Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of digital Stomatology, Beijing, China.
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China; National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of digital Stomatology, Beijing, China.
Arch Oral Biol. 2019 Jan;97:67-71. doi: 10.1016/j.archoralbio.2018.10.005. Epub 2018 Oct 9.
This study was aimed to compare the effects of articular disc and condylar cartilage resection on mandibular growth in Sprague Dawley rats.
Eighty-four male Sprague Dawley rats (age = 4 weeks) were grouped according to the following procedures: group A (n = 21), exclusive surgical exposure of articular disc and condylar cartilage; group B (n = 21), exclusive surgical resection of articular disc; group C (n = 21), exclusive surgical resection of condylar cartilage; group D (n = 21), surgical resection of both articular disc and condylar cartilage. All surgery was performed in unilateral. One rat was killed in each group immediately after the surgery. Hematoxylin and eosin (H&E) staining was used to confirm the completely removal of the disc or cartilage. Five rats in the four groups were sacrificed in 1, 3, 6, and 9 weeks post-operation. The heights and lengths of the mandibles were measured and analyzed statistically.
The mandibular height of group D (5.01 ± 0.25 mm) was statistically lower than group A (5.59 ± 0.17 mm) at 1 week post-operation. The height of group C (5.62 ± 0.26 mm) was significantly lower than group A (6.27 ± 0.31 mm) 3 weeks after surgery. The height of group B (6.38 ± 0.36 mm) was significantly lower than group A (6.95 ± 0.10 mm) 6 weeks after surgery. At 9 weeks post-operation, the mandibular heights in groups B, C, and D were lower than group A, group D was lower than group C, and group C was lower than group B. The lengths of the mandibles were not significantly decreased until 9 weeks post-operation in group D.
The increase in mandibular height was interfered after either articular disc or condylar cartilage was resected, and mandibular height deficiency likely occurred earlier and more severely when cartilage was resected. However, the increase in mandibular length was barely interfered when either articular disc or condylar cartilage was resected.
本研究旨在比较关节盘和髁突软骨切除对 Sprague Dawley 大鼠下颌生长的影响。
84 只雄性 Sprague Dawley 大鼠(年龄=4 周)根据以下程序分组:A 组(n=21),仅行关节盘和髁突软骨手术暴露;B 组(n=21),仅行关节盘切除术;C 组(n=21),仅行髁突软骨切除术;D 组(n=21),行关节盘和髁突软骨切除术。所有手术均在单侧进行。每组手术后立即处死 1 只大鼠。苏木精-伊红(H&E)染色用于确认关节盘或软骨的完全切除。4 组中每组各有 5 只大鼠分别在术后 1、3、6 和 9 周时处死。测量并统计分析下颌骨的高度和长度。
术后 1 周,D 组(5.01±0.25mm)的下颌骨高度明显低于 A 组(5.59±0.17mm)。术后 3 周,C 组(5.62±0.26mm)的下颌骨高度明显低于 A 组(6.27±0.31mm)。术后 6 周,B 组(6.38±0.36mm)的下颌骨高度明显低于 A 组(6.95±0.10mm)。术后 9 周,B、C 和 D 组的下颌骨高度均低于 A 组,D 组低于 C 组,C 组低于 B 组。D 组下颌骨长度直到术后 9 周才明显减少。
切除关节盘或髁突软骨后均会干扰下颌骨高度的增加,切除软骨时下颌骨高度不足的发生更早且更严重。然而,切除关节盘或髁突软骨时对下颌骨长度的增加几乎没有干扰。