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关节结节作为下颌升支矢状劈开截骨术的手术参考点。

Antilingula as a Surgical Reference Point for Vertical Ramus Osteotomy.

机构信息

Dental Department, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan.

Dental Department, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan.

出版信息

Biomed Res Int. 2021 Apr 20;2021:5585297. doi: 10.1155/2021/5585297. eCollection 2021.

DOI:10.1155/2021/5585297
PMID:33997020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081601/
Abstract

PURPOSE

This study investigated the antilingula and its related landmarks, the mandibular rami, by using cone-beam computed tomography (CBCT).

METHODS

CBCT images of 37 patients (74 sides of the mandibular ramus) were collected. The landmarks of antilingula (AntiL), anterior ramus (A), posterior ramus (P), superior ramus (S), and inferior ramus (I) were identified. The distances (A-AntiL, P-AntiL, S-AntiL, and I-AntiL) were statistically evaluated according to gender, side (right and left), and skeletal patterns.

RESULTS

The distance from the antilingula to the anterior (A-AntiL) border of the ramus was significantly longer on the right side (14.69 mm) than on the left side (13.97 mm). Male patients had longer AntiL-P, AntiL-I, and S-I distances (18.96, 40.07, and 54.94 mm, respectively) than did female patients (16.66, 35, and 47.54 mm, respectively). Regarding skeletal patterns, the classes can be ordered as follows in terms of the measurements: class III>class II>class I. However, the differences between the classes were nonsignificant. Pearson correlation analysis revealed that gender and S-I distance were strongly correlated ( = 0.667); specifically, male patients had a longer S-I distance. A-AntiL and A-P also exhibited a strong correlation ( = 0.796).

CONCLUSION

Antilingula-related distances did not differ between skeletal patterns. Among antilingula-related variables, A-AntiL could serve as a favorable measuring point during operation.

摘要

目的

本研究通过锥形束 CT(CBCT)探讨了反折线及其相关的下颌支标志点。

方法

收集了 37 名患者(74 侧下颌支)的 CBCT 图像。确定了反折线(AntiL)、前支(A)、后支(P)、上支(S)和下支(I)的标志点。根据性别、侧别(左右)和骨骼类型对反折线至支前缘(A-AntiL)、后缘(P-AntiL)、上缘(S-AntiL)和下缘(I-AntiL)的距离进行统计学评估。

结果

右侧支的反折线至前支前缘(A-AntiL)的距离(14.69mm)显著长于左侧(13.97mm)。男性患者的 AntiL-P、AntiL-I 和 S-I 距离(18.96mm、40.07mm 和 54.94mm)长于女性患者(16.66mm、35mm 和 47.54mm)。就骨骼类型而言,各测量值可按如下顺序排列:III 类>II 类>I 类。但是,各类型之间的差异无统计学意义。Pearson 相关分析显示,性别与 S-I 距离呈强相关(r=0.667);具体而言,男性患者的 S-I 距离较长。A-AntiL 和 A-P 也呈强相关(r=0.796)。

结论

下颌支反折线相关距离在骨骼类型之间无差异。在反折线相关变量中,A-AntiL 可作为手术中的一个有利测量点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cc/8081601/fe16ad83ea43/BMRI2021-5585297.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cc/8081601/fe16ad83ea43/BMRI2021-5585297.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57cc/8081601/fe16ad83ea43/BMRI2021-5585297.001.jpg

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本文引用的文献

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J Stomatol Oral Maxillofac Surg. 2021 Dec;122(6):535-538. doi: 10.1016/j.jormas.2020.11.007. Epub 2020 Dec 8.
2
The presence probability of mandibular lingla and antilingula.下颌舌隆突和反舌隆突的存在概率。
J Stomatol Oral Maxillofac Surg. 2020 Dec;121(6):621-625. doi: 10.1016/j.jormas.2020.03.014. Epub 2020 Mar 25.
3
Dimension and Location of the Mandibular Lingula: Comparisons of Gender and Skeletal Patterns Using Cone-Beam Computed Tomography.
锥形束CT中下颌舌骨沟位置与一些解剖标志之间的相关性
Healthcare (Basel). 2021 Dec 17;9(12):1747. doi: 10.3390/healthcare9121747.
下颌舌骨嵴的维度和位置:锥形束 CT 对性别和骨骼形态的比较。
Biomed Res Int. 2020 Feb 13;2020:2571534. doi: 10.1155/2020/2571534. eCollection 2020.
4
Anatomical study of the location of the antilingula, lingula, and mandibular foramen for vertical ramus osteotomy.垂直下颌支截骨术中抗角部、角部及下颌孔位置的解剖学研究
Maxillofac Plast Reconstr Surg. 2018 Jul 25;40(1):15. doi: 10.1186/s40902-018-0155-3. eCollection 2018 Dec.
5
The study of antilingula and its relation to the lingula and mandibular foramen, the presence of mylohyoid bridging in dry mandibles of South Indian population.下颌小舌及其与舌骨、下颌孔的关系研究,南印度人群干燥下颌骨中下颌舌骨肌桥的存在情况。
J Maxillofac Oral Surg. 2015 Jun;14(2):308-11. doi: 10.1007/s12663-014-0663-3. Epub 2014 Jul 15.
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Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula.下颌孔、下颌舌骨嵴和反舌骨嵴的解剖学研究在干燥下颌骨中的应用,以及真舌骨和反舌骨之间的统计学关系。
Int J Oral Maxillofac Surg. 2012 Jan;41(1):74-8. doi: 10.1016/j.ijom.2011.08.009. Epub 2011 Sep 28.
7
Accuracy of using the antilingula as a sole determinant of vertical ramus osteotomy position.将角前切迹作为垂直升支截骨术位置的唯一决定因素的准确性。
J Oral Maxillofac Surg. 2007 May;65(5):859-62. doi: 10.1016/j.joms.2006.05.065.
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The "antilingula"--fact or fiction?“小舌叶”——事实还是虚构?
J Oral Maxillofac Surg. 2006 Aug;64(8):1248-54. doi: 10.1016/j.joms.2006.04.021.
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