato I, Yoshida S, Yosue T. Three-dimensional observations of the incisive canal and the surrounding bone using cone-beam computed tomography. Oral Radiol 2010; 26:20-8.

Chatriyanuyoke P, Lu CI, Suzuki Y, Lozada JL, Rungcharassaeng K, Kan JY, et al. Nasopalatine canal position relative to the maxillary central incisors: a cone beam computed tomography assessment. J Oral Implantol. 2012;38(6):713-717.

Safi Y, Moshfeghi M, Rahimian S, Kheirkhahi M, Manouchehri ME. Assessment of nasopalatine canal anatomic variations using cone beam computed tomography in a group of Iranian population. Iran J Radiol. 2017;14(1)e37028

Etoz M, Sisman Y. Evaluation of the nasopalatine canal and variations with cone-beam computed tomography. Surg Radiol Anat. 2014;36(8):805-812

Nemtoi, A., Sirghe, A. E., Nemtoi, A, Dobrovat, B., Popescu, R. and Haba, D. CBCT analysis of the morphology and anatomical variants of the nasopalatine canal in northeastern population of Romania. Romanian journal of oral rehabilitation. 2019;11(4), 213-227.

Milanovic, P & Vasiljevic. Gender differences in the morphological characteristics of the nasopalatine canal and anterior maxillary bone-CBCT study. Experimental and applied biomedical research, 1-10, doi: https//doi.org/10.2478/sjecr-2021-0029

Hakbilen S, Magat G. Evaluation of anatomical and morphological characteristics of the nasopalatine canal in a Turkish population by cone beam computed tomography. Folia Morphol (Warsz). 2018; 77(3): 527-535.

Kajan ZD, Kia J, Motevasseli S, Rezaian SR. Evaluation of the nasopalatine canal with cone-beam computed tomography in an Iranian population. Dent Res J (Isfahan). 2015;12(1):14-19. doi: 10.4103/1735-3327.150289.

Thakur AR, Burde K, Guttal K, Naikmasur VG. Anatomy and morphology of the nasopalatine canal using cone-beam computed tomography. Imaging Sci Dent. 2013;43(4):273-281.

Sekerci AE, Buyuk SK, Cantekin K. Cone-beam computed tomographic analysis of the morphological characterization of the nasopalatine canal in a pediatric population. Surg Radiol Anat. 2014;36(9):925-932.

Fernández-Alonso A, Suárez-Quintanilla JA, Muinelo-Lorenzo J, Varela-Mallou J, Smyth Chamosa E, Suárez-Cunqueiro MM. Critical anatomic region of nasopalatine canal based on tridimensional analysis: cone beam computed tomography. Sci Rep. 2015; 5:12568.

Panda M, Shankar T, Raut A, Dev S, Kar AK, Hota S. Cone beam computerized tomography evaluation of incisive canal and anterior maxillary bone thickness for placement of immediate implants. J Indian Prosthodont Soc.2018; 18(4): 356-.363.

Bornstein MM, Balsiger R, Sendi P, von Arx T. Morphology of the nasopalatine canal and dental implant surgery: A radiographic analysis of 100 consecutive patients using limited cone-beam computed tomography. Clin Oral Implants Res; 2011; 22:295-301

Liang X, Jacobs R, Martens W, Hu Y, Adriaensens P, Quirynen M, et al. Macro and micro‐anatomical, histological and computed tomography scan characterization of the nasopalatine canal. J Clin Periodontol. 2009; 36(7):598-603.

Mardinger O, Namani-Sadan N, Chaushu G, Schwartz-Arad D. Morphologic changes of the nasopalatine canal related to dental implantation: a radiologic study in different degrees of absorbed maxillae. J Periodontol. 2008;79(9):1659-1662

Artzi Z, Nemcovsky CE, Bitlitum I, Segal P. Displacement of the incisive foramen in conjunction with implant placement in the anterior maxilla without jeopardizing vitality of nasopalatine nerve and vessels: A novel surgical approach. Clin Oral Implants Res; 2000; 11:505-10.

Linjawi, A., et al. (2021). "Morphological evaluation of the incisive canal with reference to gender and age: A cone-beam computed tomography study." Nigerian Journal of Clinical Practice. 2021; 24(11): 1596.

Mohammed, D. A. Anatomical variation in the dimension of nasopalatine canal on cone beam computed tomography CBCT images among Sulaimani population. Acta Medica Internation. 2016; 3(2): 82-87, Doi:10.5530/ami.2016.2.18

Sicher H. (1962). Anatomy and oral pathology. Oral Surg Oral Med Oral Pathol. 15:1264–9.

Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, et al. Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2007;103(5):683–93.

Song WC, Jo DI, Lee JY, Kim JN, Hur MS, Hu KS, et al. Microanatomy of the incisive canal using three-dimensional reconstruction of microCT images: an ex vivo study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(4):583–90. doi: 10.1016/j.tripleo.2009.06.036

Soumya P, Koppolu P, Pathakota KR, Chappidi V. Maxillary incisive canal characteristics: a radiographic study using cone beam computerized tomography. Radiology research and practice. 2019;2019(1):6151253.

Downloads

Published

2024-10-05

How to Cite

Erekosima, B., Robinson, E. ., Horsfall, A. U., Didia, M. K., & Israel, J. (2024). Radio-Anatomical Evaluation of the Nasopalatine Canal and its Clinical implication. The Nigerian Health Journal, 24(3), 1559–1565. https://doi.org/10.60787/tnhj.v24i3.880

Issue

Section

Original Articles
Abtract Views | PDF Download | EPUB Download: 87 / 57 / 10