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兔下颌角截骨术后咬肌萎缩

Masseter muscle atrophy after ostectomy of the mandibular angle in rabbits.

作者信息

Song H S, Park C G

机构信息

Department of Plastic and Reconstructive Surgery, Hanil General Hospital, Seoul, Korea.

出版信息

Plast Reconstr Surg. 1997 Jan;99(1):51-60. doi: 10.1097/00006534-199701000-00008.

Abstract

In order to get information about changes in the masseter muscle when operations are performed on the mandibular angle area, we classified 70 New Zealand White rabbits into group O (ostectomy) and group D (dissection). In group O we performed unilateral ostectomy of the mandibular angle, while in group D we performed unilateral dissection of the masseter muscle limited to the mandibular angle area. Then we compared morphologic, histologic, and histochemical changes in experimental masseter muscles with those in normal control masseter muscles. We examined 5 rabbits in each group at the following intervals: 1, 2, 4, 6, 8, 12, and 24 weeks. In group D (dissection), there were no remarkable changes at all examinations. In group O (ostectomy), there was a 30 percent decrease in experimental muscle mass compared with control muscle. On examination of muscle fiber types, a decrease in type I fibers and an increase in type IIA and IIB fibers were noticed (p < 0.05). Each experimental muscle fiber became more irregularly and angularly shaped, and mean fiber area also was reduced. Sarcomere lengths of experimental muscle fibers were significantly reduced to 80 percent of control values (p < 0.05) during the first 4 weeks, but after 6 weeks they were lengthened to control values. Collagen and fibrin did not show much difference between experimental and control muscles. All these findings imply that masseter muscle atrophy after ostectomy of the mandibular angle is not due to connective-tissue changes but to individual muscle fiber atrophy accompanied by functional adaptation of sarcomeres and changes in muscle fiber types.

摘要

为了获取在下颌角区域进行手术时咬肌的变化信息,我们将70只新西兰白兔分为O组(截骨术组)和D组(剥离术组)。在O组中,我们进行了下颌角单侧截骨术,而在D组中,我们进行了仅限于下颌角区域的咬肌单侧剥离术。然后,我们将实验咬肌的形态学、组织学和组织化学变化与正常对照咬肌的变化进行了比较。我们在以下时间间隔对每组5只兔子进行了检查:1周、2周、4周、6周、8周、12周和24周。在D组(剥离术组)中,所有检查均未发现明显变化。在O组(截骨术组)中,与对照肌肉相比,实验肌肉质量下降了30%。在检查肌纤维类型时,发现I型纤维减少,IIA和IIB型纤维增加(p<0.05)。每条实验肌纤维变得更加不规则且呈角形,平均纤维面积也减小。实验肌纤维的肌节长度在最初4周内显著缩短至对照值的80%(p<0.05),但6周后又延长至对照值。实验肌肉和对照肌肉之间的胶原蛋白和纤维蛋白没有太大差异。所有这些发现表明,下颌角截骨术后咬肌萎缩不是由于结缔组织变化,而是由于单个肌纤维萎缩,并伴有肌节的功能适应和肌纤维类型的变化。

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