open access

Vol 79, No 3 (2020)
Original article
Submitted: 2019-07-16
Accepted: 2019-07-23
Published online: 2019-08-26
Get Citation

Investigation of the morphometric features of bony nasolacrimal canal: a cone-beam computed tomography study

Ö. Okumuş1
·
Pubmed: 31584181
·
Folia Morphol 2020;79(3):588-593.
Affiliations
  1. Altınbas University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, Istanbul, Türkiye

open access

Vol 79, No 3 (2020)
ORIGINAL ARTICLES
Submitted: 2019-07-16
Accepted: 2019-07-23
Published online: 2019-08-26

Abstract

Background: The aim of this study was to investigate the diameters of the bony nasolacrimal canal by cone-beam computed tomography (CBCT) in normal adult Turkish population and the effect of gender and age on the nasolacrimal canal diameter.

Materials and methods: The randomly selected 100 patients aged from 18 to 83 years were analysed, a total of 200 nasolacrimal canals were examined using CBCT. The anteroposterior and transverse diameters, the sectional area of the bony nasolacrimal canal and the angle between the bony canal and the nasal floor were measured in axial, sagittal CBCT scan.

Results: The anteroposterior diameter of the bony nasolacrimal canal was 6.56 ± 1.53 mm, and the transverse diameter was 4.34 ± 1.03 mm. The sectional area of the bony nasolacrimal canal was 7.39 ± 3.29 mm2, and the angle between the bony canal and the nasal floor was 73.46 ± 6.77°. No significant difference in the anteroposterior diameter, the transverse diameter and the sectional area of the bony nasolacrimal canal between ages. The angle between the bony canal and the nasal floor was significantly greater in female.

Conclusions: This study may provide useful information of morphometric features of the bony nasolacrimal canal. The detailed anatomical knowledge of bony nasolacrimal canal morphology may help the clinicians plan the treatment options.

Abstract

Background: The aim of this study was to investigate the diameters of the bony nasolacrimal canal by cone-beam computed tomography (CBCT) in normal adult Turkish population and the effect of gender and age on the nasolacrimal canal diameter.

Materials and methods: The randomly selected 100 patients aged from 18 to 83 years were analysed, a total of 200 nasolacrimal canals were examined using CBCT. The anteroposterior and transverse diameters, the sectional area of the bony nasolacrimal canal and the angle between the bony canal and the nasal floor were measured in axial, sagittal CBCT scan.

Results: The anteroposterior diameter of the bony nasolacrimal canal was 6.56 ± 1.53 mm, and the transverse diameter was 4.34 ± 1.03 mm. The sectional area of the bony nasolacrimal canal was 7.39 ± 3.29 mm2, and the angle between the bony canal and the nasal floor was 73.46 ± 6.77°. No significant difference in the anteroposterior diameter, the transverse diameter and the sectional area of the bony nasolacrimal canal between ages. The angle between the bony canal and the nasal floor was significantly greater in female.

Conclusions: This study may provide useful information of morphometric features of the bony nasolacrimal canal. The detailed anatomical knowledge of bony nasolacrimal canal morphology may help the clinicians plan the treatment options.

Get Citation

Keywords

cone beam computed tomography; diameter; morphology; nasolacrimal canal

About this article
Title

Investigation of the morphometric features of bony nasolacrimal canal: a cone-beam computed tomography study

Journal

Folia Morphologica

Issue

Vol 79, No 3 (2020)

Article type

Original article

Pages

588-593

Published online

2019-08-26

Page views

1324

Article views/downloads

883

DOI

10.5603/FM.a2019.0099

Pubmed

31584181

Bibliographic record

Folia Morphol 2020;79(3):588-593.

Keywords

cone beam computed tomography
diameter
morphology
nasolacrimal canal

Authors

Ö. Okumuş

References (23)
  1. Altun O, Dedeoğlu N, Avci M. Examination of nasolacrimal duct morphometry using cone beam computed tomography in patients with unilateral cleft lip/palate. J Craniofac Surg. 2017; 28(8): e725–e728.
  2. Bartley GB. Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 3. Ophthalmic Plast Reconstr Surg. 1993; 9(1): 11–26.
  3. Bulbul E, Yazici A, Yanik B, et al. Morphometric evaluation of bony nasolacrimal canal in a caucasian population with primary acquired nasolacrimal duct obstruction: a multidetector computed tomography study. Korean J Radiol. 2016; 17(2): 271–276.
  4. Cowen D, Hurwitz JJ. Anatomy of the lacrimal drainage system. In: Hurwitz JJ, ed. The Lacrimal System , Philadelphia 1996: 15–21.
  5. Czyz CN, Bacon TS, Stacey AW, et al. Nasolacrimal system aeration on computed tomographic imaging: sex and age variation. Ophthalmic Plast Reconstr Surg. 2016; 32(1): 11–16.
  6. Duke-Elder S. Textbook of ophthalmology. Vol I. The development, form and function of the visual apparatus. Kimpton, London 1946.
  7. Ela AS, Cigdem KE, Karagoz Y, et al. Morphometric measurements of bony nasolacrimal canal in children. J Craniofac Surg. 2018; 29(3): e282–e287.
  8. Fasina O, Ogbole GI. CT assessment of the nasolacrimal canal in a black African Population. Ophthalmic Plast Reconstr Surg. 2013; 29(3): 231–233.
  9. Groessl SA, Sires BS, Lemke BN. An anatomical basis for primary acquired nasolacrimal duct obstruction. Arch Ophthalmol. 1997; 115(1): 71–74.
  10. Imre A, Imre SS, Pinar E, et al. Transection of nasolacrimal duct in endoscopic medial maxillectomy: implication on epiphora. J Craniofac Surg. 2015; 26(7): e616–e619.
  11. Janssen AG, Mansour K, Bos JJ, et al. Diameter of the bony lacrimal canal: normal values and values related to nasolacrimal duct obstruction: assessment with CT. AJNR Am J Neuroradiol. 2001; 22(5): 845–850.
  12. Lee H, Ha S, Lee Y, et al. Anatomical and morphometric study of the bony nasolacrimal canal using computed tomography. Ophthalmologica. 2012; 227(3): 153–159.
  13. Linberg JV, McCormick SA. Primary acquired nasolacrimal duct obstruction. A clinicopathologic report and biopsy technique. Ophthalmology. 1986; 93(8): 1055–1063.
  14. McCormick A, Sloan B. The diameter of the nasolacrimal canal measured by computed tomography: gender and racial differences. Clin Exp Ophthalmol. 2009; 37(4): 357–361.
  15. Ramey NA, Hoang JK, Richard MJ. Multidetector CT of nasolacrimal canal morphology: normal variation by age, gender, and race. Ophthalmic Plast Reconstr Surg. 2013; 29(6): 475–480.
  16. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006; 72(1): 75–80.
  17. Sharma HR, Sharma AK, Sharma R. Modified external dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction. J Clin Diagn Res. 2015; 9(10): NC01–NC05.
  18. Shigeta KI, Takegoshi H, Kikuchi S. Sex and age differences in the bony nasolacrimal canal: an anatomical study. Arch Ophthalmol. 2007; 125(12): 1677–1681.
  19. Steinkogler FJ. The postsaccal, idiopathic dacryostenosis--experimental and clinical aspects. Doc Ophthalmol. 1986; 63(3): 265–286.
  20. Takahashi Y, Nakata K, Miyazaki H, et al. Comparison of bony nasolacrimal canal narrowing with or without primary acquired nasolacrimal duct obstruction in a Japanese population. Ophthalmic Plast Reconstr Surg. 2014; 30(5): 434–438.
  21. Tschopp M, Bornstein MM, Sendi P, et al. Dacryocystography using cone beam CT in patients with lacrimal drainage system obstruction. Ophthalmic Plast Reconstr Surg. 2014; 30(6): 486–491.
  22. Wilhelm KE, Rudorf H, Greschus S, et al. Cone-beam computed tomography (CBCT) dacryocystography for imaging of the nasolacrimal duct system. Klin Neuroradiol. 2009; 19(4): 283–291.
  23. Yazici B, Hammad AM, Meyer DR. Lacrimal sac dacryoliths: predictive factors and clinical characteristics. Ophthalmology. 2001; 108(7): 1308–1312.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl