Clinical and surgical implications regarding morphometric variations of the medial wall of the orbit in relation to age and gender

Rodolfo Morales-Avalos, Arlette Gabriela Santos-Martínez, Cesia Gisela Ávalos-Fernández, Karim Mohamed-Noriega, Gabriela Sánchez-Mejorada, Adolfo Montemayor-Alatorre, David A Martínez-Fernández, Abraham G Espinosa-Uribe, Jibran Mohamed-Noriega, Edgar E Cuervo-Lozano, Jesús Mohamed-Hamsho, Oscar Quiroga-García, Roberto A Lugo-Guillen, Santos Guzmán-López, Rodrigo E Elizondo-Omaña
European Archives of Oto-rhino-laryngology 2016, 273 (9): 2785-93
The ethmoidal foramens are located on the medial wall of the orbit and are key reference points for intraoperative orientation. Detailed knowledge of the anatomy, bony landmarks and morphometric characteristics of the medial wall of the orbit is essential for various surgical procedures. The aim of this study was to determine the morphometric variations in the medial wall of the orbit and establish significant variations regarding age and gender. A total of 110 orbits were analyzed and subdivided by age (over or under 40 years) and gender. The distances of the medial wall of the orbit between the anterior lacrimal crest, the ethmoidal foramen, the optic canal and the interforamina were determined. Safe surgical areas were sought. Statistical tests were used to determine the differences between groups. In men, there is a safe surgical area proximal to the anterior and posterior ethmoidal foramen. In women, this area is in the posterior third of the medial wall of the orbit between the posterior ethmoidal foramen and the optic canal. Regarding variation according to age, the results of this study suggested that the anteroposterior diameter of the medial wall increases with age. This study showed that the anteroposterior total length of the medial orbit wall is similar between genders of similar age, increases with age, and has significant variations in the distances between the various structures that make up the medial orbit wall with regard to gender and age.

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