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颅骨测量变异对下颌孔位置的影响:一项尸体横断面研究。

The Influence of Craniometric Variation on the Position of Mandibular Foramen: A Cadaveric Cross-Sectional Study.

作者信息

Darawsheh Hadi, Alsaegh Ali, Nikolenko Vladimir, Bakieva Saida, Smilyk Irina, Panin Andrew, Kheygetyan Artur, Troitskiy Vasiliy, Leonov Dmitry, Vasil'ev Yuriy

机构信息

Department of Operative Surgery and Topographic Anatomy, First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia.

Medical Institute, Patrice Lumumba Peoples' Friendship University, 117198 Moscow, Russia.

出版信息

Medicina (Kaunas). 2024 Nov 23;60(12):1925. doi: 10.3390/medicina60121925.

DOI:10.3390/medicina60121925
PMID:39768807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676967/
Abstract

: the mandibular foramen is an essential anatomic landmark in performing various dental and surgical procedures, including inferior alveolar nerve block (IANB). However, its position may vary based on the individual morpho-functional features of the skull and face. This study aims to conduct a personalized assessment of the location of the mandibular foramen in various shapes of skulls, faces, and mandibles. : this anatomic morphometric cross-sectional study was performed using one hundred and six ( = 106) certified human cadaver heads of both sexes. The cranial index (CI) and Izard's facial index (FI) were calculated, the linear anatomic parameters of the skull and mandible were measured, the location of the mandibular foramen was identified, and the shapes of the skulls and mandibles were determined. Quantitative statistical data were obtained based on the location of the mandibular foramen, considering different shapes of skulls and faces. : there is a significant correlation between the location of the mandibular foramen, the high lengthy index (HLI) of the mandible, and the longitudinal latitude index (LLI) of the mandibular process. : personalized assessment of the mandibular foramen based on a comprehensive analysis of craniometric characteristics can contribute to preventing unwanted dental and surgical complications, such as inferior alveolar nerve damage.

摘要

下颌孔是进行各种牙科和外科手术(包括下牙槽神经阻滞术)时的一个重要解剖标志。然而,其位置可能因颅骨和面部的个体形态功能特征而异。本研究旨在对各种形状的颅骨、面部和下颌骨中的下颌孔位置进行个性化评估。:本解剖形态测量横断面研究使用了106个经认证的男女两性人类尸体头部。计算了颅指数(CI)和伊扎德面部指数(FI),测量了颅骨和下颌骨的线性解剖参数,确定了下颌孔的位置,并确定了颅骨和下颌骨的形状。基于下颌孔的位置,考虑不同形状的颅骨和面部,获得了定量统计数据。:下颌孔的位置、下颌骨的高长指数(HLI)和下颌突的纵向纬度指数(LLI)之间存在显著相关性。:基于对头测量特征的综合分析对下颌孔进行个性化评估有助于预防不必要的牙科和外科并发症,如下牙槽神经损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/1e0ac0c4edd1/medicina-60-01925-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/df99f5568d46/medicina-60-01925-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/a0b69c3c96ec/medicina-60-01925-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/bca0e340aee3/medicina-60-01925-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/4c17a73c155f/medicina-60-01925-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/1e0ac0c4edd1/medicina-60-01925-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/df99f5568d46/medicina-60-01925-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/a0b69c3c96ec/medicina-60-01925-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/bca0e340aee3/medicina-60-01925-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/4c17a73c155f/medicina-60-01925-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dae/11676967/1e0ac0c4edd1/medicina-60-01925-g005.jpg

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本文引用的文献

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Positions of the Mandibular Foramen and Canal in Different Skeletal Classes and Implications for Bilateral Sagittal Split Osteotomy.不同骨骼类型中下颌孔和下颌管的位置及其对双侧矢状劈开截骨术的影响
J Maxillofac Oral Surg. 2024 Oct;23(5):1112-1121. doi: 10.1007/s12663-024-02317-y. Epub 2024 Aug 25.
2
Morphometric Analysis of the Mandibular Canal and Its Anatomical Variants in a Chilean Subpopulation: Cone Beam Computed Tomography Study.智利亚人群下颌管及其解剖变异的形态计量学分析:锥形束计算机断层扫描研究
Diagnostics (Basel). 2024 Aug 30;14(17):1914. doi: 10.3390/diagnostics14171914.
3
The Pterygomandibular Space: A Volumetric Evaluation Using the Novel A-Silicone Injections Method.
翼下颌间隙:使用新型A硅胶注射法的容积评估
Diagnostics (Basel). 2024 May 31;14(11):1161. doi: 10.3390/diagnostics14111161.
4
Investigation of the variability of the pterygomandibular space from the point of view of the target point of the inferior alveolar nerve block.探讨下颌神经阻滞靶点的翼下颌间隙变异性。
Ann Anat. 2024 Feb;252:152197. doi: 10.1016/j.aanat.2023.152197. Epub 2023 Dec 4.
5
Clinical Application of Inferior Alveolar Nerve Block Device for Safe and Secure IANB by Any Operator.任何操作者都可安全使用下颌神经阻滞设备进行临床应用。
Pain Res Manag. 2023 Sep 8;2023:1021918. doi: 10.1155/2023/1021918. eCollection 2023.
6
Choosing the optimal mandible position for inferior alveolar nerve block (IANB) using finite element analysis.使用有限元分析选择下牙槽神经阻滞(IANB)的最佳下颌骨位置。
Ann Anat. 2023 Apr;247:152055. doi: 10.1016/j.aanat.2023.152055. Epub 2023 Jan 22.
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Exploring the inclusion of anatomical variation in medical education.探讨将解剖学变异纳入医学教育。
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