An Ossified Pterygospinous Ligament : A Case Report

Authors

  • Dr. S. E Pawar
  • Dr. B. R. Zambare

Keywords:

Pterygospinous ligament, Pterygospinous bar, Pterygospinous foramen, Spine of Sphenoid, Mandibular nerve

Abstract

Study of the base of skull always remains the centre point of attraction for many anatomists since ages. Accordingly many attempts have been made to study skull from time to time. On the base of skull usually there is ligament extending between a Pterygoid process (an irregular posterior border towards its upper part) of lateral pterygoid plate and the spine of sphenoid bone called Pterygospinous ligament. It extends backward and laterally. This ligament sometimes get ossified. When it gets ossified there is formation of Pterygospinous bony bar and this can convert it into Pterygospinous foramen (Civinini’s foramen) through which branches of Mandibular nerve can passes. The mandibular nerve, lingual nerve, chorda tympani nerve may get compressed here producing various clinical symptoms, which in turn depends upon dimensions of foramen and grades of compression. This is important for radiologist, maxillofacial surgeons, dental surgeons and anaesthetists.

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References

F. W. Jones, Buchanan’s Manual of Anatomy, Baillier, Tindall and Cox, London, UK, 7th edition, 1946

P. L. Williams and R. Warwick, Gray’s Anatomy, Churchill Livingstone, Edinburgh, UK, 36th edition, 1995.

H. G. Tebo, “The pterygospinous bar in panoramic roentgenography,” Oral surgery, Oral Medicine, oral pathology, vol. 26,

Kapur E, Dilberovic F, Redzepagic S, Berhamovic E. Variation in thelateral plate of the pterygoid process and the lateral subzygomaticapproach to the mandibular nerve. Med Arch 2000; 54: 133-137.

Wood JF. The non- metrical morphological characters of the skulls as criteria for racial diagnosis. Journal of Anatomy. 1931;65: 179 – 195.

Krmpotic-Nemanic J, Vinter I, Hat J, Jalsovec D. Mandibular neuralgia due to anatomical variations. European Archives of Oto-Rhino-Laryngology. 1999; 256(4):205-208.

Peker T, Karakose M, Anil A, Turgut HB, Gulekon N. The incidence of basal sphenoid bony bridges in dried crania and cadavers: their anthropological and clinical relevance. European Journal of Morphology. 2002; 40(3): 171 -180.

Atamaz-Pinar Y, Arsu G, Aktan-Ekiz ZA, Bilge O. Pterygospinous and pterygoalar bridges. Sendrom. 2004; 16(7): 66-69.

Ludinghausen M, Kageyama I, Miura M, AlKhatib M. Morphological peculiarities of the deep infratemporal fossa in advanced age. Surgical and Radiologic Anatomy. 2006; 28(3): 284-292.

Nayak SR, Saralaya V,Prabhu LV, Pai MM, Vadgaonkar R, D’Costa S. Pterygospinous bar and foramina in Indian skulls: incidence and Radiologic Anatomy. 2007;29(1): 5-7.

Antonopoulou M, Piagou M, Anagnostopoulou S. An anatomical study of the pterygospinous and pterygoalar bars and foramina-their clinical relevance. Journal of Cranio – Maxillofacial Surgery. 2008;36(2):104-108.

Das S, Paul S. Ossified pterygospinous ligament and its clinical implications. Bratislavske Lekarske Listy. 2007; 108(3): 141-143.

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Published

2014-12-08

How to Cite

Pawar , D. S. E., & Zambare , D. B. R. (2014). An Ossified Pterygospinous Ligament : A Case Report . VIMS Health Science Journal, 1(4), 178–181. Retrieved from https://vimshsj.edu.in/index.php/main/article/view/227

Issue

Section

Case Report