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肌肉切除术后下颌旋转的变化。大鼠实验研究。

Changes in mandibular rotation after muscular resection. Experimental study in rats.

作者信息

Navarro M, Delgado E, Monje F

机构信息

Hospital La Paz, Laboratory of Experimental Microsurgery, Madrid, Spain.

出版信息

Am J Orthod Dentofacial Orthop. 1995 Oct;108(4):367-79. doi: 10.1016/s0889-5406(95)70034-x.

Abstract

The purpose of this study was to evaluate the effect of bilateral muscular resection on the rotational pattern of the rat mandible. The specific aim of the study was to seek possible changes in "articular growth" in the posterior (ramus and condyle of the mandible), and in the anterior part of the face (upper viscerocranium, and maxillary and mandibular dentoalveolar processes). The masseter, temporal, and suprahyoid muscles were bilaterally resected in three experimental groups of 21-day-old female Wistar rats. Another group of rats served as control. The results were evaluated at 42 (prepubertal) and 60 days after birth (pubertal rats). The craniofacial growth pattern, ramus dimension, condylar growth direction, histologic evaluation of condylar cartilage, and dentoalveolar processes height changes were studied. Two mandibular rotational patterns were found: one inferior after masseter muscles resection (MR), and the other superior after temporal muscles resection (TR). A less intense superior rotational pattern, after suprahyoid muscles resection (SR), was found also. Morphologic changes were more intense in older rats. On the contrary, more intense condylar histologic changes were found in younger rats. Changes in "articular growth" primarily take place at maxillary and mandibular dentoalveolar processes. Condylar growth amount could be modified to a limited extent. More important were the changes in condylar growth direction. An upward rotational pattern of the upper viscerocranium was detected when the inferior mandibular rotation pattern was produced.

摘要

本研究的目的是评估双侧肌肉切除对大鼠下颌骨旋转模式的影响。该研究的具体目标是探寻下颌骨后部(下颌支和髁突)以及面部前部(上颌面颅骨、上颌和下颌牙槽突)“关节生长”可能发生的变化。在三组21日龄雌性Wistar大鼠中双侧切除咬肌、颞肌和舌骨上肌群。另一组大鼠作为对照。在出生后42天(青春期前)和60天(青春期大鼠)评估结果。研究了颅面生长模式、下颌支尺寸、髁突生长方向、髁突软骨的组织学评估以及牙槽突高度变化。发现了两种下颌骨旋转模式:一种是咬肌切除(MR)后向下,另一种是颞肌切除(TR)后向上。舌骨上肌群切除(SR)后也发现了一种强度较小的向上旋转模式。形态学变化在年龄较大的大鼠中更为明显。相反,在较年轻的大鼠中发现髁突组织学变化更为明显。“关节生长”的变化主要发生在上颌和下颌牙槽突。髁突生长量可在有限程度上改变。更重要的是髁突生长方向的变化。当下颌骨产生向下旋转模式时,检测到上颌面颅骨向上旋转模式。

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