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The anatomical and radiological evaluation of the Vidian canal on cone-beam computed tomography images

  • İlhan BahşiEmail author
  • Mustafa Orhan
  • Piraye Kervancıoğlu
  • Eda Didem Yalçın
Rhinology

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.

Keywords

Pterygoid canal Vidian canal Vidian neurectomy 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

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.

Informed consent

A formal informed consent procedure was waived due to the retrospective nature of this study.

References

  1. 1.
    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 Google Scholar
  2. 2.
    Standring S (2016) Gray's anatomy E-Book: the anatomical basis of clinical practice. 41th ed. Elsevier Health SciencesGoogle Scholar
  3. 3.
    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 Google Scholar
  4. 4.
    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 CrossRefGoogle Scholar
  5. 5.
    Chong V, Fan Y, Lau D, Chee L, Nguyen T, Sethi D (2000) Imaging the sphenoid sinus: pictorial essay. Australas Radiol 44(2):143–154CrossRefGoogle Scholar
  6. 6.
    Lal D, Corey JP (2004) Vasomotor rhinitis update. Curr Opin Otolaryngol Head Neck Surg 12(3):243–247CrossRefGoogle Scholar
  7. 7.
    Robinson SR, Wormald PJ (2006) Endoscopic vidian neurectomy. Am J Rhinol 20(2):197–202CrossRefGoogle Scholar
  8. 8.
    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 CrossRefGoogle Scholar
  9. 9.
    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 Google Scholar
  10. 10.
    Kapila SD (2014) Cone beam computed tomography in orthodontics: indications, insights, and innovations. John Wiley & SonsGoogle Scholar
  11. 11.
    White SC, Pharoah MJ (2014) Oral radiology-E-Book: principles and interpretation. Elsevier Health SciencesGoogle Scholar
  12. 12.
    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 CrossRefGoogle Scholar
  13. 13.
    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 CrossRefGoogle Scholar
  14. 14.
    Bernstein JA (2013) Nonallergic rhinitis: therapeutic options. Curr Opin Allergy Clin Immunol 13(4):410–416.  https://doi.org/10.1097/ACI.0b013e3283630cd8 CrossRefGoogle Scholar
  15. 15.
    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 CrossRefGoogle Scholar
  16. 16.
    Lee JC, Hsu CH, Kao CH, Lin YS (2009) Endoscopic intrasphenoidal vidian neurectomy: how we do it. Clin Otolaryngol 34(6):568–571CrossRefGoogle Scholar
  17. 17.
    El-Guindy A (1994) Endoscopic transseptal vidian neurectomy. Arch Otolaryngol Head Neck Surg 120(12):1347–1351CrossRefGoogle Scholar
  18. 18.
    Minnis N, Morrison A (1971) Trans-septal approach for Vidian neurectomy. J Laryngol Otol 85(3):255–260CrossRefGoogle Scholar
  19. 19.
    Chandra R (1969) Transpalatal approach for vidian neurectomy. Arch Otolaryngol 89(3):542–545CrossRefGoogle Scholar
  20. 20.
    Mostafa HM, Abdel-Latif SM, El-Din SBS (1973) The transpalatal approach for Vidian neurectomy in allergic rhinities. J Laryngol Otol 87(8):773–780CrossRefGoogle Scholar
  21. 21.
    Bakhshi J, Mahapatra K, Kocher R (1985) Effect of transnasal bilateral vidian neurectomy on vasomotor rhinitis. Indian J Otolaryngol Head Neck Surg 37(3):99–101Google Scholar
  22. 22.
    Golding-Wood PH (1970) Vidian neurectomy and other trans-antral surgery—1970. Laryngoscope 80(8):1179–1189CrossRefGoogle Scholar
  23. 23.
    Kirtane M, Merchant S, Shah A, Medikeri S (1984) The operative technique of transnasal Vidian neurectomy. Indian J Otolaryngol 36(4):154–156Google Scholar
  24. 24.
    Nomura Y (1974) Vidian neurectomy—some technical remarks. Laryngoscope 84(4):578–585CrossRefGoogle Scholar
  25. 25.
    Prades J (1978) Technical details concerning vidian neurectomy by intranasal approach. Ann Otolaryngol Chir Cervicofac 1–2:143–147Google Scholar
  26. 26.
    Kirtane M, Prabhu V, Karnik P (1984) Transnasal preganglionic vidian nerve section. J Laryngol Otol 98(5):481–487CrossRefGoogle Scholar
  27. 27.
    Portmann M, Guillen G, Chabrol A (1982) Electrocoagulation of the vidian nerve via the nasal passage. Laryngoscope 92(4):453–455CrossRefGoogle Scholar
  28. 28.
    El Shazly MA (1991) Endoscopic surgery of the vidian nerve: preliminary report. Ann Otol Rhinol Laryngol 100(7):536–539CrossRefGoogle Scholar
  29. 29.
    Kamel R, Zaher S (1991) Endoscopic transnasal vidian neurectomy. Laryngoscope 101(3):316–319CrossRefGoogle Scholar
  30. 30.
    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):125–129Google Scholar
  31. 31.
    Yeh I, Wu I (2013) Computed tomography evaluation of the sphenoid sinus and the vidian canal. B-ENT 9(2):117–121Google Scholar
  32. 32.
    Fernandes CM (1994) Bilateral transnasal vidian neurectomy in the management of chronic rhinitis. J Laryngol Otol 108(7):569–573CrossRefGoogle Scholar
  33. 33.
    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 CrossRefGoogle Scholar
  34. 34.
    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 CrossRefGoogle Scholar
  35. 35.
    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 CrossRefGoogle Scholar
  36. 36.
    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 CrossRefGoogle Scholar
  37. 37.
    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 CrossRefGoogle Scholar
  38. 38.
    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 CrossRefGoogle Scholar
  39. 39.
    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 Google Scholar
  40. 40.
    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 CrossRefGoogle Scholar
  41. 41.
    Bidarkotimath S, Viveka S, Udyavar A (2012) Vidian canal: radiological anatomy and functional correlations. J Morphol Sci 29(1):27–31Google Scholar
  42. 42.
    Chen J, Xiao J (2015) Morphological study of the pterygoid canal with high-resolution CT. Int J Clin Exp Med 8(6):9484–9490Google Scholar
  43. 43.
    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 CrossRefGoogle Scholar
  44. 44.
    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 CrossRefGoogle Scholar
  45. 45.
    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 CrossRefGoogle Scholar
  46. 46.
    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 CrossRefGoogle Scholar
  47. 47.
    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 CrossRefGoogle Scholar
  48. 48.
    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 CrossRefGoogle Scholar
  49. 49.
    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 CrossRefGoogle Scholar
  50. 50.
    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 CrossRefGoogle Scholar
  51. 51.
    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 Google Scholar
  52. 52.
    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 CrossRefGoogle Scholar
  53. 53.
    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 CrossRefGoogle Scholar
  54. 54.
    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 Google Scholar
  55. 55.
    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 CrossRefGoogle Scholar
  56. 56.
    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):E6Google Scholar
  57. 57.
    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):267–272CrossRefGoogle Scholar
  58. 58.
    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 CrossRefGoogle Scholar
  59. 59.
    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 CrossRefGoogle Scholar
  60. 60.
    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 CrossRefGoogle Scholar

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© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Anatomy, Faculty of MedicineGaziantep UniversityGaziantepTurkey
  2. 2.Department of Dentomaxillofacial Radiology, Faculty of DentistryGaziantep UniversityGaziantepTurkey

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