Kawashima Yusuke, Sekiya Kotaro, Sasaki Yusuke, Tsukioka Tsuneyuki, Muramatsu Teruaki, Kaneda Takashi
*Graduate Student, Department of Radiology, Nihon University School of Dentistry at Matsudo, Chiba, Japan. †Assistant Professor, Department of Radiology, Nihon University School of Dentistry at Matsudo, Chiba, Japan. ‡Professor, Department of Radiology, Nihon University School of Dentistry at Matsudo, Chiba, Japan.
Implant Dent. 2015 Aug;24(4):458-63. doi: 10.1097/ID.0000000000000267.
The purpose of this study was to assess computed tomography (CT) findings of mandibular nutrient canals using CT images.
We retrospectively analyzed the mandibular CT images of 194 consecutive patients. For image analysis such as canal prevalence, location, number, size, shape, and the CT value of nutrient foramina were determined using CT axial images of 0.5 and 3 mm slice thickness.
We revealed that the nutrient canals were seen 94.3% in the mandible, mostly seen in the anterior region. By location, nutrient canals were particularly seen between the central and lateral incisors. The mean number of nutrient canals was 2.7. The mean diameter of the nutrient foramen between the central and lateral incisors was 1.0 mm. In about 80% of the cases, foramina between the central and lateral incisors were ovoid. The mean CT value for the nutrient foramina between the central and lateral incisors was 411 HU.
Mandibular nutrient canals were ovoid shape, and the mean CT value was 411 HU. By preoperative knowledge of the position and anatomy of the mandibular nutrient canals, complications such as injury to the nutrient canals can be avoided.
本研究的目的是利用CT图像评估下颌骨滋养管的CT表现。
我们回顾性分析了194例连续患者的下颌骨CT图像。对于图像分析,如管的发生率、位置、数量、大小、形状以及滋养孔的CT值,使用层厚为0.5和3mm的CT轴位图像进行测定。
我们发现下颌骨滋养管的显示率为94.3%,大多见于前部区域。按位置来看,滋养管尤其见于中切牙和侧切牙之间。滋养管的平均数量为2.7条。中切牙和侧切牙之间滋养孔的平均直径为1.0mm。在约80%的病例中,中切牙和侧切牙之间的孔呈椭圆形。中切牙和侧切牙之间滋养孔的平均CT值为411HU。
下颌骨滋养管呈椭圆形,平均CT值为411HU。通过术前了解下颌骨滋养管的位置和解剖结构,可避免诸如损伤滋养管等并发症。