Sinuous Channel, a radiographic finding
DOI:
https://doi.org/10.60094/RID.20240302-40Keywords:
maxillary, canal, computed tomography, anatomic variation, implants (MeSH)Abstract
The sinuous canal is an intraosseous canal located in the anterior region of the maxilla. The lack of knowledge about its existence or location can generate risks during some surgical interventions. The case of a 65-year-old female patient is presented, who is referred by an endodontist to perform dental organ extraction 1.3. Imaging evaluation of maxillary cone beam computed tomography was performed, where coronal, sagittal and axial slices were observed. As an imaging finding, a bilateral canal-shaped hypodense image was observed that showed a path through the lateral wall and floor of the nasal cavities heading towards the alveolar ridge in the coronal section. It is of clinical relevance to know about the existence of the sinuous canal, which despite being described by some authors as a rare anatomical variation, is a fairly common structure that contains the anterosuperior alveolar vascular-nervous package, so knowledge about its characteristics is of utmost importance to avoid possible trans or postoperative complications in the different surgical procedures performed in that region.
Downloads
References
Harumiti W, Fortes C, Venturin J. Invasion of the Canalis sinuosus by dental implants: A report of 3 cases. Imaging. Sci. Dent. 2020;50(4):353-7. DOI: 10.5624/isd.2020.50.4.353
Moncada S, Muoz l, Torrealba T, Ortiz M. Estudio anatmico y prevalencia del Canalis sinuosus evaluado mediante Cone Beam CT en pacientes chilenos. Int. J. Odontostomat. 2023;17(3):372-383. DOI: 10.4067/S0718-381X2023000300372
Ferlin R, Pagin B, Yaed R. Canalis sinuosus: a systematic review of the literature. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2019;127(6):545-51. DOI: 10.1016/j.oooo.2018.12.017.
Gurler G, Delilbasi C, Ogut E, Aydin K, Sakul, U. Evaluation of the morphology of the Canalis sinuosus using cone-beam computed tomography in patients with maxillary impacted canines. Imaging. Sci. Dent. 2077;47:69-74. DOI: 10.5624/isd.2017.47.2.69
Aoki R, Massuda M, Zenni L, Fernandes K. Canalis sinuosus: anatomical variation or structure? Surg. Radiol. Anat. 2019;42(1):69-74. DOI: 10.1007/s00276-019-02352-2
Baena G, Rengifo H, Herrera A, Peckham X, Ziga J. Frequency of Canalis sinuosus and its anatomic variations in cone beam computed tomography images. Int. J. Morphol. 2019;37(3):852-7. DOI: 10.4067/S0717-95022019000300852
Ramadhan F, Wulansari D, Epsilawati L. Canalis sinuosus approximation on an impacted maxillary canine: a case report. Jurnal Radiologi Dentomaksilofasial Indonesia 2021;5(3)118-21. DOI: https://doi.org/10.32793/jrdi.v5i3.737
Piña-D’Abreu M, Gómez-Bonilla B. Conductos Sinuosos. Rep Imagenolol Dentomaxilofac. 2021;1(1):29-34. DOI: https://doi.org/10.60094/RID.20220101-5
Tomrukçu D, Köse T. Assesment of accessory branches of canalis sinuosus on CBCT images. Med Oral Patol Oral Cir Bucal. 2020;1;25(1):e124-e130. DOI: 10.4317/medoral.23235
Shah P, Arora A, Kapoor S. Accessory branch of canalis sinuosus mimicking external root resorption: A diagnostic dilemma. J Conserv Dent. 2017;20:479–81. DOI: 10.4103/JCD.JCD_375_16
Alves N, Toro R, Garay I, Figueiredo N. Anatomical study of the Canalis sinuosus in Chilean individuals by cone-beam computed tomography. Int. J. Morphol. 2021 39(3):928-34. DOI: 10.4067/S0717-95022021000300928.
Arruda J, Silva P, Silva L, Álvares P, Silva L, Zavanelli R, et al. Dental implant in the Canalis sinuosus: a case report and review of the literature. Case Rep. Dent. 2017:2017:4810123. DOI: 10.1155/2017/4810123
McCrea, S. Aberrations causing neurovascular damage in the anterior maxilla during dental implant placement. Case Rep. Dent. 2017:5969643. DOI: 10.1155/2017/5969643
Lopes G, Ikuta C, Salzedas L, Miyahara G, Tjioe K. Canalis sinuosus: an anatomic repair that may prevent success of dental implants in anterior maxilla. J. Prosthodont. 2020;29(9):751-5. DOI: 10.1111/jopr.13256
Gurler G, Delilbasi C, Ogut E, Aydin K, Sakul U. Evaluation of the morphology of the Canalis sinuosus using cone-beam computed tomography in patients with maxillary impacted canines. Imaging. Sci. Dent. 2017;47:69-74. DOI:10.5624/isd.2017.47.2.69
de Oliveira-Santos C, Rubira-Bullen I, Monteiro S, León J, Jacobs R. Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral Implants Res. 2020;24:1044. DOI: 10.1111/j.1600-0501.2012.02497.x
Von Arx T, Lozanoff S, Sendi P, Bornstein M. Assessment of bone channels other than the nasopalatine canal in the anterior maxilla using limited cone beam computed tomography. Surg Radiol Anat. 2020;35:783–90. DOI: https://doi.org/10.1111/ors.12490
Orhan K, Gorurgoz C, Akyol M, Ozarslanturk S, Avsever H. An anatomical variant: evaluation of accessory canals of the canalis sinuosus using cone beam computed tomography. Folia Morphol Warsz. 2018;77:551–7. DOI: 10.5603/FM.a2018.0003
Manhães L, Villaça-Carvalho M, Moraes M, Lopes S, Silva M, Junqueira J. Location and classification of Canalis sinuosus for cone beam computed tomography: avoiding misdiagnosis. Braz Oral Res. 2016;30(1):e49. DOI: 10.1590/1807- 3107BOR-2016.vol30.0049
Machado V, Chrcanovic B, Felippe M, Manhães Júnior L, de Carvalho P. Assessment of accessory canals of the canalis sinuosus: a study of 1000 cone beam computed tomography examinations. Int J Oral Maxillofac Surg. 2019;45:1586–91. DOI: 10.1016/j.ijom.2016.09.007
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Sabrina Visicchio Cusati, Carlos Manresa Bruguera

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
AUTHORS RETAIN THEIR RIGHTS:
You are free to:
- Share: copy and redistribute the material in any medium or format for any purpose, including commercially.
Adapt: remix, transform and build upon the material for any purpose, including commercially.
The licensor cannot revoke these freedoms as long as you follow the terms of the license under the following terms:
- Attribution : you must give proper credit , provide a link to the license, and indicate if changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is supported by the licensor.
- No additional restrictions: you may not apply legal terms or technological measures that legally restrict others from making any use permitted by the license.