The pterygopalatine recess of the superior nasal meatus

Surgical and Radiologic Anatomy : SRA
M C RusuA I Derjac-Aramă

Abstract

The pneumatizations surrounding the pterygopalatine fossa (PPF) and closely related to the sphenopalatine foramen are anatomically variable. During the assessment of a cone beam computed tomography of a 64-year-old male patient, we found bilaterally a previously unreported anatomic variant. This was represented by a lateral or pterygopalatine recess (PPR) of the superior nasal meatus which extended in the anterior wall of the PPF and protruded within the maxillary sinus to determine a maxillary bulla. The PPR was antero-superior to the sphenopalatine foramen. Additionally were found a right nasal septal deviation, seemingly compensated by a left middle concha bullosa and a left prominent ethmoidal bulla. The superior turbinates were also pneumatized. Such anatomic variants related to the pterygopalatine angle of the maxillary sinus should be explored prior to surgical or endoscopic procedures which target the maxillary sinus, the pterygopalatine fossa, or the skull base.

References

Jan 7, 2009·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·M C RusuL M Voinea
Nov 27, 2009·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·M C Rusu, F Pop
Mar 31, 2010·Seminars in Neurology·Peter J GoadsbyAnna S Cohen
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Aug 25, 2012·Surgical and Radiologic Anatomy : SRA·Mugurel Constantin RusuDumitru Păduraru
May 14, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·R K MundraAlaknanda Gupta
Jul 18, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·V K Poorey, Neha Gupta

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Citations

Apr 24, 2019·Ear, Nose, & Throat Journal·Mugurel C RusuDănuţ Dincă
May 15, 2020·HNO·W Hosemann, A Grimm
Sep 28, 2017·Surgical and Radiologic Anatomy : SRA·Mugurel Constantin RusuC J Sava

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