Abstract
Introduction
The aim of this study is to explore the anatomy of the Vidian nerve to elucidate the appropriate surgical approach based on preoperative cone-beam computed tomography (CBCT) images.
Materials and methods
The Vidian canal and its surrounding structures were morphometrically evaluated retrospectively in CBCT images of 400 cases by the Planmeca Romexis program. The types of the Vidian canal were determined and seven parameters were measured from the images.
Results
Three types of the Vidian canal according to the relationship with the sphenoid bone were found as follows: the Vidian canal totally protruded into the sphenoid sinus (19.75%), partially protruded into sphenoid sinus (44.37%) and embedded inside bony tissue of the body of sphenoid bone (35.87%). The position of the Vidian canal was medial (34.62%), on the same line (55.12%) and lateral (10.25%) to the medial plate of the pterygoid process. The distance between the Vidian canal and the vomerine crest, the mid-sagittal plane, the round foramen, the palatovaginal canal, and the superior wall of the sphenoid sinus, the length of the Vidian canal and the angle between the Vidian canal and the sagittal plane was found to be 16.69 ± 2.14, 13.80 ± 2.00, 8.88 ± 1.60, 5.83 ± 1.37, 23.98 ± 2.68, 13.29 ± 1.71 mm and 25.78° ± 3.68° in males, 14.62 ± 1.66, 11.43 ± 1.28, 8.51 ± 1.63, 5.78 ± 0.57, 22.37 ± 2.07, 12.91 ± 1.26 mm and 23.43° ± 3.07° in females, respectively.
Conclusions
Our results may assist with proper treatment for surgical procedures around the Vidian canal with a high success rate and minimal complications. Therefore, the results obtained in this study contribute to the literature.
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References
Bahşi İ (2018) Life of Guido Guidi (Vidus Vidius), who named the Vidian canal. Childs Nerv Syst. https://doi.org/10.1007/s00381-018-3930-7
Standring S (2016) Gray's anatomy E-Book: the anatomical basis of clinical practice. 41th ed. Elsevier Health Sciences
Bahşi İ, Orhan M, Kervancıoğlu P, Yalçın ED (2019) Morphometric evaluation and clinical implications of the greater palatine foramen, greater palatine canal and pterygopalatine fossa on CBCT images and review of literature. Surg Radiol Anat. https://doi.org/10.1007/s00276-019-02179-x
Yeğin Y, Çelik M, Altıntaş A, Şimşek BM, Olgun B, Kayhan FT (2017) Vidian canal types and dehiscence of the bony roof of the canal: an anatomical study. Turk Arch Otorhinolaryngol 55(1):22. https://doi.org/10.5152/tao.2017.2038
Chong V, Fan Y, Lau D, Chee L, Nguyen T, Sethi D (2000) Imaging the sphenoid sinus: pictorial essay. Australas Radiol 44(2):143–154
Lal D, Corey JP (2004) Vasomotor rhinitis update. Curr Opin Otolaryngol Head Neck Surg 12(3):243–247
Robinson SR, Wormald PJ (2006) Endoscopic vidian neurectomy. Am J Rhinol 20(2):197–202
Yazar F, Cankal F, Haholu A, Kiliç C, Tekdemir I (2007) CT evaluation of the vidian canal localization. Clin Anat 20(7):751–754. https://doi.org/10.1002/ca.20496
Bahşi I, Orhan M, Kervancıoğlu P, Yalçın ED, Aktan AM (2018) Anatomical evaluation of nasopalatine canal on cone-beam computed tomography images. Folia Morphol (Warsz). https://doi.org/10.5603/FM.a2018.0062
Kapila SD (2014) Cone beam computed tomography in orthodontics: indications, insights, and innovations. John Wiley & Sons
White SC, Pharoah MJ (2014) Oral radiology-E-Book: principles and interpretation. Elsevier Health Sciences
Konno A (2010) Historical, pathophysiological, and therapeutic aspects of vidian neurectomy. Curr Allergy Asthma Rep 10(2):105–112. https://doi.org/10.1007/s11882-010-0093-3
Liu S, Wang H, Su W (2010) Endoscopic vidian neurectomy: the value of preoperative computed tomographic guidance. Arch Otolaryngol Head Neck Surg 136(6):595–602. https://doi.org/10.1001/archoto.2010.72
Bernstein JA (2013) Nonallergic rhinitis: therapeutic options. Curr Opin Allergy Clin Immunol 13(4):410–416. https://doi.org/10.1097/ACI.0b013e3283630cd8
Golding-Wood PH (1961) Observations on petrosal and vidian neurectomy in chronic vasomotor rhinitis. J Laryngol Otol 75(3):232–247. https://doi.org/10.1017/S0022215100057716
Lee JC, Hsu CH, Kao CH, Lin YS (2009) Endoscopic intrasphenoidal vidian neurectomy: how we do it. Clin Otolaryngol 34(6):568–571
El-Guindy A (1994) Endoscopic transseptal vidian neurectomy. Arch Otolaryngol Head Neck Surg 120(12):1347–1351
Minnis N, Morrison A (1971) Trans-septal approach for Vidian neurectomy. J Laryngol Otol 85(3):255–260
Chandra R (1969) Transpalatal approach for vidian neurectomy. Arch Otolaryngol 89(3):542–545
Mostafa HM, Abdel-Latif SM, El-Din SBS (1973) The transpalatal approach for Vidian neurectomy in allergic rhinities. J Laryngol Otol 87(8):773–780
Bakhshi J, Mahapatra K, Kocher R (1985) Effect of transnasal bilateral vidian neurectomy on vasomotor rhinitis. Indian J Otolaryngol Head Neck Surg 37(3):99–101
Golding-Wood PH (1970) Vidian neurectomy and other trans-antral surgery—1970. Laryngoscope 80(8):1179–1189
Kirtane M, Merchant S, Shah A, Medikeri S (1984) The operative technique of transnasal Vidian neurectomy. Indian J Otolaryngol 36(4):154–156
Nomura Y (1974) Vidian neurectomy—some technical remarks. Laryngoscope 84(4):578–585
Prades J (1978) Technical details concerning vidian neurectomy by intranasal approach. Ann Otolaryngol Chir Cervicofac 1–2:143–147
Kirtane M, Prabhu V, Karnik P (1984) Transnasal preganglionic vidian nerve section. J Laryngol Otol 98(5):481–487
Portmann M, Guillen G, Chabrol A (1982) Electrocoagulation of the vidian nerve via the nasal passage. Laryngoscope 92(4):453–455
El Shazly MA (1991) Endoscopic surgery of the vidian nerve: preliminary report. Ann Otol Rhinol Laryngol 100(7):536–539
Kamel R, Zaher S (1991) Endoscopic transnasal vidian neurectomy. Laryngoscope 101(3):316–319
Savard P, Stoney P, Hawke M (1993) An anatomical study of vidian neurectomy using an endoscopic technique: a potential new application. J Otolaryngol 22(2):125–129
Yeh I, Wu I (2013) Computed tomography evaluation of the sphenoid sinus and the vidian canal. B-ENT 9(2):117–121
Fernandes CM (1994) Bilateral transnasal vidian neurectomy in the management of chronic rhinitis. J Laryngol Otol 108(7):569–573
Mason EC, Hudgins PA, Pradilla G, Oyesiku NM, Solares CA (2018) Radiographic analysis of the vidian canal and its utility in petrous internal carotid artery localization. Oper Neurosurg (Hagerstown) 15(5):577–583. https://doi.org/10.1093/ons/opx305
Castelnuovo P, Nicolai P, Turri-Zanoni M, Battaglia P, Bolzoni Villaret A, Gallo S, Bignami M, Dallan I (2013) Endoscopic endonasal nasopharyngectomy in selected cancers. Otolaryngol Head Neck Surg 149(3):424–430. https://doi.org/10.1177/0194599813493073
Tsutsumi S, Ono H, Ishii H, Yasumoto Y (2018) Visualization of the vidian canal and nerve using magnetic resonance imaging. Surg Radiol Anat 40(12):1391–1396. https://doi.org/10.1007/s00276-018-2105-2
Fortes FSG, Sennes LU, Carrau RL, Brito R, Ribas GC, Yasuda A, Rodrigues AJ Jr, Snyderman CH, Kassam AB (2008) Endoscopic anatomy of the pterygopalatine fossa and the transpterygoid approach: development of a surgical instruction model. Laryngoscope 118(1):44–49. https://doi.org/10.1097/MLG.0b013e318155a492
Al-Sheibani S, Zanation AM, Carrau RL, Prevedello DM, Prokopakis EP, McLaughlin N, Snyderman CH, Kassam AB (2011) Endoscopic endonasal transpterygoid nasopharyngectomy. Laryngoscope 121(10):2081–2089. https://doi.org/10.1002/lary.22165
Bolger WE (2005) Endoscopic transpterygoid approach to the lateral sphenoid recess: surgical approach and clinical experience. Otolaryngol Head Neck Surg 133(1):20–26. https://doi.org/10.1016/j.otohns.2005.03.063
Açar G, Çiçekcibaşı AE, Çukurova I, Özen KE, Şeker M, Güler I (2017) The anatomic analysis of the vidian canal and the surrounding structures concerning vidian neurectomy using computed tomography scans. Braz J Otorhinolaryngol. https://doi.org/10.1016/j.bjorl.2017.11.008
Alam-Eldeen MH, ElTaher MA, Fadle KN (2018) CT evaluation of pterygoid process pneumatization and the anatomic variations of related neural structures. Egypt J Radiol Nucl Med 49(3):658–662. https://doi.org/10.1016/j.ejrnm.2018.03.011
Bidarkotimath S, Viveka S, Udyavar A (2012) Vidian canal: radiological anatomy and functional correlations. J Morphol Sci 29(1):27–31
Chen J, Xiao J (2015) Morphological study of the pterygoid canal with high-resolution CT. Int J Clin Exp Med 8(6):9484–9490
Cheng Y, Gao H, Song G, Li Y, Zhao G (2016) Anatomical study of pterygoid canal (PC) and palatovaginal canal (PVC) in endoscopic trans-sphenoidal approach. Surg Radiol Anat 38(5):541–549. https://doi.org/10.1007/s00276-015-1597-2
Fu Z, Chen Y, Jiang W, Yang S, Zhang J, Zhang W, Zhang S, Ke Y (2014) The anatomical and clinical details of the pterygoid canal: a three-dimensional reconstructive virtual anatomic evaluation based on CT. Surg Radiol Anat 36(2):181–188. https://doi.org/10.1007/s00276-013-1161-x
Inal M, Muluk NB, Arikan OK, Sahin S (2015) Is there a relationship between optic canal, foramen rotundum, and Vidian canal? J Craniofac Surg 26(4):1382–1388. https://doi.org/10.1097/scs.0000000000001597
Karci B, Midilli R, Erdogan U, Turhal G, Gode S (2018) Endoscopic endonasal approach to the vidian nerve and its relation to the surrounding structures: an anatomic cadaver study. Eur Arch Otorhinolaryngol 275(10):2473–2479. https://doi.org/10.1007/s00405-018-5085-2
Kim D, Kim H, Chung I (1996) High-resolution CT of the pterygopalatine fossa and its communications. Neuroradiology 38(1):S120–S126. https://doi.org/10.1007/BF02278138
Lee J-C, Kao C-H, Hsu C-H, Lin Y-S (2011) Endoscopic transsphenoidal vidian neurectomy. Eur Arch Otorhinolaryngol 268(6):851–856. https://doi.org/10.1007/s00405-010-1482-x
Mohebbi A, Rajaeih S, Safdarian M, Omidian P (2017) The sphenoid sinus, foramen rotundum and vidian canal: a radiological study of anatomical relationships. Braz J Otorhinolaryngol 83(4):381–387. https://doi.org/10.1016/j.bjorl.2016.04.013
Omami G, Hewaidi G, Mathew R (2011) The neglected anatomical and clinical aspects of pterygoid canal: CT scan study. Surg Radiol Anat 33(8):697–702. https://doi.org/10.1007/s00276-011-0808-8
Osawa S, Rhoton AL Jr, Seker A, Shimizu S, Fujii K, Kassam AB (2009) Microsurgical and endoscopic anatomy of the vidian canal. Neurosurgery 64(suppl_5):385–412. https://doi.org/10.1227/01.NEU.0000338945.54863.D9
Vescan AD, Snyderman CH, Carrau RL, Mintz A, Gardner P, Branstetter IVB, Kassam AB (2007) Vidian canal: analysis and relationship to the internal carotid artery. Laryngoscope 117(8):1338–1342. https://doi.org/10.1097/MLG.0b013e31806146cd
Ozturan O, Yenigun A, Degirmenci N, Aksoy F, Veyseller B (2013) Co-existence of the Onodi cell with the variation of perisphenoidal structures. Eur Arch Otorhinolaryngol 270(7):2057–2063. https://doi.org/10.1007/s00405-012-2325-8
Vuksanovic-Bozaric A, Vukcevic B, Abramovic M, Vukcevic N, Popovic N, Radunovic M (2018) The pterygopalatine fossa: morphometric CT study with clinical implications. Surg Radiol Anat. https://doi.org/10.1007/s00276-018-2136-8
Mato D, Yokota H, Hirono S, Martino J, Saeki N (2015) The vidian canal: radiological features in Japanese population and clinical implications. Neurol Med Chir 55(1):71–76. https://doi.org/10.2176/nmc.oa.2014-0173
Kassam AB, Gardner P, Snyderman C, Mintz A, Carrau R (2005) Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus 19(1):E6
Rumboldt Z, Castillo M, Smith JK (2002) The palatovaginal canal: can it be identified on routine CT and MR imaging? AJR Am J Roentgenol 179(1):267–272
Karligkiotis A, Volpi L, Abbate V, Battaglia P, Meloni F, Turri-Zanoni M, Bignami M, Castelnuovo P (2014) Palatovaginal (pharyngeal) artery: clinical implication and surgical experience. Eur Arch Otorhinolaryngol 271(10):2839–2843. https://doi.org/10.1007/s00405-014-3111-6
Adin ME, Ozmen CA, Aygun N (2019) Utility of the Vidian canal in endoscopic skull base surgery: detailed anatomy and relationship to the internal carotid artery. World Neurosurg 121:e140–e146. https://doi.org/10.1016/j.wneu.2018.09.048
Liu S-C, Su W-F (2011) Evaluation of the feasibility of the vidian neurectomy using computed tomography. Eur Arch Otorhinolaryngol 268(7):995–998. https://doi.org/10.1007/s00405-011-1497-y
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This study was approved by the ethics committee of Gaziantep University (approval date and number: 26 September 2018; 2018/256). We declare that this human study has been approved by the ethics committee of Gaziantep University and has, therefore, been performed in accordance with the ethical standards laid down in the Declaration of Helsinki and its later amendments.
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Bahşi, İ., Orhan, M., Kervancıoğlu, P. et al. The anatomical and radiological evaluation of the Vidian canal on cone-beam computed tomography images. Eur Arch Otorhinolaryngol 276, 1373–1383 (2019). https://doi.org/10.1007/s00405-019-05335-6
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DOI: https://doi.org/10.1007/s00405-019-05335-6