Examination of anatomical features of zygomaticofacial foramen in children: A 3d reconstruction study

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dc.authorid0009-0003-7286-1600
dc.authorid0000-0003-3231-3637
dc.authorid0000-0002-9098-5194
dc.authorid0000-0001-8970-7579
dc.contributor.authorAy, Tuğba
dc.contributor.authorKervancıoğlu, Piraye
dc.contributor.authorAdanır, Saliha Seda
dc.contributor.authorYalçın, Eda Didem
dc.date.accessioned2025-07-29T14:03:52Z
dc.date.available2025-07-29T14:03:52Z
dc.date.issued2025
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Klinik Bilimler Bölümü, Ağız, Diş ve Çene Radyolojisi Ana Bilim Dalı
dc.description.abstractBackground Considering the implications of surgical fixation techniques such as plating, screwing, or wiring in pediatric zygomatic fractures, a detailed understanding of the zygomaticofacial foramen (ZFF) anatomy in children may help reduce intraoperative complications particularly injury to the zygomaticofacial nerve, which passes through the ZFF. Objective The aim of the present study is to examine the morphometric and morphological features of the ZFF in the pediatric population. Methods Before the study commenced, approval was obtained from Gaziantep University Clinical Research Ethics Committee (Approval number: 2024/177). Cone-beam computed tomography (CBCT) images of 119 patients who applied to Gaziantep University Faculty of Dentistry, Department of Oral and Maxillofacial Radiology for any reason were retrospectively examined with Radiant DICOM Viewer program. The presence, number, localization and distances to certain anatomical points of ZFF were measured. The ZFF was classified based on the number of foramina. To determine the localization of the foramen, the lateral surface of zygomatic bone was divided into four quadrants using two reference lines. These quadrants were designated as a, b, c, and d in a clockwise direction from the inferomedial to the superomedial region. Statistical analyses were performed with SPSS 24.0 package program and p < 0.05 was considered statistically significant. Results A total of 119 children (male: 65, female: 54; mean age: 13.14 ± 3.24) CBCT images (238 sides) were examined. In the classification based on the number of foramina, the absence of any foramen was defined as Type 0 (106, 44.5%); the presence of one, two, and three foramina was classified as Type I (91, 38.2%), Type II (35, 14.7%), and Type III (6, 2.5%), respectively. The mean distance between ZFF-orbit and ZFF-temporozygomatic suture was greater in male than in female (p = 0.006, p = 0.009, respectively). The mean distance between ZFF-frontozygomatic suture was greater in female (p = 0.032). The distances between ZFF-zygomaticomaxillary suture and lowest point of zygomatic bone were significantly different between age groups (p = 0.026, p = 0.004, respectively). Conclusion The findings of the present study indicate that the zygomaticofacial foramen (ZFF) is most frequently located in region c and rarely in region b. Based on this observation, region b may represent a safer zone for surgical interventions in this area. The findings of the present study may help to minimize complications in surgeries and invasive procedures involving the zygoma region in children.
dc.identifier.citationAy, T., Kervancıoğlu, P., Adanır, S. S., & Yalçın, E. D. (2025). Examination of anatomical features of zygomaticofacial foramen in children: A 3d reconstruction study. Bratislava Medical Journal, https://doi.org/10.1007/s44411-025-00258-7
dc.identifier.doi10.1007/s44411-025-00258-7
dc.identifier.issn1336-0345
dc.identifier.scopus2-s2.0-105010095777
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1007/s44411-025-00258-7
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1048
dc.identifier.wosWOS:001524963400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorYalçın, Eda Didem
dc.institutionauthorid0000-0001-8970-7579
dc.language.isoen
dc.publisherSpringer Nature Link
dc.relation.ispartofBratislava Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectFrontozygomatic Suture
dc.subjectPediatric Zygomatic Fractures
dc.subjectZygomatic Bone
dc.subjectZygomaticofacial Foramen
dc.subjectZygomaticomaxillary Suture
dc.subjectZygomatic Implant
dc.titleExamination of anatomical features of zygomaticofacial foramen in children: A 3d reconstruction study
dc.typeArticle
dspace.entity.typePublication

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