Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography

Abstract 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 fo...

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Main Authors: Cong Zhou, Tae-Hyun Jeon, Sang-Ho Jun, Jong-Jin Kwon
Format: Article
Language:English
Published: SpringerOpen 2017-10-01
Series:Maxillofacial Plastic and Reconstructive Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40902-017-0128-y
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author Cong Zhou
Tae-Hyun Jeon
Sang-Ho Jun
Jong-Jin Kwon
author_facet Cong Zhou
Tae-Hyun Jeon
Sang-Ho Jun
Jong-Jin Kwon
author_sort Cong Zhou
collection DOAJ
description Abstract 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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spelling doaj.art-9dc16ec274e5419192ddd4fdc787ca6f2022-12-21T19:33:37ZengSpringerOpenMaxillofacial Plastic and Reconstructive Surgery2288-85862017-10-013911710.1186/s40902-017-0128-yEvaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomographyCong Zhou0Tae-Hyun Jeon1Sang-Ho Jun2Jong-Jin Kwon3School of Stomatology, Stomatological Hospital of Shandong UniversityDivision of Oral & Maxillofacial Surgery, Department of Dentistry, Korea University Anam HospitalDivision of Oral & Maxillofacial Surgery, Department of Dentistry, Korea University Anam HospitalKorea UniversityAbstract 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.http://link.springer.com/article/10.1186/s40902-017-0128-y3D AnatomyMandibular ramusLingulaForamenCone-beam CT
spellingShingle Cong Zhou
Tae-Hyun Jeon
Sang-Ho Jun
Jong-Jin Kwon
Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
Maxillofacial Plastic and Reconstructive Surgery
3D Anatomy
Mandibular ramus
Lingula
Foramen
Cone-beam CT
title Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
title_full Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
title_fullStr Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
title_full_unstemmed Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
title_short Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography
title_sort evaluation of mandibular lingula and foramen location using 3 dimensional mandible models reconstructed by cone beam computed tomography
topic 3D Anatomy
Mandibular ramus
Lingula
Foramen
Cone-beam CT
url http://link.springer.com/article/10.1186/s40902-017-0128-y
work_keys_str_mv AT congzhou evaluationofmandibularlingulaandforamenlocationusing3dimensionalmandiblemodelsreconstructedbyconebeamcomputedtomography
AT taehyunjeon evaluationofmandibularlingulaandforamenlocationusing3dimensionalmandiblemodelsreconstructedbyconebeamcomputedtomography
AT sanghojun evaluationofmandibularlingulaandforamenlocationusing3dimensionalmandiblemodelsreconstructedbyconebeamcomputedtomography
AT jongjinkwon evaluationofmandibularlingulaandforamenlocationusing3dimensionalmandiblemodelsreconstructedbyconebeamcomputedtomography