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Related Experiment Videos

The "antilingula"--fact or fiction?

Grant Hogan1, Edward Ellis

  • 1Oral and Maxillofacial Surgery, Parkland Memorial Hospital, The University of Texas Southwestern Medical Center, Dallas, TX 75390-9109, USA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|July 25, 2006
PubMed
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The "antilingula" is a term used in oral surgery, but it lacks anatomical basis. This bony prominence on the mandible does not reliably indicate the inferior alveolar nerve

Area of Science:

  • Oral and Maxillofacial Surgery
  • Anatomy
  • Surgical Anatomy

Background:

  • The term "antilingula" is specific to oral and maxillofacial surgery literature and absent in standard anatomical texts.
  • This bony prominence on the lateral surface of the mandible has been historically referenced in surgical procedures.

Purpose of the Study:

  • To investigate the origin and anatomical validity of the term "antilingula".
  • To determine the relationship between the antilingula and the inferior alveolar nerve's entrance.

Main Methods:

  • Comprehensive search of English literature for references to the mandibular bony lump.
  • Consultations with anatomists to ascertain their understanding of the "antilingula".

Main Results:

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  • Oral and Maxillofacial surgeons have used the antilingula as a landmark for the inferior alveolar nerve since the 1950s.
  • Despite its use in guiding ramus osteotomies since 1976, research shows no correlation between the antilingula and the inferior alveolar nerve entrance.
  • Anatomists suggest the antilingula is a muscular or tendinous insertion response, not related to nerve location.

Conclusions:

  • The reliance on the antilingula as a landmark for ramus osteotomies is anatomically unfounded and potentially illogical.