Anterior lacrimal crest

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Anterior lacrimal crest
Details
Part of
skeletal
Identifiers
Latincrista lacrimalis anterior
TA98A02.1.12.025
TA2782
FMA75059
Anatomical terms of bone]

The anterior lacrimal crest is a bony projection on the frontal process of the maxilla. It creates the lateral margin of the lacrimal sac fossa and is continuous with the orbital margin. The medial palpebral ligament is attached to anterior lacrimal crest. It is an important structure to avoid damaging during rhinoplasty.

Structure

The anterior lacrimal crest is a bony projection on the frontal process of the maxilla in the skull.[1] It reaches the junction between the maxilla and the lacrimal bone.[2]

At its junction with the orbital surface is a small tubercle, the lacrimal tubercle, which serves as a guide to the position of the lacrimal sac.

The anterior lacrimal crest is much thicker and stronger than the posterior lacrimal crest.[3] It is one of the thickest parts of the orbit.[4] It is nearly always quite prominent, whilst the posterior lacrimal crest may be less prominent in some people.[5]

Relations

The lacrimal sac is directly behind the anterior lacrimal crest, which protects it as part of the fossa for the lacrimal sac.[6]

Function

The anterior lacrimal crest is the site of insertion of the medial palpebral ligament.[1] Some consider this a tendon of the orbicularis oris muscle.[1] The anterior lacrimal crest also protects the lacrimal sac.[6]

Clinical significance

Avulsion

The anterior lacrimal crest may be vulnerable to an avulsion fracture due to its connection to the medial palpebral ligament.[4]

Rhinoplasty

The anterior lacrimal crest is vulnerable to damage during osteotomy performed during rhinoplasty, a common plastic surgery.[2][7] It lies approximately 5 mm from the osteotomy incision line.[7]

See also

Additional images

  • Cranium. Anterior lacrimal crest.Lacrimal bone.
    Cranium. Anterior lacrimal crest.Lacrimal bone.

References

Public domain This article incorporates text in the public domain from page 161 of the 20th edition of Gray's Anatomy (1918)