Ectopic Infra Orbital Nerves: Case Series of a Dangerous Normal Variant

Authors

  • Sandeep Jakhere Rajiv Gandhi Medical College and Chatrapati Shivaji Maharaj Hospital, Kalwa, Thane, Maharashtra, India
  • Veena Kalmath Rajiv Gandhi Medical College and ChatrapatiShivajiMaharajHospital, Kalwa, Thane, Maharashtra, India
  • Uma Chillalshetti Rajiv Gandhi Medical College and ChatrapatiShivajiMaharajHospital, Kalwa, Thane, Maharashtra, India

Keywords:

Infra orbital nerve, anomalous course, functional endoscopic sinus surgery (FESS)

Abstract

Normal variations in the paranasal sinus region are well documented in literature. We present five cases of a little known normal variant, which can have serious implications for the patient as well as the operating surgeon. An ectopic infra orbital nerve canal coursing through the maxillary sinus has rarely been described in imaging literature. This may sometimes be mistaken for a simple septum in the maxillary sinus and may cause serious complications during Functional Endoscopic sinus surgery (FESS) surgeries. We describe the imaging findings and present a brief review of the previous publications on the same subject.

References

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Mailleux P, Desgain O, Ingabire MI. Ectopic infraorbital nerve in maxillary sinus septum: another potentially dangerous variant for sinus surgery. JBR-BTR. 2010;93(6):308-9.

Elnil H, Al-Tubaikh JA, El Beltagi AH. Into the septum I go, a case of bilateral ectopic infraorbital nerves: a not-to-miss preoperative sinonasal CT variant. Neuroradiol J. 2014;27(2):146-9.

Ference EH, Smith SS, Conley D, Chandra RK. Surgical anatomy and variations of the infraorbital nerve. Laryngoscope. 2015;125(6):1296-300.

AmaalMI,Fatah AA. Computed tomographic localization of infraorbital foramen position and correlation with the age and gender of Iraqi subjects. J Baghdad CollDentistry. 2013;25:30-5.

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Published

2018-04-20

How to Cite

Jakhere, S., Kalmath, V., & Chillalshetti, U. (2018). Ectopic Infra Orbital Nerves: Case Series of a Dangerous Normal Variant. Acta Medica Indonesiana, 50(1), 66. Retrieved from http://actamedindones.org/index.php/ijim/article/view/691

Issue

Vol. 50 No. 1 (2018): Acta Medica Indonesiana

Section

CASE REPORT

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