{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T20:01:17Z","timestamp":1777320077971,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T00:00:00Z","timestamp":1557360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100012151","name":"Sanming Project of Medicine in Shenzhen","doi-asserted-by":"publisher","award":["SZSM201512017"],"award-info":[{"award-number":["SZSM201512017"]}],"id":[{"id":"10.13039\/501100012151","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Anatomy"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The vomerovaginal canal (<jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content>) and palatovaginal canal (<jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content>) are two canals that open forward to the posterior wall of the pterygopalatine fossa (<jats:styled-content style=\"fixed-case\">PPF<\/jats:styled-content>). Although the anatomy and computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) appearances of the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> have been well studied, the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> has been rarely reported, especially in endoscopic examinations. Some studies have even failed to distinguish the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> from the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> on <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> images. The purpose of this study was to demonstrate the anatomy of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> on endoscopy and reveal its differences from the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content>, and to analyse the relative positions of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> PVC<\/jats:styled-content>, and pterygoid canal on <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> images. Ten dry skull bases were studied to observe the structures involved in the formation of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content>. Dissection of four cadaveric heads was performed to demonstrate the anatomy of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> on endoscopy. Coronal <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> image analysis in 70 patients was conducted to evaluate the distances and relative positions between the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> PVC<\/jats:styled-content>, and pterygoid canal. The <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> were also compared on axial <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> images. The osteological study showed the top wall of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> was the antero\u2010inferior wall of the sphenoid sinus. The <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> may be a helpful landmark in endoscopic endonasal transpterygoid approaches. Steps and discrimination in the dissections of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> were described. The interval between the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> could be observed on both coronal and axial <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> images. The coronal <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> images of patients showed differences in the positions and distances among the three canals at both the anterior and posterior apertures of the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content>. The <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> can be easily mistaken for the <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> if its existence is not suspected. The anatomical morphologies and trajectories of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">PVC<\/jats:styled-content> differed on both nasal endoscopy and <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>. The existence of the <jats:styled-content style=\"fixed-case\">VVC<\/jats:styled-content> should be considered during surgery and <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> diagnosis within this area.<\/jats:p>","DOI":"10.1111\/joa.13009","type":"journal-article","created":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T16:42:47Z","timestamp":1557420167000},"page":"246-255","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Visualisation of the vomerovaginal canal during endonasal transpterygoid approaches and <scp>CT<\/scp> imaging diagnosis"],"prefix":"10.1111","volume":"235","author":[{"given":"Qing\u2010Guo","family":"Meng","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Hospital of Shenzhen University Health science center Shenzhen Second People's Hospital Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2546-486X","authenticated-orcid":false,"given":"Yong\u2010Tian","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Hospital of Shenzhen University Health science center Shenzhen Second People's Hospital Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010Xia","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Emergency Ward and Intensive Care Unit Hospital of Shenzhen University Health science center Shenzhen Second People's Hospital Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sui\u2010Ping","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Hospital of Shenzhen University Health science center Shenzhen Second People's Hospital Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Hui","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery National Cancer Hospital\/National Clinical Research Center for Cancer\/Cancer Hospital &amp; Shenzhen Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Shenzhen China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,9]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"1148","article-title":"Posttraumatic epistaxis from injury to the pterygovaginal artery","volume":"17","author":"Borden NM","year":"1996","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_13_3_1","first-page":"4","article-title":"Anatomy of palatovaginal canal in normal adults: multi\u2010slice spiral CT and curved planar reconstruction studies","volume":"43","author":"Chen J","year":"2009","journal-title":"Chin J Radiol"},{"key":"e_1_2_13_4_1","first-page":"151","article-title":"Comparative research of the thin transverse sectional anatomy and the multislice spiral CT on pterygopalatine fossa","volume":"20","author":"Chen CC","year":"2010","journal-title":"Turk Neurosurg"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-015-1597-2"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199703)19:2<121::AID-HED6>3.0.CO;2-6"},{"key":"e_1_2_13_7_1","first-page":"1423","article-title":"Osseous anatomy of the pterygopalatine fossa","volume":"19","author":"Daniels DL","year":"1998","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-6111(03)00038-7"},{"key":"e_1_2_13_9_1","first-page":"346","article-title":"Observation on human palatovaginal canal and vomerovaginal canal: positions, features and sectional anatomy","volume":"37","author":"Jin Y","year":"2006","journal-title":"Acta Anat Sin"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3111-6"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/JNS\/2008\/108\/01\/0177"},{"key":"e_1_2_13_12_1","volume-title":"Skull Base and Related Structures: Atlas of Clinical Anatomy","author":"Lang J","year":"1995"},{"key":"e_1_2_13_13_1","first-page":"207","article-title":"The posterior opening of the pterygopalatine fossa and the position of the pterygopalatine ganglion","volume":"124","author":"Lang J","year":"1978","journal-title":"Gegenbaurs Morphol Jahrb"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-016-1628-7"},{"key":"e_1_2_13_15_1","first-page":"81","article-title":"Anatomy of the lateral base of the skull: development of a method of study","volume":"189","author":"Neto R","year":"2005","journal-title":"Proc R Soc Lond"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21808"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.179.1.1790267"},{"key":"e_1_2_13_18_1","first-page":"1","article-title":"The foramen lacerum: surgical anatomy and relevance for endoscopic endonasal approaches","author":"Wang WH","year":"2018","journal-title":"J Neurosurg"}],"container-title":["Journal of Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoa.13009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joa.13009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joa.13009","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joa.13009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T02:46:17Z","timestamp":1694227577000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joa.13009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,9]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/joa.13009"],"URL":"https:\/\/doi.org\/10.1111\/joa.13009","archive":["Portico"],"relation":{},"ISSN":["0021-8782","1469-7580"],"issn-type":[{"value":"0021-8782","type":"print"},{"value":"1469-7580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,9]]},"assertion":[{"value":"2019-04-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}