Nikolova Silviya Yanakieva, Toneva Diana Hristova, Lazarov Nikolai Elenkov
*Department of Anthropology and Anatomy, Institute of Experimental Morphology, Pathology and Anthropology with Museum, Bulgarian Academy of Sciences †Department of Anatomy and Histology, Medical University of Sofia ‡Department of Synaptic Signalization and Communications, Institute of Neurobiology, Bulgarian Academy of Sciences, Sofia, Bulgaria.
J Craniofac Surg. 2017 Nov;28(8):2168-2173. doi: 10.1097/SCS.0000000000003173.
A bifid mandibular condyle (BMC) is a rare anatomical variation with an etiology not fully understood. Although there are numerous case reports regarding it, purposeful epidemiological investigations on the BMC frequency among different groups are scarce. This study aims to investigate the incidence and laterality of BMC among series of adult males from Bulgaria and perform a morphometric analysis of it.
A series of 500 dry intact mandibles from adult males was investigated. The condyles were macroscopically observed and when skulls were available, the corresponding mandibular fossae were also inspected. In the cases when bifid condyles were found, 27 measurements were taken.
Bifid mandibular condyle was observed in 4 (0.8%) mandibles. All of the cases were unilateral, 2 on the right side (0.4%) and 2 on the left (0.4%). The condyles were divided into medial and lateral heads by a sagittal fissure or a notch.
The established frequency of BMC was comparable with those reported in Turkish and Korean populations. The lack of injury marks and traces implies a developmental etiology of this condition.
双侧下颌髁突是一种罕见的解剖变异,其病因尚未完全明确。尽管有大量关于它的病例报告,但针对不同群体中双侧下颌髁突发生率进行的有针对性的流行病学调查却很少。本研究旨在调查保加利亚成年男性系列样本中双侧下颌髁突的发生率及左右侧情况,并对其进行形态学分析。
对500例成年男性的完整干燥下颌骨进行了研究。对髁突进行宏观观察,如有颅骨,则对相应的下颌窝进行检查。发现双侧髁突的病例,进行了27项测量。
在4例(0.8%)下颌骨中观察到双侧下颌髁突。所有病例均为单侧,右侧2例(0.4%),左侧2例(0.4%)。髁突被矢状裂隙或切迹分为内侧头和外侧头。
所确定的双侧下颌髁突发生率与土耳其和韩国人群的报告结果相当。缺乏损伤痕迹表明这种情况的病因是发育性的。