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A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population

Dissertation (MSc)--University of Pretoria, 2011.

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Other Authors: Bosman, Marius C.
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Bosman, Marius C.
author_browse Bosman, Marius C.
author_facet Bosman, Marius C.
collection Thesis
dc_rights_str_mv © 2008, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MSc)--University of Pretoria, 2011.
format Thesis
id oai:repository.up.ac.za:2263/23443
institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:39:17.781Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/23443 A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population Bosman, Marius C. Navsa, Nadia maira.duplessis@wits.ac.za Du Plessis, Maira Cadaver population Tn Skeletal population Trigeminal neuralgia Facial pain syndromes Pterygopalatine fossa Ppf UCTD South Africa Dissertation (MSc)--University of Pretoria, 2011. Blocking the contents of the pterygopalatine fossa (PPF) is a highly effective method in alleviating pain in trigeminal neuralgia (TN) and other facial pain syndromes. This, however, is not a widely used technique, due to the difficulty in locating the PPF which is obscured by bony and soft tissue structures. Despite the various unspecific techniques that have been attempted, in many cases radiography still seems to be used as it is the most effective method in locating the PPF. The aim of this study was therefore to achieve a safe and alternative method of locating the PPF including its contents without the aid of radiography. A total of 160 skulls from the Pretoria Bone Collection at the University of Pretoria were used. Distinct anatomical landmarks and the use of existing and new anthropometric measurements were used to define the location of the PPF in any individual. Regression analysis provided the strength of influence each measurement had on the location of the PPF. From the results, two mathematical formulae were devised (one for each side). These formulae were tested on 47 cadavers by substituting the measurements of each individual into the created formulas. A needle was then inserted at the calculated points, and the area around the needle dissected to determine whether or not it was in the PPF. Our results showed an accuracy of 65.22% on the right and 54.35% on the left. It is hoped that this new technique will aid researchers and clinicians alike in the management of various pain disorders as well as pain management during surgery. AFRIKAANS : Daar is bevind dat ‘n lokale verdowingsblok van die inhoud van die pterygopalatine fossa (PPF) die pyn effektief verlig vir trigeminale senuweepyn, sowel as ander pyn sindrome. Die tegniek word egter nie gereeld gebruik nie as gevolg daarvan dat dit moeilik is om die PPF te betree deurdat dit deur verskeie benige en sagte weefsels verberg word. Die literatuur beskryf verskeie onspesifieke metodes om die prosedure uit te voer, maar in die meeste gevalle moes radiografie gebruik word om sukses te behaal. Die doel van hierdie projek was om ’n alternatiewe metode te ontwikkel wat veilige en effektiewe toegang tot die PPF bied, sonder om radiografie te gebruik. ’n Totaal van 160 skedels was gebruik om anatomies landmerke en bestaande sowel as nuwe antropologiese metings te maak. Regresie analise het die sterkte van die invloed van die onderskeie metings met die pterygopalatine fossa gemeet. Vanuit die resultate van die statistiese analise is twee formules ontwerp (een vir elke kant van die gesig). Die formules was getoets op 47 kadavers deur die metings vir elke individu in die formules te plaas. ‘n Naald is dan geplaas in die uitgewerkte punt, die area om die naald was gedisekteer om te sien of die naald in die fossa en dus by die ganglion was of nie. Die resultate toon ‘n akkuraatheid van 65.22% aan die regterkant en 54.35% aan die linkerkant. Daar word gehoop dat hierdie nuwe tegniek ‘n effektiewe manier van pyn behandeling word in verskeie pyn sindrome sowel as gedurende chirurgie vir beide navorsers en chirurge. Anatomy unrestricted 2013-09-06T15:20:12Z 2009-04-15 2013-09-06T15:20:12Z 2008-11-28 2011-04-12 2009-03-24 Dissertation Du Plessis, M 2008, A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population, MSc dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/23443 > E1235/gm http://hdl.handle.net/2263/23443 http://upetd.up.ac.za/thesis/available/etd-03242009-095024/ © 2008, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Cadaver population
Tn
Skeletal population
Trigeminal neuralgia
Facial pain syndromes
Pterygopalatine fossa
Ppf
UCTD
South Africa
A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title_full A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title_fullStr A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title_full_unstemmed A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title_short A comparative study of the pterygopalatine fossa and its ganglion in a South African skeletal and cadaver population
title_sort comparative study of the pterygopalatine fossa and its ganglion in a south african skeletal and cadaver population
topic Cadaver population
Tn
Skeletal population
Trigeminal neuralgia
Facial pain syndromes
Pterygopalatine fossa
Ppf
UCTD
South Africa
url http://hdl.handle.net/2263/23443
http://upetd.up.ac.za/thesis/available/etd-03242009-095024/