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- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제39권 제10호
- 발행연도
- 2017.10
- 수록면
- 1 - 7 (7page)
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Background: The positions of the mandibular lingula and foramen have been set as indexes for inferior alveolar nerve (IAN) block and ramus osteotomies in orthognathic surgery. This study aimed to evaluate the anatomical structures of mandibular ramus, especially the mandibular lingula and foramen, by analyzing the cone-beam computed tomography (CBCT) data of young adults.
Methods: We evaluated 121 sides of hemi-mandibular CBCT model of 106 patients (51 male and 55 female patients; 18 to 36 years old). All the measurements were performed using the 2- and 3-dimensional rulers of OnDemand3D® software.
Results: Statistical analysis of the data revealed that there was no significant difference in the mandibular angle between the genders. The mandibular lingula was found to be located at the center of ramus in males, but a little posterior in relation to the center in females. The mandibular lingula was rarely located below the occlusal plane; however, the position of the mandibular foramen was more variable (84.3% below, 12.4% above, and 3.3% at the level of the occlusal plane).
Conclusions: The results of this study provide a valuable guideline for IAN block anesthesia and orthognathic surgery.
CBCT can be considered effective and accurate in evaluating the fine structures of the mandible
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참고문헌 (30)
참고문헌 신청
Goldberg S / 2008 / Comparison of the anesthetic efficacy of the conventional inferior alveolar, Gow-Gates, and Vazirani-Akinosi techniques / J Endod 34:1306~1311
Ezoddini Ardakani F / 2010 / The position of lingula as an index for inferior alveolar nerve block injection in 7-11-year-old children / J Dent Res Dent Clin Dent Prospects 4(2):47~51
Cvetko E / 2014 / Bilateral anomalous high position of the mandibular foramen: a case report / Surg Radiol Anat 36(6):613~616
Archer WH / 1975 / Oral and maxillofacial surgery, vol 2 / WB Saunders :1448~1449
Monnazzi MS / 2012 / Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula / Int J Oral Maxillofac Surg 41(1):74~78
Ezoddini Ardakani F / 2010 / The position of lingula as an index for inferior alveolar nerve block injection in 7-11-year-old children / J Dent Res Dent Clin Dent Prospects 4(2):47~51
Cvetko E / 2014 / Bilateral anomalous high position of the mandibular foramen: a case report / Surg Radiol Anat 36(6):613~616
Archer WH / 1975 / Oral and maxillofacial surgery, vol 2 / WB Saunders :1448~1449
Monnazzi MS / 2012 / Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula / Int J Oral Maxillofac Surg 41(1):74~78
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