Berraquero R, Palacios J, Gamallo C, de la Rosa P, Rodriguez J I
Department of Pathology, La Paz Hospital, Madrid, Spain.
Am J Orthod Dentofacial Orthop. 1995 Aug;108(2):194-200. doi: 10.1016/s0889-5406(95)70083-8.
The question of whether the condylar cartilage possesses a growth potential like that of the long bone growth plates has been the subject of contrasting viewpoints. We have recently established that the thickness of the human tibial growth plate progressively decreases during the second half of the fetal period, but that the changes in the total human condylar thickness do not correlate with fetal age or weight. The present study examined the change in the thickness of the human mandibular condyle layers during the fetal growth of the mandible. Mandibles were obtained from autopsy of 19 human fetuses ranging in fetal age from 18 to 41 weeks. The total length of the mandible, the lengths of the mandibular body and of the ramus were measured, as well as the gonial angles. The total thickness of the condyle, and the thickness of the articular, progenitor, cartilage, chondroblast, and hypertrophic chondrocyte layers were measured on the central segment of central sagittal sections of the mandibular condylar cartilage. The total mandible, the corpus and the ramus lengths increased linearly with the age of the fetus and they all correlated strongly with fetal weight. However, changes in the total condylar thickness and in the thickness of the cartilage layer (chondroblast plus hypertrophic chondrocytes) did not correlate with fetal weight or mandibular length. The thickness of the articular layer increased with weight, but changes in the progenitor layer were independent of corporal and mandibular growth.(ABSTRACT TRUNCATED AT 250 WORDS)
髁突软骨是否具有与长骨生长板类似的生长潜力这一问题一直存在不同观点。我们最近发现,人类胫骨生长板的厚度在胎儿期后半段逐渐减小,但人类髁突总厚度的变化与胎儿年龄或体重无关。本研究检测了人类下颌骨在胎儿生长过程中下颌髁突各层厚度的变化。从19例胎龄为18至41周的人类胎儿尸检中获取下颌骨。测量了下颌骨的总长度、下颌体长度、下颌支长度以及下颌角。在下颌髁突软骨中央矢状切面的中央部分测量髁突的总厚度、关节层、祖细胞层、软骨层、成软骨细胞层和肥大软骨细胞层的厚度。下颌骨的总长度、体部长度和下颌支长度随胎儿年龄呈线性增加,且均与胎儿体重密切相关。然而,髁突总厚度和软骨层(成软骨细胞加肥大软骨细胞)厚度的变化与胎儿体重或下颌骨长度无关。关节层厚度随体重增加,但祖细胞层的变化与身体和下颌骨生长无关。(摘要截断于250字)