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通过重建计算机断层扫描图像获得的颅底与牙颌面复合体之间的形态学关系。

Morphological relationship between the cranial base and dentofacial complex obtained by reconstructive computer tomographic images.

作者信息

Hayashi Ikumasa

机构信息

Department of Orthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan.

出版信息

Eur J Orthod. 2003 Aug;25(4):385-91. doi: 10.1093/ejo/25.4.385.

Abstract

The aims of this study were to investigate the relationships between the cranial base, including the glenoid fossa and maxillofacial morphology, obtained by three-dimensional (3D) computed tomography (CT). The specimens were 45 Skeletal I and Skeletal II dry skulls of modern Japanese males without marked crowding, anterior crossbite, or maxillofacial asymmetry, which had been preserved in the Tokyo University Museum. To examine the differences in the cranial base and maxilla between two groups classified by the median value of N line-A [N defined as a perpendicular line to Frankfort horizontal (FH) through point N, and N line-A as the distance between N and point A]. The specimens with an N-A line less than 1.5 mm were classified as the small group, and those with an N line-A more than 1.5 mm as the large group. Correlation coefficients showed that S-SE was positively related to N-Ba, S-N, S-Ba, and angleFH to S-Ba, and negatively related to SE-N. Ba-X, Ba-Y and Gf-X showed positive correlation with S-Ba and angleFH to S-Ba. For the small group S-SE was longer, angleFH to S-Ba was larger, and Ba-X, Gf-X, A-X, ANS-X, and PNS-X located more posterior and in addition more inferior in ANS-Y. The evidence suggests that S-SE, which is a main component factor of the anterior cranial base, and the antero-posterior position of glenoid fossa, is related to the position of the maxilla. The length and inclination of the posterior cranial base, which is related to Ba, influenced the position of the glenoid fossa.

摘要

本研究的目的是通过三维(3D)计算机断层扫描(CT)研究包括关节窝在内的颅底与颌面部形态之间的关系。标本为45个现代日本男性的骨骼I型和骨骼II型干燥头骨,无明显拥挤、前牙反合或颌面部不对称,保存在东京大学博物馆。通过N线-A的中位数对两组进行分类,以检查颅底和上颌骨之间的差异【N定义为通过点N垂直于法兰克福平面(FH)的线,N线-A为N与点A之间的距离】。N-A线小于1.5mm的标本归为小群组,N线-A大于1.5mm的标本归为大群组。相关系数表明,S-SE与N-Ba、S-N、S-Ba呈正相关,FH角与S-Ba呈正相关,与SE-N呈负相关。Ba-X、Ba-Y和Gf-X与S-Ba和FH角与S-Ba呈正相关。对于小群组,S-SE更长,FH角与S-Ba更大,Ba-X、Gf-X、A-X、ANS-X和PNS-X位于更后方,此外,ANS-Y更靠下。证据表明,作为前颅底主要组成因素的S-SE以及关节窝的前后位置与上颌骨的位置有关。与Ba相关的后颅底的长度和倾斜度影响了关节窝的位置。

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