Skip to main content

Advertisement

Log in

Lateral lingual vascular canals of the mandible: a CBCT study of 500 cases

  • Original Article
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The aim of the present study was to use cone-beam computed tomography (CBCT) images of patients to assess the localization, diameter, and course of the lateral lingual vascular canal (LLVC).

Methods

CBCT (Morita, Accuitomo 170) images from 500 patients were used in the present study. The CBCT images were examined by two oral radiologists. The diameter, localization, and course of the LLVCs were assessed using axial, cross-sectional, and multiplanar reformatted images. Statistical analysis was performed using SPSS® v. 15 (SPSS Inc., Chicago, IL, USA), and t tests were used for statistical analysis.

Results

Of the 500 patients examined, 163 LLVCs were detected in 124 (24.8 %) cases. The mean diameter of LLVCs on the right side and left side was 0.65 ± 0.18 and 0.64 ± 0.17 mm, respectively. The majority of the LLVCs (n = 106, 83 %) were observed in the premolar region. There was a statistically significant difference between the occurrence of LLVCs in the premolar region and the other areas (p < 0.01).

Conclusions

All the LLVCs observed in this study had a connection with inferior alveolar canal structures. The detection of an LLVC on CBCT images should alert the radiologist and surgeons to the possible presence of collateral arterial and vascular structures.

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

Similar content being viewed by others

References

  1. Carter RB, Keen EN (1971) The intramandibular course of the inferior alveolar nerve. J Anat 108:433–440

    PubMed  CAS  PubMed Central  Google Scholar 

  2. De Andrade E, Otomo-Corgel J, Pucher J, Ranganath KA, St George N Jr (2001) The intraosseous course of the mandibular incisive nerve in the mandibular symphysis. Int J Periodontics Restorative Dent 21:591–597

    PubMed  Google Scholar 

  3. Fanibunda K, Matthews JNS (1999) Relationship between accessory foramina and tumour spread in the lateral mandibular surface. J Anat 195:185–190

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gahleitner A, Hofschneider U, Tepper G, Pretterklieber M, Schick S, Zauza K, Watzek G (2001) Lingual vascular canals of the mandible: evaluation with dental CT. Radiology 220:186–189

    Article  PubMed  CAS  Google Scholar 

  5. Givol N, Chaushu G, Halamish-Shani T, Taicher S (2000) Emergency tracheostomy following life-threatening hemorrhage in the floor of the mouth during immediate implant placement in the mandibular canine region. J Periodontol 71:1893–1895

    Article  PubMed  CAS  Google Scholar 

  6. Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, Gelan J (2007) Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:683–693

    Article  PubMed  Google Scholar 

  7. Jacobs R, Mraiwa N, vanSteenberghe D, Gijbels F, Quirynen M (2002) Appearance, location, course, and morphology of the mandibular incisive canal: an assessment on spiral CT scan. Dentomaxillofac Radiol 31:322–327

    Article  PubMed  CAS  Google Scholar 

  8. Kalpidis CD, Setayesh RM (2004) Hemorrhaging associated with endosseous implant placement in the anterior mandible: a review of the literature. J Periodontol 75:631–645

    Article  PubMed  Google Scholar 

  9. Katakami K, Mishima A, Kuribayashi A, Shimoda S, Hamada Y, Kobayashi K (2009) Anatomical characteristics of the mandibular lingual foramina observed on limited cone-beam CT images. Clin Oral Implants Res 20:386–390

    Article  PubMed  Google Scholar 

  10. Kaufman E, Serman NJ, Wang PD (2000) Bilateral mandibular accessory foramina and canals: a case report and review of the literature. Dentomaxillofac Radiol 29:170–175

    Article  PubMed  CAS  Google Scholar 

  11. Kawai T, Asaumi R, Sato I, Yoshida S, Yosue T (2007) Classification of the lingual foramina and their bony canals in the median region of the mandible: cone beam computed tomography observations of dry Japanese mandibles. Oral Radiol 23:42–48

    Article  Google Scholar 

  12. Kawai T, Sato I, Yosue T, Takamori H, Sunohara M (2006) Anastomosis between the inferior alveolar artery branches and submental artery in human mandible. Surg Radiol Anat 28:308–310

    Article  PubMed  Google Scholar 

  13. Kilic E, Doganay S, Ulu M, Celebi N, Yikilmaz A, Alkan A (2012) Determination of lingual vascular canals in the interforaminal region before implant surgery to prevent life-threatening bleeding complications. Clin Oral Implants Res. doi:10.1111/clr.12065

    PubMed  Google Scholar 

  14. Liang H, Frederiksen NL, Benson BW (2004) Lingual vascular canals of the interforaminal region of the mandible: evaluation with conventional tomography. Dentomaxillofac Radiol 33:340–341

    Article  PubMed  CAS  Google Scholar 

  15. Liang X, Jacobs R, Corpas LS, Semal P, Lambrichts I (2009) Chronologic and geographic variability of neurovascular structures in the human mandible. Forensic Sci Int 190:24–32

    Article  PubMed  CAS  Google Scholar 

  16. Lustig JP, London D, Dor BL, Yanko R (2003) Ultrasound identification and quantitative measurement of blood supply to the anterior part of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 96:625–629

    Article  PubMed  Google Scholar 

  17. Makris N, Stamatakis H, Syriopoulos K, Tsiklakis K, van der Stelt PF (2010) Evaluation of the visibility and the course of the mandibular incisive canal and the lingual foramen using cone-beam computed tomography. Clin Oral Implants Res 21:766–771

    Article  PubMed  Google Scholar 

  18. Mason ME, Triplett RG, Alfonso WF (1990) Life-threatening hemorrhage from placement of a dental implant. J Oral Maxillofac Surg 48:201–204

    Article  PubMed  CAS  Google Scholar 

  19. Murlimanju BV, Prakash KG, Samiullah D, Prabhu LV, Pai MM, Vadgaonkar R, Rai R (2012) Accessory neurovascular foramina on the lingual surface of mandible: incidence, topography, and clinical implications. Indian J Dent Res 23:433

    Article  PubMed  CAS  Google Scholar 

  20. Oliveira-Santos C, Souza PHC, Berti-Couto SD, Stinkens L, Moyaert K, van Assche N, Jacobs R (2011) Characterisation of additional mental foramina through cone beam computed tomography. J Oral Rehabil 38:595–600

    Article  PubMed  Google Scholar 

  21. Patil S, Matsuda Y, Okano T (2013) Accessory mandibular foramina: a CT study of 300 cases. Surg Radiol Anat 35:323–330

    Article  PubMed  Google Scholar 

  22. Pires CA, Bissada NF, Becker JJ, Kanawati A, Landers MA (2012) Mandibular incisive canal: cone beam computed tomography. Clin Implant Dent Relat Res 14:67–73

    Article  PubMed  Google Scholar 

  23. Przystanska A, Bruska M (2012) Anatomical classification of accessory foramina in human mandibles of adults, infants, and fetuses. Anat Sci Int 87:141–149

    Article  PubMed  PubMed Central  Google Scholar 

  24. Rosano G, Taschieri S, Gaudy JF, Testori T, Del Fabbro M (2009) Anatomic assessment of the anterior mandible and relative hemorrhage risk in implant dentistry: a cadaveric study. Clin Oral Implants Res 20:791–795

    Article  PubMed  Google Scholar 

  25. Scaravilli MS, Mariniello M, Sammartino G (2010) Mandibular lingual vascular canals (MLVC): evaluation on dental CTs of a case series. Eur J Radiol 76:173–176

    Article  PubMed  Google Scholar 

  26. Scarfe WC, Eraso FE, Farman AG (1998) Characteristics of the orthopantomograph OP 100. Dentomaxillofac Radiol 27:51–57

    Article  PubMed  CAS  Google Scholar 

  27. Sutton RN (1974) The practical significance of mandibular accessory foramina. Aust Dent J 19:167–173

    Article  PubMed  CAS  Google Scholar 

  28. Tagaya A, Matsuda Y, Nakajima K, Seki K, Okano T (2009) Assessment of the blood supply to the lingual surface of the mandible for reduction of bleeding during implant surgery. Clin Oral Implants Res 20:351–355

    Article  PubMed  Google Scholar 

  29. Tepper G, Hofschneider UB, Gahleitner A, Ulm C (2001) Computed tomographic diagnosis and localization of bone canals in the mandibular interforaminal region for prevention of bleeding complications during implant surgery. Int J Oral Maxillofac Implants 16:68–72

    PubMed  CAS  Google Scholar 

  30. von Arx T, Matter D, Buser D, Bornstein MM (2011) Evaluation of location and dimensions of lingual foramina using limited cone-beam computed tomography. J Oral Maxillofac Surg 69:2777–2785

    Article  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Halil Sahman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sahman, H., Sekerci, A.E. & Ertas, E.T. Lateral lingual vascular canals of the mandible: a CBCT study of 500 cases. Surg Radiol Anat 36, 865–870 (2014). https://doi.org/10.1007/s00276-014-1258-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-014-1258-x

Keywords

Navigation