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腭腱膜的解剖学研究:在上颌全口义齿后腭封闭中的应用

Anatomical study of the palatine aponeurosis: application to posterior palatal seal of the complete maxillary denture.

作者信息

Iwanaga Joe, Kido Junta, Lipski Marcin, Tomaszewska Iwona M, Tomaszewski Krzysztof A, Walocha Jerzy A, Oskouian Rod J, Tubbs R Shane

机构信息

Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA, USA.

Department of Anatomy, Kurume University School of Medicine, Kurume, Japan.

出版信息

Surg Radiol Anat. 2018 Feb;40(2):179-183. doi: 10.1007/s00276-017-1911-2. Epub 2017 Aug 19.

Abstract

The palatine aponeurosis is a thin, fibrous lamella comprising the extended tendons of the tensor veli palatini muscles, attached to the posterior border and inferior surface of the palatine bone. In dentistry, the relationship between the "vibrating line" and the border of the hard and soft palate has long been discussed. However, to our knowledge, there has been no discussion of the relationship between the palatine aponeurosis and the vibrating line(s). Twenty sides from ten fresh frozen White cadaveric heads (seven males and three females) whose mean age at death was 79 years) were used in this study. The thickness of the mucosa including the submucosal tissue was measured. The maximum length of the palatine aponeurosis on each side and the distance from the posterior nasal spine to the posterior border of the palatine aponeurosis in the midline were also measured. The relationship between the marked borderlines and the posterior border of the palatine bone was observed. The thickness of the mucosa and submucosal tissue on the posterior nasal spine and the maximum length of the palatine aponeurosis were 3.4 mm, and 12.2 mm on right side and 12.8 mm on left, respectively. The length of the palatine aponeurosis in the midline was 4.9 mm. In all specimens, the borderline between the compressible and incompressible parts corresponded to the posterior border of the palatine bone.

摘要

腭腱膜是一层薄的纤维板,由腭帆张肌的延伸腱组成,附着于腭骨的后缘和下表面。在牙科领域,“颤动线”与硬腭和软腭边界之间的关系长期以来一直存在讨论。然而,据我们所知,尚未有关于腭腱膜与颤动线之间关系的讨论。本研究使用了来自10个新鲜冷冻的白人尸体头部(7名男性和3名女性)的20个侧面,其平均死亡年龄为79岁。测量了包括黏膜下组织在内的黏膜厚度。还测量了每侧腭腱膜的最大长度以及从后鼻棘到腭腱膜中线后缘的距离。观察了标记的边界线与腭骨后缘之间的关系。后鼻棘处黏膜和黏膜下组织的厚度以及腭腱膜的最大长度,右侧分别为3.4毫米和12.2毫米,左侧为12.8毫米。腭腱膜在中线的长度为4.9毫米。在所有标本中,可压缩部分和不可压缩部分之间的边界线与腭骨的后缘相对应。

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