Course of the mandibular canal in hemifacial microsomia: a retrospective computed tomography study

Zhixu Liu1, Jian Cao1, Yifeng Qian1

  • 1Department of Oral and Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, China.

Abstract

Insights

The mandibular canal

Area of Science:

  • Anatomy
  • Oral and Maxillofacial Surgery
  • Medical Imaging

Background:

  • Hemifacial microsomia (HM) is a congenital condition affecting facial development.
  • Understanding the anatomy of the mandibular canal is crucial for surgical planning.
  • The inferior alveolar nerve (IAN) runs through the mandibular canal, vital for sensation and surgical safety.

Purpose of the Study:

  • To investigate the anatomical course of the mandibular canal in patients with hemifacial microsomia (HM).
  • To correlate variations in the mandibular canal's anatomy with different Pruzansky-Kaban classifications of HM.
  • To assess the presence and location of the antilingula in HM patients.

Main Methods:

  • Retrospective analysis of 77 patients with hemifacial microsomia.
  • Classification of patients based on the Pruzansky-Kaban system.
  • 3D reconstruction of the mandible and mandibular canal using computed tomography (CT) data.

Main Results:

  • No significant differences in mandibular canal course were found in Pruzansky-Kaban types I and IIa HM.
  • Abnormalities in the mandibular canal's entrance and route were observed in types IIb and III HM.
  • The antilingula was identified in types IIb and III HM, more frequently in type III.

Conclusions:

  • The anatomical course of the mandibular canal varies in patients with Pruzansky-Kaban type IIb and III hemifacial microsomia.
  • Pre-surgical evaluation of the mandibular canal's course is recommended in HM patients.
  • This evaluation can help prevent damage to the inferior alveolar nerve (IAN) during surgical interventions.

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