rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2024-105-3-143-148rentrad-876Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHВыявление добавочного подглазничного отверстия с помощью конусно-лучевой компьютерной томографииEvaluation of Accessory Infraorbital Foramen with Cone Beam Computed Tomographyhttps://orcid.org/0000-0002-7173-1818КабакС. Л.KabakS. L.

Кабак Сергей Львович, д. м. н., профессор, заведующий кафедрой морфологии человека

пр-т Дзержинского, 83, Минск, 220116

Sergey L. Kabak, Dr. Med. Sc., Professor, Chief of Chair of Human Morphology

prospekt Dzerzhinskogo, 83, Minsk, 220116

https://orcid.org/0000-0002-8742-6973МельниченкоЮ. М.MelnichenkoYu. M.

Мельниченко Юлия Михайловна, к. м. н., доцент кафедры морфологии человека

пр-т Дзержинского, 83, Минск, 220116

Yuliya M. Melnichenko, Cand. Med. Sc., Associate Professor, Chair of Human Morphology

prospekt Dzerzhinskogo, 83, Minsk, 220116

mjm1980@yandex.ruhttps://orcid.org/0009-0000-2884-1133ЮфереваМ. П.IouferevaM. P.

Юферева Мелания Павловна, студентка 1-го курса стоматологического факультета

пр-т Дзержинского, 83, Минск, 220116

Melania P. Ioufereva, 2nd Year Student, Faculty of Dentistry

prospekt Dzerzhinskogo, 83, Minsk, 220116

https://orcid.org/0009-0005-1875-5203ПильчукА. В.PilchukA. V.

Пильчук Анна Владимировна, врач-рентгенолог

ул. Энгельса, 34А/2, Минск, 220030

Anna V. Pilchuk, Radiologist

ul. Engelsa, 34А/2, Minsk, 220030

УО «Белорусский государственный медицинский универcитет» Минздрава Республики БеларусьБеларусьBelarusian State Medical UniversityBelarusООО «Новый Лекарь»БеларусьLLC “Novy Lekar”Belarus2024081020241053143148Copyright © Кабак С.Л., Мельниченко Ю.М., Юферева М.П., Пильчук А.В., 20242024Кабак С.Л., Мельниченко Ю.М., Юферева М.П., Пильчук А.В.Kabak S.L., Melnichenko Y.M., Ioufereva M.P., Pilchuk A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/876

Цель: оценить частоту встречаемости, количество и положение добавочных подглазничных отверстий по данным конусно-лучевой компьютерной томографии (КЛКТ).Материал и методы. Проанализировано 156 КЛКТ-исследований пациентов, обратившихся за стоматологической помощью в частный медицинский центр г. Минска (Республика Беларусь) за период 2018–2023 гг.Результаты. У 29 (18,6%) обследованных было обнаружено в общей сложности 38 добавочных подглазничных отверстий. У 8 пациентов удвоение выявлялось с двух сторон, у 21 – с одной стороны. В 1 случае отмечено наличие одновременно двух добавочных подглазничных отверстий с одной стороны. Они располагались сверху и с медиальной стороны относительно основного подглазничного отверстия на расстоянии от 3,73 до 14,5 мм от него. У 2 из 13 пациентов, у которых в поле зрения визуализировались одновременно верхняя и нижняя челюсти, на стороне добавочного подглазничного отверстия выявлено добавочное подбородочное отверстие. Добавочные подглазничные отверстия чаще обнаруживались с левой стороны (р<0,05), гендерных различий в их встречаемости не отмечено.Заключение. Полученные результаты демонстрируют высокую частоту удвоения подглазничного отверстия. Для повышения эффективности хирургических манипуляций в средней трети лица и предотвращения ятрогенных неврологических осложнений рекомендуется проведение КЛКТ-исследования на этапе планирования операции для уточнения локализации основного и добавочного подглазничных отверстий.

Objective: to assess the incidence, number and position of accessory infraorbital foramina (AIOF) according to cone beam computed tomography (CBCT).Material and methods. CBCT data from 156 patients who received dental care at a private medical center in Minsk (The Republic of Belarus) in 2018–2023 were analyzed.Results. In 29 (18.6%) patients, 38 AIOF were found. Unilateral doubling of the infraorbital foramen was more common than bilateral (21 patients compared to 8). In 1 case, the presence of two AIOF simultaneously on one side was noted. They were located medial and superior relative to the main infraorbital foramen at a distance 3.73–14.5 mm from it. In 2 of 13 patients with simultaneously visualized upper and lower jaws, an accessory mental foramen was found on the AIOF side. AIOF were more often identified on the left side (p<0.05); no gender differences in their occurrence were detected.Conclusion. The obtained results demonstrate a high frequency of infraorbital foramen doubling. To increase the effectiveness of surgical manipulations in the middle third of the face and prevent iatrogenic neurological complications, it is recommended to conduct a preoperative CBCT to clarify the localization of the main and accessory infraorbital foramina.

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The authors declare that there are no conflicts of interest present.