MORPHOLOGY OF THE HARD PALATE: A STUDY OF DRY SKULLS AND REVIEW OF THE LITERATURE. Morfología del paladar duro: Un studio en cráneos secos y revision de la literatura

Autores/as

  • Erli Sarilita Centre for Anatomy and Human Identification, College of Art, Sciences and Engineering, University of Dundee, United Kingdom Department of Oral Biology, Faculty of Dentistry, Universitas Padjadjaran
  • Roger Soames Centre for Anatomy and Human Identification, College of Art, Sciences and Engineering, University of Dundee

DOI:

https://doi.org/10.31051/1852.8023.v7.n1.14157

Palabras clave:

hard palate, incisive foramen, greater palatine foramen, lesser palatine foramen, paladar duro, foramen incisivo, foramen palatino mayor, foramen palatino menor

Resumen

El objetivo de este estudio fue determinar la morfología del paladar duro para proporcionar directrices a los profesionales. Para dichos propósitos se midió el paladar duro de 63 cráneos de sexo y edad desconocidos, provenientes de una población del subcontinente Indio. Las medias y las desviaciones estándar de los siguientes parámetros fueron: anchura máxima del foramen palatino mayor, 2,3 ± 0,5 mm; anchura máxima del foramen palatino menor, de 0,9 ± 0,4 mm; anchura máxima del foramen incisivo, 4,08 ± 0,99 mm; distancia inter-alveolar de canino a canino, 23,5 ± 2,2 mm; distancia entre los forámenes palatinos mayores izquierdo y derecho, 27,6 ± 2,77 mm; anchura del paladar, 37,97 ± 3,32 mm; longitud palatal, 52,2 ± 3,2 mm; altura del paladar, 11,54 ± 2,4 mm; distancia entre el orificio palatino mayor a la base del hamulus pterigoideo, 8,7 ± 2,2 mm; distancia del foramen palatino mayor a la sutura maxilar mediana, 13,8 ± 1,5 mm; ángulo entre la línea media y la línea entre el foramen oral y el foramen palatino mayor, 16,45 ± 1,600. En esta investigación, los tipos más frecuentes de índice palatino e índice de altura paladar fueron el leptoestafilino y el ortoestafilino. Los Índices de asimetría oscilaron entre el 4,3 al 18,3%. El presente estudio proporciona datos morfométricos y cualitativos del paladar duro derivado de cráneos indios. El conocimiento de la posición y el diámetro de los forámenes palatinos es esencial para la aplicación de la anestesia localizada antes de realizar los procedimientos quirúrgicos. Además, los datos pueden ser útiles en la determinación de ascendencia del paladar duro.

 

The purpose of this study was to determine hard palate morphology to provide guidelines for practitioners. This study measured the hard palate of 63 skulls of unsexed and unknown age from Indian subcontinent. The means and standard deviations of the following parameters were: greater palatine foramen maximum width, 2.3 ± 0.5 mm; lesser palatine foramen maximum width, 0.9 ± 0.4 mm; incisive foramen maximum width, 4.08 ± 0.99 mm; canine to canine intersocket distance, 23.5 ± 2.2 mm; distance between right and left greater palatine foramen, 27.6 ± 2.77 mm; palatal breadth, 37.97 ± 3.32 mm; palatal length, 52.2 ± 3.2 mm; palatal height, 11.54 ± 2.4 mm; greater palatine foramen to the base of medial pterygoid hamulus distance, 8.7 ± 2.2 mm; distance from greater palatine foramen to median maxillary suture, 13.8 ± 1.5 mm; angle between the midline and a line between the orale and the greater palatine foramen, 16.45 ± 1.600. The leptostaphyline and orthostaphyline were the most prevalent types of palatine index and palate height index in this study. Asymmetry indices ranged between 4.3 - 18.3%. The present study provides morphometric and qualitative data of the hard palate derived from Indian skulls. Knowledge of the position and diameter of the palatine foramina is essential in performing localized anaesthesia before surgical procedures. In addition, the data may be useful in ancestry determination using the hard palate. 

Referencias

Ajmani M. 1994. Anatomical variation in position of the greater palatine foramen in the adult human skull. J Anat 184: 635.

Anjankar VP, Gupta S, Nair S, Thaduri N, Trivedi G, Budhiraja V. 2014. Analysis of position of greater palatine foramen in central Indian adult skulls: a consideration for maxillary nerve block. Indian J Pharm 2: 51-54.

Aterkar S, Rawal P, Kumar P. 1995. Position of greater palatine foramen in adults. J Anat Soc India 44: 126-133.

Berge JK, Bergman RA. 2001. Variations in size and in symmetry of foramina of the human skull. Clin Anat 14: 406-13.

Blanton PL, Jeske AH. 2003. The key to profound local anesthesia. J Am Dent Assoc 134: 753-60.

Das S, Kim D, Cannon TY, Ebert CS, Senior BA. 2006. High-resolution computed tomography analysis of the greater palatine canal. Am J Rhinol 20: 603-08.

Dave MR, Gupta S, Vyas KK, Joshi HG. 2013a. A study of palatal indices and bony prominences and grooves in the hard palate of adult human skulls. NJIRM 4: 7-11.

Dave MR, Yagain VK, Anadkat S. 2013b. A study of the anatomical variations in the position of the greater palatine foramen in adult human skulls and its clinical significance. Int J Morphol 31: 578-83.

D’Souza AS, Mamatha H, Jyothi N. 2012. Morphometric analysis of hard palate in south Indian skulls. Biomed Res 23: 173-75.

Fu J-H, Hasso DG, Yeh C-Y, Leong DJ, Chan H-L, Wang H-L. 2011. The accuracy of identifying the greater palatine neurovascular bundle: a cadaver study. J Periodontol 82: 1000-06.

Hassanali J, Mwaniki D. 1984. Palatal analysis and osteology of the hard palate of the Kenyan African skulls. Anat Rec 209: 273-80.

Hwang SH, Seo JH, Joo YH, Kim BG, Cho JH, Kang JM. 2011. An anatomic study using three?dimensional reconstruction for pterygo-palatine fossa infiltration via the greater palatine canal. Clin Anat 24: 576-82.

Ikuta CRS, Cardoso CL, Ferreira-Júnior O, Lauris JRP, Souza PHC, Rubira-Bullen IRF. 2013. Position of the greater palatine foramen: an anatomical study through cone beam computed tomography images. Surg Radiol Anat 35: 837-42.

Jaffar A, Hamadah H. 2003. An analysis of the position of the greater palatine foramen. J Basic Med Sci 3: 24-32.

Jotania B, Patel S, Patel S, Patel P, Patel S, Patel K. 2013. Morphometric analysis of hard palate. Int J Res Med 2: 72-75.

Kizilkanat E, Boyan N, Ozsahin E, Tekdemir I, Soames R, Oguz O. 2011. Importance of craniofacial asymmetry in surgery. Neurosurg Q 21: 147-49.

Klosek SK, Rungruang T. 2009. Anatomical study of the greater palatine artery and related structures of the palatal vault: considerations for palate as the subepithelial connective tissue graft donor site. Surg Radiol Anat 31: 245-50.

Kumar A, Sharma A, Singh P. 2011. Assessment of the relative location of greater palatine foramen in adult Indian skulls: consideration for maxillary nerve block. Eur J Anat 15: 150-54.

Langenegger J, Lownie J, Cleaton-Jones P. 1983. The relationship of the greater palatine foramen to the molar teeth and pterygoid hamulus in human skulls. J Dent 11: 249-56.

Lopes P, Santos A, Pereira G, Oliveira VD. 2011. Análisis Morfométrico del Foramen Palatino Mayor en Cráneos de Individuos Adultos del Sur de Brasil. Int J Morphol 29: 420-23.

Malamed SF, Trieger N. 1983. Intraoral maxillary nerve block: an anatomical and clinical study. Anesth Prog 30: 44.

Matsuda Y. 1927. Location of the dental foramina in human skulls from statistical observations. Int J Orthod Oral Surg 13: 299-305.

Methathrathip D, Apinhasmit W, Chompoopong S, Lertsirithong A, Ariyawatkul T, Sangvichien S. 2005. Anatomy of greater palatine foramen and canal and pterygopalatine fossa in Thais: considerations for maxillary nerve block. Surg Radiol Anat 27: 511-16.

Moore KL, Dalley AF, Agur AM. 2013. Clinically oriented anatomy: Lippincott Williams & Wilkins. p 934, 996-1000.

Nimigean V, Nimigean VR, Bu?incu L, S?l?v?stru D, Podoleanu L. 2013. Anatomical and clinical considerations regarding the greater palatine foramen. Rom J Morphol Embryol 54: 779-83.

Osunwoke E, Amah-Tariah F, Bob-Manuel I, Nwankoala Q. 2011. A study of the palatine foramen in dry human skulls in South-South Nigeria Sci Afr 10: 98-101.

Piagkou M, Xanthos T, Anagnostopoulou S, Demesticha T, Kotsiomitis E, Piagkos G, Protogerou V, Lappas D, Skandalakis P, Johnson EO. 2012. Anatomical variation and morphology in the position of the palatine foramina in adult human skulls from Greece. J Craniomaxillofac Surg 40: e206-10.

Premkumar S. 2011. Textbook of Craniofacial Growth: JP Medical Ltd. p 181-82.

Renu C. 2013. The position of greater palatine foramen in the adult human skulls of North Indian origin. J Surg Acad 3: 54-57.

Sharma NA, Garud RS. 2013. Greater palatine foramen--key to successful hemimaxillary anaesthesia: a morphometric study and report of a rare aberration. Singapore Med J 54: 152-59.

Slavkin HC, Canter MR, Canter SR. 1966. An anatomic study of the pterygomaxillary region in the craniums of infants and children. Oral Surg Oral Med Oral Pathol 21: 225-35.

Sujatha N, Manjunath KY, Balasubramanyam V. 2004. Variations of the location of the greater palatine foramina in dry human skulls. IJDR 16: 99-102.

Teixeira C, Souza V, Marques C, Silva Junior W, Pereira K. 2010. Topography of the greater palatine foramen in macerated skulls. J. Morphol Sci 27: 88-92.

Tomaszewska IM, Tomaszewski KA, Kmiotek EK, Pena IZ, Urbanik A, Nowakowski M, Walocha JA. 2014. Anatomical landmarks for the localization of the greater palatine foramen–a study of 1200 head CTs, 150 dry skulls, systematic review of literature and meta?analysis. J Anat 225: 419-35.

Urbano E, Melo K, Costa S. 2010. Morphologic study of the greater palatine canal. J Morphol 27: 102-04.

Vinay K, Beena D, Vishal K. 2012. Morphometric analysis of the greater palatine foramen in south Indian adult skulls. Int J Basic Appl Med Sci 2: 5-8.

Wang T, Kuo K, Shih C, Ho L, Liu J. 1988. Assessment of the relative locations of the greater palatine foramen in adult Chinese skulls. Cells Tissues Organs 132: 182-86.

Westmoreland EE, Blanton PL. 1982. An analysis of the variations in position of the greater palatine foramen in the adult human skull. Anat Rec 204: 383-88.

Descargas

Publicado

2016-03-28

Número

Sección

Contribuciones Originales

Cómo citar

MORPHOLOGY OF THE HARD PALATE: A STUDY OF DRY SKULLS AND REVIEW OF THE LITERATURE. Morfología del paladar duro: Un studio en cráneos secos y revision de la literatura. (2016). Revista Argentina De Anatomía Clínica, 7(1), 34-43. https://doi.org/10.31051/1852.8023.v7.n1.14157