Sant'Anna Eduardo Franzotti, Gomez David F, Sumner Dale R, Williams James M, Figueroa Alvaro A, Ostric Srdjan A, Theodoru Spero, Polley John W
Department of Anatomy and Cell Biology, Rush Medical College, Chicago, IL, USA.
J Craniofac Surg. 2006 Jan;17(1):111-9. doi: 10.1097/01.scs.0000195373.79012.96.
The aim of this study was to quantify bone microarchitecture within the glenoid fossa and mandibular condyle following mandibular distraction osteogenesis. Eight 6- to 9-month-old male beagle dogs underwent bilateral vertical mandibular distraction with semiburied distractors (12 days of distraction at 1 mm per day). One unoperated animal served as control. After distraction the animals were divided into two groups (N = 4) and killed after 1 or 2 months of consolidation. Three-dimensional trabecular architecture was analyzed by micro-computed tomography (muCT). At both sites the overall trends were similar. In the glenoid fossa, there was decreased bone volume, trabecular number, and connectivity density and increased trabecular separation at 1 month and decreased trabecular thickness and increased structure model index compared with the control (P < 0.05). In the mandibular condyle, there was decreased bone volume, trabecular number, and connectivity density at both 1 and 2 months, with decreased trabecular thickness and increased structure model index at 2 months only compared with the control (P < 0.05). The bone became less dense and more rodlike. These bone changes are similar to those seen by the effects of aging or impaired normal function. Thus, in the short term, changes occur in the bone microstructure of the glenoid fossa and mandibular condyle after vertical mandibular ramus distraction in the canine model.
本研究的目的是量化下颌骨牵张成骨术后肩胛盂和下颌髁突内的骨微结构。八只6至9个月大的雄性比格犬接受了双侧下颌骨垂直牵张,使用半埋入式牵张器(每天牵张1毫米,共牵张12天)。一只未手术的动物作为对照。牵张后,将动物分为两组(每组n = 4),在巩固1或2个月后处死。通过微计算机断层扫描(μCT)分析三维小梁结构。在两个部位,总体趋势相似。与对照组相比,在肩胛盂,1个月时骨体积、小梁数量和连接密度降低,小梁间距增加,小梁厚度降低,结构模型指数增加(P < 0.05)。在下颌髁突,1个月和2个月时骨体积、小梁数量和连接密度均降低,仅在2个月时小梁厚度降低,结构模型指数增加(P < 0.05)。骨密度降低且更呈杆状。这些骨变化类似于衰老或正常功能受损所导致的变化。因此,在短期内,犬模型中垂直下颌支牵张后肩胛盂和下颌髁突的骨微结构会发生变化。