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区分上颌结节与牙槽结节——一项重要的影像学综述

Discriminating between the maxillary tuberosity and the alveolar tuberosity- a critical pictorial review.

作者信息

Dandoczi Carol Antonio, Rusu Mugurel Constantin, Mureşan Alexandru Nicolae, Tudose Răzvan Costin

机构信息

Division of Anatomy, Department 1, Faculty of Dentistry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, RO-020021, Romania.

Research Department, "Dr. Carol Davila" Central Military Emergency Hospital, Bucharest, RO-010825, Romania.

出版信息

Surg Radiol Anat. 2025 Jan 22;47(1):60. doi: 10.1007/s00276-025-03569-0.

DOI:10.1007/s00276-025-03569-0
PMID:39841293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11754339/
Abstract

PURPOSE

The maxillary tuberosity, a critical anatomical landmark in dentistry and maxillofacial surgery, is burdened by terminological confusion. This inconsistency hampers clinical practice and communication across disciplines.

METHOD

Different resources were used to argue for the necessity of standardising the terminology related to maxillary tuberosity to enhance diagnostic precision and ultimately improve patient outcomes.

RESULTS

Most clinical and surgical studies dealing with the distal alveolar bone of the maxilla erroneously indicate it as "maxillary tuberosity". By recognising the diverse definitions of this structure, errors and misinterpretation of studies could be reduced, and interdisciplinary collaboration could be improved. The term "alveolar tuberosity" is recommended to refer specifically to the distal end of the alveolar process of the maxilla. Anatomically, the maxillary tuberosity belongs to the body of the maxilla and forms part of the posterior wall of the maxillary sinus; therefore, it should not be located in the alveolar process.

CONCLUSION

Adhering to the Terminologia Anatomica will clarify the critical clinical and surgical landmarks and enhance communication in clinical and academic settings.

摘要

目的

上颌结节是口腔医学和颌面外科中的一个关键解剖标志,但存在术语混乱的问题。这种不一致性阻碍了临床实践和跨学科交流。

方法

使用不同资源论证对上颌结节相关术语进行标准化的必要性,以提高诊断准确性并最终改善患者预后。

结果

大多数涉及上颌骨远中牙槽骨的临床和外科研究错误地将其称为“上颌结节”。通过认识到该结构的不同定义,可以减少研究中的错误和误解,并改善跨学科合作。建议使用“牙槽结节”这一术语专门指代上颌牙槽突的远端。从解剖学上讲,上颌结节属于上颌骨体,构成上颌窦后壁的一部分;因此,它不应位于牙槽突内。

结论

遵循《解剖学名词》将明确关键的临床和外科标志,并加强临床和学术环境中的交流。

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Diagnostics (Basel). 2024 Aug 5;14(15):1697. doi: 10.3390/diagnostics14151697.
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Clinical Outcomes of Pterygoid and Maxillary Tuberosity Implants: A Systematic Review.翼突和上颌结节种植体的临床疗效:一项系统评价。
J Clin Med. 2024 Aug 3;13(15):4544. doi: 10.3390/jcm13154544.
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Anatomical factors of the maxillary tuberosity that influence molar distalization.
影响磨牙远移的上颌结节解剖因素。
Korean J Orthod. 2024 Jul 25;54(4):239-246. doi: 10.4041/kjod24.017. Epub 2024 Jun 18.
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Middle meatal nasal recesses of the maxillary sinuses and dangerously modified nasal anatomy.上颌窦的中鼻道鼻隐窝与危险的鼻腔解剖结构改变
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Three-Dimensional Assessment and Comparison of the Maxillary Tuberosity Between Skeletal and Dental Class I and Class II Adults in Maxillary Third Molar Agenesis Using Cone Beam Computed Tomography: A Descriptive Cross-Sectional Human Study.使用锥形束计算机断层扫描对上颌第三磨牙先天缺失的骨骼和牙性Ⅰ类及Ⅱ类成年患者上颌结节进行三维评估与比较:一项描述性横断面人体研究
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