对 mandibular lingula 和 antilingula 的检测方法进行比较,可以在 lingula mandibula 检测中使用 antilingula 吗?
Emre Balaban1, Taha Emre Köse2, Dilara Nil Günaçar2
1Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Recep Tayyip Erdogan University, Rize, Turkey. balabanemre@outlook.com.
BMC oral health
|March 27, 2025
概括
舌 (AL) 的位置有所变化,影响舌下 (LM) 在整形手术中的位置. 术前成像对于绘制LM,下孔 (MF) 和AL关系至关重要,防止下膜神经 (IAN) 损伤.
科学领域:
- 口腔和牙面部外科手术
- 解剖学研究 解剖学研究
- 手术规划 手术规划
背景情况:
- 整形手术需要精确的解剖学参考点,以获得可预测的结果.
- 创伤性神经血管损伤,特别是下膜神经 (IAN),仍然是一个重要的风险.
- 舌 (AL) 是一个潜在的参考,但它与舌下 (LM) 和下孔 (MF) 的关系需要详细评估.
研究的目的:
- 评估下关键解剖标志之间的空间关系:下 (LM),下孔 (MF) 和下 (AL).
- 评估AL的可靠性作为基准点在整形外科手术,特别是下垂直骨架骨切除术 (IVRO).
- 为了最大限度地降低神经血管并发症的风险在整形手术过程中.
主要方法:
- 对120名患者 (年龄在18-80岁) 的圆束计算机断层扫描 (CBCT) 扫描进行了回顾性分析.
- 使用CBCT软件测量LM,MF和AL之间的水平和垂直距离.
- 排除患有病理,图像质量差或之前接受过手术/正牙治疗的个人.
主要成果:
- 分析了240个半巴;26.25%缺乏可检测的AL.
- 与不同类型的AL相比,LM位置的显著变化被观察到 (山丘/山丘与高原).
- LM的位置比山丘/山丘ALS更低,更后方,比高原ALS更前方.
结论:
- 在IVRO中,AL的位置可以指导骨切线,但单独依赖会造成IAN受伤的风险.
- 术前对LM,MF和AL相互关系的断层扫描评估对于更安全的手术规划至关重要.
- 了解这些解剖学变异可以在整形外科手术期间增强神经血管结构的保护.
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