Morphometric Analysis of Fossa Navicularis Magna in Patients With Cleft Palate-A Retrospective Cone Beam Computed
Thounaojam Sushma Devi1, G Subhas Babu1, Vidya Ajila1
1Department of Oral Medicine and Radiology, A B Shetty Memorial Institute of Dental Sciences, Nitte (Deemed to be University), Mangalore, Karnataka, India.
Abstract:
ObjectivesTo evaluate the prevalence, length, width, volume, depth, and shape of fossa navicularis magna (FNM) in patients with cleft lip/palate and comparing with healthy individuals using cone beam computed tomography (CBCT).DesignThis is a retrospective study, cross-sectional study.SettingThis is institutional setting study that utilized archived CBCT scans from the Department of Oral Medicine and Radiology of the institution.Patients and ParticipantsCone beam computed tomography scans of 200 participants aged 10 to 40 years, which comprised of 100 patients with cleft lip and/or palate, and 100 control participants, were used.InterventionFossa navicularis magna was evaluated and compared for its prevalence, length, width, volume, depthand shape among the normal subjects and patients with cleft lip/palate using CBCT.ResultFossa navicularis magna was detected more frequently in cleft (22%) than in control group (9%) and was statistically significant (P = .018). Although mean length, width, depth, and volume values were higher in healthy individuals, only depth was significantly greater in controls, indicating a shallow fossa in patients with cleft lip/palate (P = .033). Morphological distribution (round vs oval) was comparable between groups (P = .99).ConclusionIn the present study, FNM was more common in patients with cleft lip/palate and showed significantly reduced depth. Although oval morphology was slightly more frequent in the cleft group, it was not statistically significant. Awareness of this anatomical variant is important to avoid misinterpretation on CBCT and for better surgical planning.
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