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The correlation between surgical reference points: antilingula, lingula, and mandibular foramen.

Han-Jen Hsu1, Ying-Sheng Chen2, Ping-Ho Chen3

  • 1Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Journal of Stomatology, Oral and Maxillofacial Surgery
|December 11, 2020
PubMed
Summary
This summary is machine-generated.

The antilingula is located anteriorly and above the lingula and mandibular foramen. Precise anatomical measurements are crucial for safe orthognathic surgery planning.

Keywords:
AntilingulaIVROLingulaMandibular foramenSSRO

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Area of Science:

  • Anatomy
  • Oral and Maxillofacial Surgery
  • Radiology

Background:

  • The mandibular foramen is a critical landmark for anesthesia and surgery.
  • Understanding the precise spatial relationships of adjacent anatomical structures is essential for surgical accuracy.

Purpose of the Study:

  • To investigate the anatomical relationship between the antilingula, lingula, and mandibular foramen.
  • To provide precise measurements for these landmarks using cone-beam computed tomography (CBCT).

Main Methods:

  • Cone-beam computed tomography (CBCT) images of 90 participants were analyzed.
  • Measurements of the locations and distances between the antilingula, lingula, and mandibular foramen were performed.
  • Statistical analysis was conducted to evaluate the data based on side and skeletal patterns.

Main Results:

  • A distinct antilingula, lingula, and mandibular foramen were present bilaterally in only 15% of participants.
  • The antilingula was consistently found anterior and superior to the lingula and mandibular foramen.
  • The lingula was located posterior and superior to the mandibular foramen, with strong correlations observed on the X and Y axes.

Conclusions:

  • The antilingula is anatomically positioned anterior and superior to the lingula and mandibular foramen.
  • The lingula is located posterior and superior to the mandibular foramen.
  • Accurate measurements of these landmarks are vital for the safe design of osteotomy lines in orthognathic surgery.