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[髁突在下颌骨生长及面部平衡中的作用]

[The role of the condyle in the growth of the mandible and in facial balance].

作者信息

Delaire J

机构信息

Service de Stomatologie, Hôtel Dieu, Nantes.

出版信息

Rev Stomatol Chir Maxillofac. 1990;91(3):179-92.

PMID:2188347
Abstract

The condyle is not responsible for the growth of the body of the mandible, as the latter does not extend in length caudally at the expense of the ascending rami (through the classical relocation phenomenon), but does so deep to these, at the level of the lower insertions of the sphenomandibular ligaments (i.e., from the inlet inner border of the inferior dental canals). Philogenetically and ontogenetically, its appearance reflects the adaptation of the mandible of mammals to the morphologic and functional changes that took place in their cephalic skeleton (more erect posture, more vigorous mastication). Its chief role in man is to stabilize the mandibular body and to allow it to be properly mobilized, although contributing also to its forward and downward movements (namely in its posterior aspect). As such, it plays an active role in mandibular growth, and this role varies according to the primary "potential" of the condylar cartilage. Such primary-type potential for condylar growth may be adequately assessed by studying the shape of the mandible, as well as through an analysis of craniofacial architecture. Most of the conventional diagrams depicting mandibular growth are defective. Another figurative system has to be innovated, that will differentiate each skeletal unit--body, condyle, coronoid process, angle, alveolodental arch--, the sum of which confers the shape, the size, and the multiple variations to the mandible as a whole.

摘要

髁突对下颌体的生长并不起作用,因为下颌体并非以升支为代价向尾端延伸其长度(通过经典的复位现象),而是在蝶下颌韧带下部附着处的层面,即在下颌管入口内缘的深处进行延伸。从种系发生和个体发生角度来看,它的出现反映了哺乳动物下颌骨对头颅骨骼形态和功能变化(更直立的姿势、更有力的咀嚼)的适应。在人类中,它的主要作用是稳定下颌体并使其能够正常活动,尽管它也有助于下颌体向前和向下运动(即在其后部)。因此,它在颌骨生长中发挥着积极作用,并且这种作用会根据髁突软骨的主要“潜能”而有所不同。通过研究下颌骨的形状以及分析颅面结构,可以充分评估这种髁突生长的初级潜能类型。大多数描绘下颌骨生长的传统图表都存在缺陷。必须创新另一种图示系统,该系统能够区分每个骨骼单元——下颌体、髁突、冠突、下颌角、牙槽弓——这些骨骼单元共同决定了下颌骨整体的形状、大小和多种变化。

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