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Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.4, 2014
78
A Study on the Dimensions of
Hypoglossal Canal in Southern Nigerian Crania.
Osunwoke E.A (PhD-Corresponding author)
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port
Harcourt, PMB 5323 Port Harcourt- Nigeria.
E-mail: aeosunwoke@yahoo.com. Tel: +2348055160338.
Okoseimiema S.C (M.sc)
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port
Harcourt, PMB 5323 Port Harcourt- Nigeria.
E-mail: okosonnycity@yahoo.com. Tel: +2348065841579.
Yorkhum K.L (M.sc)
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port
Harcourt, PMB 5323 Port Harcourt- Nigeria.
E-mail: kennethleyira@yahoo.com. Tel: +2348063599887.
Uzomba G.C (B.sc)
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port
Harcourt, PMB 5323 Port Harcourt- Nigeria.
E-mail: uzombagodwinchinedu@yahoo.com. Tel: +2348061150454.
ABSTRACT
The hypoglossal canal is a bony canal in the occipital bone of the skull. It is the passageway for the hypoglossal
nerves. This study was aimed at determining the incidence/dimensions of single and double hypoglossal canal,
and if these varies with sex. 79 dry crania, out of which 55 were males and 24 females, were used for this study.
A Digital Vernier caliper was used to carry out measurements on the internal and external diameters of both
sides. The result indicates that there was a significant difference in the size of all the dimensions measured from
the hypoglossal canal (P<0.05) between the male and female groups of this population. The variation is both
unilaterally and bilaterally present, with bilateral single hypoglossal canal being more prevalent.
In conclusion, the size of the hypoglossal canal is sex specific since there are significant differences.
Key words: Incidence, hypoglossal canal, sexes, Nigeria.
INTRODUCTION
The hypoglossal canal is a bony canal in the occipital bone of the skull. It is the passageway for the hypoglossal
nerves that supplies the muscles of the tongue. Measurements of the human body whether living or non living
has proven to be useful in the science of understanding human variations. The studies of non cranial variants
have been a field of considerable interest to researchers especially because of their racial and regional
importance (Zaidi et al.., 2011). Many of such variants have been observed on a racial basis and are of
considerable ethnic but lesser forensic interest (Berry and Berry, 1967). Non metrical human variants including
double hypoglossal canal have been studied (Berry, 1975). The hypoglossal canal was divided into two by a
small bony spicule in about 28.12% of canals studied (Bhuller, 1998). Hypoglossal canal has been found to be
present in all the skulls studied but was double in 43% of human skulls (Wysocki et al., 2004). Apart from the
hypoglossal nerve, an ample venous plexus, a small emissary vein and a branch of the ascending pharyngeal
artery is present in the canal (Lang and Hornung, 1993; Leblanc, 1995; Reinhardt et al., 1962; Schwaber et al.,
1990; Sullivan, 1961; Wysocki et al.,1998). Considering such pathological symptoms as fracture of the occipital
bone, intracranial and extracranial neoplasm and also congenital defects, the hypoglossal canal is of essential
clinical importance (Canalis et al., 1993; Lang and Hornung, 1993; Leblanc, 1995; Schwaber et al., 1990;
Tanzer, 1978). De Francisco et al., (1990) conducted a study on anatomical variations in the hypoglossal canal of
492 dried human skulls grouped according to sex and race. Results showed that a double hypoglossal canal was
observed in 97 skulls and no significant difference exists between race and sex. It may be hypothesized that the
human tongue is supplied more richly with motor nerves than are those of living apes and propose that canal size
in fossil hominids may provide an indication about the motor coordination of the tongue and reflect the evolution
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.4, 2014
79
of speech and language (Richard et al., 1998). The venous plexus of the hypoglossal canal creates a link between
the marginal sinuses and the superior jugular bulb and indirectly with the vertebral veins (Gisel, 1956; Leblanc,
1995).
The aim of this study is to determine the incidence/dimensions of hypoglossal canal among southern Nigeria
crania.
MATERIALS AND METHODS
A total number of 79 dry human crania (consisting of 55 male crania and 24 female crania) obtained from
various Department of Human Anatomy within the universities in southern region of Nigeria were used for this
study. A digital vernier caliper was used to take measurements of the anteroposterior (length) and transverse
(width) diameters of the hypoglossal canal and the readings were taken twice to ensure accuracy. Skulls with any
form of deformity or mutilation were not used for this study. Data was analyzed using SPSS i.e descriptive
statistics and T-test.
RESULTS
The result of this study is as presented in the tables below.
Table 1. Table showing the types of hypoglossal canal as observed in both sexes. It shows that bilateral single
hypoglossal canal is prevalent over other forms of variation of the hypoglossal canals as observed in 40 male
skulls and 18 female skulls as against others like unilateral double found in 7 male skulls and 6 female skulls,
bilateral double hypoglossal canal found in 4 male skulls and 3 female skulls, unilateral single found in 1 male
skull and non in the female skulls.
Table 2. Table showing the mean parameters measured in double hypoglossal canal of both sexes, analysis of
this table shows that mean for the first external diameter(length ) in males was 3.44 ± 1.03mm while the second
external diameter(width) was 2.25± 1.09mm on the right side. In the females, it was 3.61± 0.99mm for the first
external diameter and 2.67± 1.21mm for the second external diameter on the right side also. This was
statistically significant (P< 0.05).On the left side, the first external diameter (length) was 3.63± 1.33mm, while
the second external diameter (width) was 2.67± 1.35mm for males and in females it was 3.69± 1.16mm for the
first and 3.17±1.97mm for the second. There was also a significant difference (P<0.05) between the males and
the females. The mean of the first internal diameter (length) for the males was 3.78± 0.68mm for the right side
and 3.45±121mm for the left while in females it was 3.45± 1.16mm for the right and 3.50± 1.02mm for the left
side. The mean for the second internal diameter (width) for the males was 2.00±1.17mm for the right and 2.33±
0.80mm for the left while in the females it was 2.10± 0.95mm for the right and 2.70± 2.03mm for the left. Figure
1. This shows double hypoglossal canal in the skull studied.
DISCUSSION
The present study has given an insight into the cranial variants of the hypoglossal that exists in both sexes in the
southern Nigerian population. It was observed that there were sex differences in the dimensions of most of the
measured hypoglossal canals. Wood Jones (1933-34) was the first to propose that the differing incidences of
these minor variants which occurred in different races might be useful in anthropological studies. This study has
also revealed that these variants are both unilaterally and bilaterally present among the population. Berry and
Berry, (1967) suggested that a wide range of these variants could be used to calculate distance statistics. It was
also observed that bilateral single hypoglossal canal was prevalent over other forms of occurrence of hypoglossal
canal in this population with the females having greater dimensions than the males. This study has also shown
that 74.6% of the skulls studied had a single hypoglossal canal of which 72.9% is bilateral single and 1.68%
unilaterally single. While double hypoglossal canal was present in 25.4% of the population studied of which
16.4% was unilaterally double and 9.0% was bilaterally double. This is in line with the research conducted by
Wysocki et al; (2004) on the study of the hypoglossal canal of both human and other mammalian species in
which they found out that 43% of the cases had double hypoglossal canal and all the skulls had hypoglossal
canal though the figures from this study were higher. A study by Zaidi et al; (2011), also confirmed that the
cranial variant (double hypoglossal canal) incident was present in 12.5% crania. Out of which in 5% crania it
was bilaterally present and in 7.5% cases it was unilaterally present. In north india (U.P) the incidence of this
variant was greater (12.5%) than in Nigeria (11.6%), Palestine (7%), Palestine modern (8.3%) and Burma (9.8%)
and lesser in Egypt (16.6%), India (Punjab, 17.9%), North America (24%) and South America (27.4%) (Zaidi et
al., 2011).
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.4, 2014
80
CONCLUSION
The incidence/dimensions of the hypoglossal canal have significant differences in the crania found southern
Nigerian population.
The findings from this study will be relevant to anthropologists, clinicians and surgeons.
ACKNOWLEDGEMENT
We wish to express our gratitude to the members of staff of the Department of Anatomy of the various
universities visited and their laboratory attendants for their cooperation during the course of this study.
REFERENCES
Berry A.C, Berry R.J (1967): Epigenetic variation in the human cranium. J Anat 101:361-380.
Berry, A. C (1975): Factors affecting the incidence of non- metrical skeletal variants. Journal of Anatomy 120:
(3): 519-535.
Bhuller A. (1998): Intracranial course and relations of the hypoglossal nerve: An anatomic study. Surg. Radiol.
Anat. ; 20:109-112.
Canalis R.F, Martin N, Black K, Ammirat M, Cheatham M, Bloch J, Becker D.P (1993): Lateral approach to
tumors of the craniovertebral junction. Laryngoscope, 103:343-349.
De Francisco M, Lemos J.L, Liberti E.A, Adamo J, Jacomo A. L, Matson E (1990): Anatomical variations in the
hypoglossal canal. Rev OdontolUniv. Sao Paulo 4: (1): 38-42.
Gisel A (1956): Die venen im Canalis nervi hypoglossl zeitschr f Anat u Entwickl, 119:257-258.
Lang J, Hornung G (1993): The hypoglossal channel and its contents in the posterolateral access to the
petroclivial area. Neurochorurgia, 36:75-80.
Leblanc A (1995): Les nerfs craniens, Springer, Berlin, Heidelberg, 260-268.
Reinhardt K.R, Miller M.E, Evans H.E (1992): The craniovertebral veins and sinuses of the dog. Am J Anat,
111:67-87.
Richard F.K, Matt C, Michelle B (1998): The hypoglossal canal and the origin of human vocal behavior. Proc
Natl Acad Sci.USA. 95:5417-5419.
Schelling F (1978): Die Emissarien des menschllschen schadels. Anat Anz, 143:340-382.
Schwaber M.K, Netterville J.L, Maciunas R (1990): Microsurgical anatomy of the lower skullbase- a
morfometric analysis. Am J Otol, 11: 401-405.
Sullivan W.S (1961): The Anatomy of the rhesus monkey. Williams, Baltimore.
Tanzer A (1978): Roentgen diagnosis of hypoglossal nerve canal. Radiologe, 18:42-48.
Wood-jones F (1933-1934): The non metrical morphological characteristics of the skull as criteria for racial
diagnosis IV. J .Anat 68, 96-108.
Wysocki J, Henry K, Mariusz B, Jan K, Jerzy R, Bozena S (2004): The morphology of the hypoglossal canal and
its size in relation to skull capacity in man and other mammal species. Folia Morphol ;Pg 63(1):11-17.
Zaidi. S.H.H, Gupta R, Nema U (2011): A study of hypoglossal canal in North Indian crania, J. Anat soc. India
60 : (2):224-226.
Table 1: Table showing the types of hypoglossal canal as observed in both sexes.
Types USHC BSHC UDHC BDHC Total No of single
hypoglossal canals
Total No of double
hypoglossal canals
Total No of
hypoglossal canals
measured
MALE 1 40 7 4 41 11 52
FEMALE 18 6 3 18 9 27
USHC: Unilateral Single Hypoglossal Canal.
BSHC: Bilateral Single Hypoglossal Canal
UDHC: Unilateral Double Hypoglossal Canal
BDHC: Bilateral Double Hypoglossal Canal
Journal of Biology, Agriculture and Healthcare www.iiste.org
ISSN 2224-3208 (Paper) ISSN 2225-093X (Online)
Vol.4, No.4, 2014
81
Table 2: Table showing the mean parameters measured in double hypoglossal canal of both sexes.
Parameters Male Female
Right left Right Left
Mean±SD (mm) Mean±SD (mm)
1st
External 3.44±1.03 3.63±1.33 3.61±0.99 3.69± 1.16
diameter
2nd
External 2.25± 1.09 2.67± 1.35 2.67± 1.21 3.17± 1.97
diameter
1st
Internal 3.78± 0.68 3.45 ± 1.21 3.45± 1.16 3.50± 1.02
Diameter
2nd
Internal 2.00± 1.17 2.33± 0.80 2.10± 0.95 2.70± 2.03
diameter
1st
external diameter= length, 2nd
external diameter= width
1st
internal diameter = length, 2nd
internal diameter = width
P< (0.05)
Fig 1. Showing double hypoglossal canal

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  • 1. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.4, 2014 78 A Study on the Dimensions of Hypoglossal Canal in Southern Nigerian Crania. Osunwoke E.A (PhD-Corresponding author) Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, PMB 5323 Port Harcourt- Nigeria. E-mail: aeosunwoke@yahoo.com. Tel: +2348055160338. Okoseimiema S.C (M.sc) Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, PMB 5323 Port Harcourt- Nigeria. E-mail: okosonnycity@yahoo.com. Tel: +2348065841579. Yorkhum K.L (M.sc) Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, PMB 5323 Port Harcourt- Nigeria. E-mail: kennethleyira@yahoo.com. Tel: +2348063599887. Uzomba G.C (B.sc) Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Health Sciences, University of Port Harcourt, PMB 5323 Port Harcourt- Nigeria. E-mail: uzombagodwinchinedu@yahoo.com. Tel: +2348061150454. ABSTRACT The hypoglossal canal is a bony canal in the occipital bone of the skull. It is the passageway for the hypoglossal nerves. This study was aimed at determining the incidence/dimensions of single and double hypoglossal canal, and if these varies with sex. 79 dry crania, out of which 55 were males and 24 females, were used for this study. A Digital Vernier caliper was used to carry out measurements on the internal and external diameters of both sides. The result indicates that there was a significant difference in the size of all the dimensions measured from the hypoglossal canal (P<0.05) between the male and female groups of this population. The variation is both unilaterally and bilaterally present, with bilateral single hypoglossal canal being more prevalent. In conclusion, the size of the hypoglossal canal is sex specific since there are significant differences. Key words: Incidence, hypoglossal canal, sexes, Nigeria. INTRODUCTION The hypoglossal canal is a bony canal in the occipital bone of the skull. It is the passageway for the hypoglossal nerves that supplies the muscles of the tongue. Measurements of the human body whether living or non living has proven to be useful in the science of understanding human variations. The studies of non cranial variants have been a field of considerable interest to researchers especially because of their racial and regional importance (Zaidi et al.., 2011). Many of such variants have been observed on a racial basis and are of considerable ethnic but lesser forensic interest (Berry and Berry, 1967). Non metrical human variants including double hypoglossal canal have been studied (Berry, 1975). The hypoglossal canal was divided into two by a small bony spicule in about 28.12% of canals studied (Bhuller, 1998). Hypoglossal canal has been found to be present in all the skulls studied but was double in 43% of human skulls (Wysocki et al., 2004). Apart from the hypoglossal nerve, an ample venous plexus, a small emissary vein and a branch of the ascending pharyngeal artery is present in the canal (Lang and Hornung, 1993; Leblanc, 1995; Reinhardt et al., 1962; Schwaber et al., 1990; Sullivan, 1961; Wysocki et al.,1998). Considering such pathological symptoms as fracture of the occipital bone, intracranial and extracranial neoplasm and also congenital defects, the hypoglossal canal is of essential clinical importance (Canalis et al., 1993; Lang and Hornung, 1993; Leblanc, 1995; Schwaber et al., 1990; Tanzer, 1978). De Francisco et al., (1990) conducted a study on anatomical variations in the hypoglossal canal of 492 dried human skulls grouped according to sex and race. Results showed that a double hypoglossal canal was observed in 97 skulls and no significant difference exists between race and sex. It may be hypothesized that the human tongue is supplied more richly with motor nerves than are those of living apes and propose that canal size in fossil hominids may provide an indication about the motor coordination of the tongue and reflect the evolution
  • 2. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.4, 2014 79 of speech and language (Richard et al., 1998). The venous plexus of the hypoglossal canal creates a link between the marginal sinuses and the superior jugular bulb and indirectly with the vertebral veins (Gisel, 1956; Leblanc, 1995). The aim of this study is to determine the incidence/dimensions of hypoglossal canal among southern Nigeria crania. MATERIALS AND METHODS A total number of 79 dry human crania (consisting of 55 male crania and 24 female crania) obtained from various Department of Human Anatomy within the universities in southern region of Nigeria were used for this study. A digital vernier caliper was used to take measurements of the anteroposterior (length) and transverse (width) diameters of the hypoglossal canal and the readings were taken twice to ensure accuracy. Skulls with any form of deformity or mutilation were not used for this study. Data was analyzed using SPSS i.e descriptive statistics and T-test. RESULTS The result of this study is as presented in the tables below. Table 1. Table showing the types of hypoglossal canal as observed in both sexes. It shows that bilateral single hypoglossal canal is prevalent over other forms of variation of the hypoglossal canals as observed in 40 male skulls and 18 female skulls as against others like unilateral double found in 7 male skulls and 6 female skulls, bilateral double hypoglossal canal found in 4 male skulls and 3 female skulls, unilateral single found in 1 male skull and non in the female skulls. Table 2. Table showing the mean parameters measured in double hypoglossal canal of both sexes, analysis of this table shows that mean for the first external diameter(length ) in males was 3.44 ± 1.03mm while the second external diameter(width) was 2.25± 1.09mm on the right side. In the females, it was 3.61± 0.99mm for the first external diameter and 2.67± 1.21mm for the second external diameter on the right side also. This was statistically significant (P< 0.05).On the left side, the first external diameter (length) was 3.63± 1.33mm, while the second external diameter (width) was 2.67± 1.35mm for males and in females it was 3.69± 1.16mm for the first and 3.17±1.97mm for the second. There was also a significant difference (P<0.05) between the males and the females. The mean of the first internal diameter (length) for the males was 3.78± 0.68mm for the right side and 3.45±121mm for the left while in females it was 3.45± 1.16mm for the right and 3.50± 1.02mm for the left side. The mean for the second internal diameter (width) for the males was 2.00±1.17mm for the right and 2.33± 0.80mm for the left while in the females it was 2.10± 0.95mm for the right and 2.70± 2.03mm for the left. Figure 1. This shows double hypoglossal canal in the skull studied. DISCUSSION The present study has given an insight into the cranial variants of the hypoglossal that exists in both sexes in the southern Nigerian population. It was observed that there were sex differences in the dimensions of most of the measured hypoglossal canals. Wood Jones (1933-34) was the first to propose that the differing incidences of these minor variants which occurred in different races might be useful in anthropological studies. This study has also revealed that these variants are both unilaterally and bilaterally present among the population. Berry and Berry, (1967) suggested that a wide range of these variants could be used to calculate distance statistics. It was also observed that bilateral single hypoglossal canal was prevalent over other forms of occurrence of hypoglossal canal in this population with the females having greater dimensions than the males. This study has also shown that 74.6% of the skulls studied had a single hypoglossal canal of which 72.9% is bilateral single and 1.68% unilaterally single. While double hypoglossal canal was present in 25.4% of the population studied of which 16.4% was unilaterally double and 9.0% was bilaterally double. This is in line with the research conducted by Wysocki et al; (2004) on the study of the hypoglossal canal of both human and other mammalian species in which they found out that 43% of the cases had double hypoglossal canal and all the skulls had hypoglossal canal though the figures from this study were higher. A study by Zaidi et al; (2011), also confirmed that the cranial variant (double hypoglossal canal) incident was present in 12.5% crania. Out of which in 5% crania it was bilaterally present and in 7.5% cases it was unilaterally present. In north india (U.P) the incidence of this variant was greater (12.5%) than in Nigeria (11.6%), Palestine (7%), Palestine modern (8.3%) and Burma (9.8%) and lesser in Egypt (16.6%), India (Punjab, 17.9%), North America (24%) and South America (27.4%) (Zaidi et al., 2011).
  • 3. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.4, 2014 80 CONCLUSION The incidence/dimensions of the hypoglossal canal have significant differences in the crania found southern Nigerian population. The findings from this study will be relevant to anthropologists, clinicians and surgeons. ACKNOWLEDGEMENT We wish to express our gratitude to the members of staff of the Department of Anatomy of the various universities visited and their laboratory attendants for their cooperation during the course of this study. REFERENCES Berry A.C, Berry R.J (1967): Epigenetic variation in the human cranium. J Anat 101:361-380. Berry, A. C (1975): Factors affecting the incidence of non- metrical skeletal variants. Journal of Anatomy 120: (3): 519-535. Bhuller A. (1998): Intracranial course and relations of the hypoglossal nerve: An anatomic study. Surg. Radiol. Anat. ; 20:109-112. Canalis R.F, Martin N, Black K, Ammirat M, Cheatham M, Bloch J, Becker D.P (1993): Lateral approach to tumors of the craniovertebral junction. Laryngoscope, 103:343-349. De Francisco M, Lemos J.L, Liberti E.A, Adamo J, Jacomo A. L, Matson E (1990): Anatomical variations in the hypoglossal canal. Rev OdontolUniv. Sao Paulo 4: (1): 38-42. Gisel A (1956): Die venen im Canalis nervi hypoglossl zeitschr f Anat u Entwickl, 119:257-258. Lang J, Hornung G (1993): The hypoglossal channel and its contents in the posterolateral access to the petroclivial area. Neurochorurgia, 36:75-80. Leblanc A (1995): Les nerfs craniens, Springer, Berlin, Heidelberg, 260-268. Reinhardt K.R, Miller M.E, Evans H.E (1992): The craniovertebral veins and sinuses of the dog. Am J Anat, 111:67-87. Richard F.K, Matt C, Michelle B (1998): The hypoglossal canal and the origin of human vocal behavior. Proc Natl Acad Sci.USA. 95:5417-5419. Schelling F (1978): Die Emissarien des menschllschen schadels. Anat Anz, 143:340-382. Schwaber M.K, Netterville J.L, Maciunas R (1990): Microsurgical anatomy of the lower skullbase- a morfometric analysis. Am J Otol, 11: 401-405. Sullivan W.S (1961): The Anatomy of the rhesus monkey. Williams, Baltimore. Tanzer A (1978): Roentgen diagnosis of hypoglossal nerve canal. Radiologe, 18:42-48. Wood-jones F (1933-1934): The non metrical morphological characteristics of the skull as criteria for racial diagnosis IV. J .Anat 68, 96-108. Wysocki J, Henry K, Mariusz B, Jan K, Jerzy R, Bozena S (2004): The morphology of the hypoglossal canal and its size in relation to skull capacity in man and other mammal species. Folia Morphol ;Pg 63(1):11-17. Zaidi. S.H.H, Gupta R, Nema U (2011): A study of hypoglossal canal in North Indian crania, J. Anat soc. India 60 : (2):224-226. Table 1: Table showing the types of hypoglossal canal as observed in both sexes. Types USHC BSHC UDHC BDHC Total No of single hypoglossal canals Total No of double hypoglossal canals Total No of hypoglossal canals measured MALE 1 40 7 4 41 11 52 FEMALE 18 6 3 18 9 27 USHC: Unilateral Single Hypoglossal Canal. BSHC: Bilateral Single Hypoglossal Canal UDHC: Unilateral Double Hypoglossal Canal BDHC: Bilateral Double Hypoglossal Canal
  • 4. Journal of Biology, Agriculture and Healthcare www.iiste.org ISSN 2224-3208 (Paper) ISSN 2225-093X (Online) Vol.4, No.4, 2014 81 Table 2: Table showing the mean parameters measured in double hypoglossal canal of both sexes. Parameters Male Female Right left Right Left Mean±SD (mm) Mean±SD (mm) 1st External 3.44±1.03 3.63±1.33 3.61±0.99 3.69± 1.16 diameter 2nd External 2.25± 1.09 2.67± 1.35 2.67± 1.21 3.17± 1.97 diameter 1st Internal 3.78± 0.68 3.45 ± 1.21 3.45± 1.16 3.50± 1.02 Diameter 2nd Internal 2.00± 1.17 2.33± 0.80 2.10± 0.95 2.70± 2.03 diameter 1st external diameter= length, 2nd external diameter= width 1st internal diameter = length, 2nd internal diameter = width P< (0.05) Fig 1. Showing double hypoglossal canal