| Autor: |
Rusu MC; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania. anatomon@gmail.com., Ciuluvică RC; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Vrapciu AD; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Chiriţă AL; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Predoiu M; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania., Măru N; Division of Anatomy, Faculty of Dental Medicine, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania. |
| Abstrakt: |
The sphenoidal tubercle (SphT), also known as pyramidal tubercle or infratemporal spine projects from the anterior end of the infratemporal crest of the greater sphenoidal wing. As it masquerades the lateral entrance in the pterygopalatine fossa it could obstruct surgical corridors or the access for anaesthetic punctures. The SphT is, however, an overlooked structure in the anatomical literature. During a routine cone beam computed tomography study in an adult male patient we found bilateral giant SphTs transforming the infratemporal surfaces of the greater wing into veritable pterygoid foveae. Moreover, on one side the SphT appeared bifid, with a main giant partition, of 9.17 mm vertical length, and a secondary laminar one. The opposite SphT had 14.80 mm. In our knowledge, such giant and bifid SphTs were not reported previously and are major obstacles if surgical access towards the pterygopalatine fossa and the skull base is intended. |
