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[The vomerine pyramid. Anatomofunctional considerations].
Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Oto-Rino-Laringologia
|July 1, 1980
Summary
A previously undescribed bony formation in the nasal septum, the vomer pyramid, impacts nasal obstruction. Its presence in over 40% of patients with chronic nasal distress highlights its clinical significance.
Area of Science:
- Anatomy
- Rhinology
- Surgical Anatomy
Context:
- Nasal septal deviations are common causes of nasal obstruction.
- Existing anatomical descriptions may not fully encompass all variations.
- Chronic rhinologic conditions affect a significant portion of the population.
Purpose:
- To describe a novel bony anatomical formation in the nasal septum.
- To investigate the prevalence of this formation in individuals with and without nasal obstruction.
- To assess the impact of this formation on the efficacy of septal surgery.
Summary:
- A quadrangular pyramid-shaped bony formation, termed the vomer pyramid, was consistently identified in the middle third of the vomer in obstructed nasal septa.
- This formation, with its base on the left vomer and tip towards the inferior concha, was found in 33% of individuals without rhinologic issues and over 40% of those with chronic obstructive rhinologic distress.
- Surgical intervention for nasal obstruction, specifically septal resections, is often inefficient if this bony formation is not addressed, leading to persistent obstruction and potential reoperation in 60% of cases.
Impact:
- Identifies a previously unreported anatomical structure contributing to nasal obstruction.
- Suggests a need for incorporating the vomer pyramid into standard anatomical and surgical assessments of the nasal septum.
- Highlights potential for improved surgical outcomes in septoplasty by addressing this specific bony anomaly.