广东地区人群颞下颌关节解剖参数的三维分析

doi:10.13418/j.issn.1001-165x.2022.3.04

中国临床解剖学杂志 ›› 2022, Vol. 40 ›› Issue (3): 263-266.doi: 10.13418/j.issn.1001-165x.2022.3.04

广东地区人群颞下颌关节解剖参数的三维分析

郭津源1，杜原2，王桐月3*

1.南方医科大学口腔医院颌面外科，广州 510280； 2.广东省第二人民医院口腔科，广州 510317；
3.南方医科大学口腔医院种植中心，广州 510280

收稿日期:2020-07-07 出版日期:2022-05-25 发布日期:2022-05-31
通讯作者: 王桐月，博士，主治医师，E-mail：tongyue414@126.com
作者简介:郭津源（1988-），男，辽宁辽阳人，主治医师，博士，主要从事口腔颌面外科领域相关临床及基础研究，E-mail：xp2569080@126.com
基金资助:
广东省医学科学技术研究基金（A2019328）

Three-dimensional analysis of anatomical parameters of temporomandibular joint in Guangdong population

Guo Jinyuan1, Du Yuan2, Wang Tongyue3*

1. Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China; 2. Department of Stomatology, Guangdong Second Provincial General Hospital, Guangzhou 510317, China; 3. Department of Center of Oral Implantology, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China

Received:2020-07-07 Online:2022-05-25 Published:2022-05-31

摘要/Abstract

摘要： 目的对广东地区不同人群的下颌骨及髁突解剖参数进行三维分析。方法选取就诊于南方医科大学口腔医院的患者265名，利用CBCT分别测量男性和女性的髁突长度、髁突高度、下颌升支高度、下颌体高度以及下颌神经进入下颌升支的位置。结果所有患者髁突的平均长度（内极-外极）二维测量为19.2 mm、三维测量为20.3 mm，男性比女性长3.6 mm，两者之间无统计学差异。下颌骨高度、髁突高度和下颌升支高度分别为59.6 mm，22.8 mm和38.3 mm，其中下颌骨高度男性比女性长6.4 mm，两性之间有统计学差异。下颌升支的宽度、下颌小舌到升支前缘的距离和下颌小舌到升支后缘的距离分别为：29.4 mm，14.8 mm及14.6 mm，男女之间均无统计学差异。结论 CBCT测量颞下颌关节有着更显著的准确性，本实验结果丰富了中国人群下颌骨解剖数据，有助于开发适合广东地区的人工颞下颌关节。
【关键词】下颌骨；髁突； CBCT；人工颞下颌关节

关键词: 下颌骨, , , 髁突, , , CBCT, , , 人工颞下颌关节

Abstract: Objective To evaluate various anatomic parameters of mandible and temporomandibular joint in Guangdong population. Methods A total of 265 patients admitted to Stomatology Hospital, Southern Medical University were selected to measure the condyle length , the condyle height, the height of mandibular ascending branch, and the position of the inferior mandibular nerve entering mandibular ascending branch in male and female respectively by using CBCT. Results In all patients, the mean length of the condyle was 19.2 mm in two-dimension and 20.3 mm in three-dimension, and the condyle length in males was showed longer than female by 3.6 mm. Mandibular height, condylar height, and the height of mandibular ascending branch was 59.6 mm, 22.8 mm, and 38.3 mm, respectively. Males showed longer than female in mandibular height by 6.4 mm, with statistical differences between in male and female. The width of mandible ascending branch, the distance from the uvula to the anterior ridge of the ascending ramus and the distance from the uvula to the posterior border of the ascending ramus were 29.4 mm, 14.8 mm, and 14.6 mm, respectively, with no statistical difference between male and female. Conclusions CBCT has more significant accuracy in the measurement of temporomandibular joint. The results of this experiment enrich the mandibular anatomical data of Chinese population and contribute in the development of artificial temporomandibular joint which is suitable for Guangdong population.

Key words: Mandible, , , Condylar, , , CBCT, , , Artificial temporomandibular joint

中图分类号:

R782.6

郭津源, 杜原, 王桐月. 广东地区人群颞下颌关节解剖参数的三维分析[J]. 中国临床解剖学杂志, 2022, 40(3): 263-266.

Guo Jinyuan, Du Yuan, Wang Tongyue. Three-dimensional analysis of anatomical parameters of temporomandibular joint in Guangdong population [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 263-266.

参考文献 16

[1]	Abdallah R, Courtright P. Temporomandibular Joint[M]//Pain. Springer, Cham, 2019: 721-723.
[2]	张清彬,管红兵. 颞下颌关节紊乱病的“梯度序列治疗”[J]. 口腔疾病防治, 2020, 28(1): 11-15. DOI: 10.12016/j.issn.2096-1456.2020.01.002.
[3]	张志光, 刘文静. 颞下颌关节紊乱病与关节内压[J]. 口腔疾病防治, 2018, 26(2): 69-74. DOI: 10.12016/j.issn.2096-1456.2018.02.001.
[4]	Yoda T, Ogi N, Yoshitake H, et al. Clinical guidelines for total temporomandibular joint replacement[J]. Jpn Dent Sci Rev, 2020, 56(1): 77-83. DOI: 10.1016/j.jdsr.2020.03.001.
[5]	Gupta RJ, Schendel SA, Wolford L. Concomitant custom-fitted temporomandibular joint reconstruction and orthognathic surgery[M]// Contemporary Management of Temporomandibular Disorders. 2019: 233-285.
[6]	Hilgers ML, Scarfe WC, Scheetz JP, et al. Accuracy of linear temporomandibular joint measurements with cone beam computed tomography and digital cephalometric radiography[J]. Am J Orthod Dentofacial Orthop, 2005, 128(6): 803-811. DOI: 10.1016/j.ajodo.2005.08.034.
[7]	Laster WS, Ludlow JB, Bailey LJ, et al. Accuracy of measurements of mandibular anatomy and prediction of asymmetry in panoramic radiographic images[J]. Dentomaxillofac Radiol, 2005, 34(6): 343-349. DOI: 10.1259/dmfr/28020783.
[8]	Różyło-Kalinowska I. Cone Beam Computed Tomography (CBCT) in TMJ Imaging[M]// Imaging of the Temporomandibular Joint. Springer, Cham, 2019: 125-131.
[9]	Ocak M, Sargon MF, Orhan K, et al. Evaluation of the anatomical measurements of the temporomandibular joint by cone-beam computed tomography[J]. Folia Morphol (Warsz), 2019, 78(1): 174-181. DOI: 10.5603/FM.a2018.0060.
[10]	Ishibashi H, Takenoshita Y, Ishibashi K, et al. Age-related changes in the human mandibular condyle: a morphologic, radiologic, and histologic study[J]. J Oral Maxillofac Surg 1995, 53(9): 1016-1023. DOI: 10.1016/0278-2391(95)90117-5.
[11]	Coombs MC, Bonthius DJ, Nie XJ, et al. Effect of measurement technique on TMJ mandibular condyle and articular disc morphometry: CBCT, MRI and physical measurements[J]. J Oral Maxillofac Surg, 2019, 77(1): 42-53. DOI: 10.1016/j.joms.2018.06.175.
[12]	Zhang LZ, Meng SS, He DM, et al. Three-dimensional measurement and cluster analysis for determining the size ranges of chinese temporomandibular joint replacement prosthesis[J]. Medicine (Baltimore), 2016, 95(8): e2897. DOI:10.1097/MD.0000000000002897.
[13]	Park SH, Yu HS, Kim KD, et al. A proposal for a new analysis of craniofacial morphology by 3-dimensional computed tomography[J]. Am J Orthod Dentofacial Orthop, 2006, 129(5): e23-e34. DOI: 10.1016/j.ajodo.2005.11.032.
[14]	Zhou C, Jeon TH, Jun SH, et al. Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography[J]. Maxillofac Plast Reconstr Surg, 2017, 39(1): 30-31. DOI: 10.1186/s40902-017-0128-y.
[15]	Jang HY, Han SJ. Measurement of mandibular lingula location using cone-beam computed tomography and internal oblique ridge-guided inferior alveolar nerve block[J]. Korean Assoc Oral Maxillofac Surg, 2019, 45(3): 158-166. DOI: 10.5125/jkaoms.2019.45.3.158.
[16]	Kurita H, Ohtsuka A, Kobayashi H, et al. Alteration of the horizontal mandibular condyle size associated with temporomandibular joint internal derangement in adult females[J]. Dentomaxillofac Radiol, 2002, 31(6): 373-378. DOI: 10.1038/sj.dmfr.4600727.

广东地区人群颞下颌关节解剖参数的三维分析

Three-dimensional analysis of anatomical parameters of temporomandibular joint in Guangdong population

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献 16

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	江剑宏, 段仁鹏, 李晓锋. 国人胆道三维重建解剖变异应用研究[J]. 中国临床解剖学杂志, 2024, 42(1): 1-4.
[2]	郭红志, 王瑜, 张加琪, 梁海彬, 马梓玮, 冯伟, 吴忧, 司子燚. 血管铸型结合CT三维模型评估先兆子痫胎盘血管结构[J]. 中国临床解剖学杂志, 2024, 42(1): 5-10.
[3]	李佳伟, 张静, 李灿然, 兰文杰, 籍庆余, 郭志勇, 张云凤, 刘启, 陈清威, 李筱贺. 蒙古族人群股骨近端解剖参数X线测量[J]. 中国临床解剖学杂志, 2024, 42(1): 11-16.
[4]	李琨, 张燕, 郭冉, 郝咪咪, 吴轩宇, 徐艺芳, 王超群, 马文童, 张灵淇, 杨宏宇, 李志军, 张少杰, 王星. 儿童及青少年枕颈角与后枕颈角数字化测量及其临床意义[J]. 中国临床解剖学杂志, 2024, 42(1): 17-20.
[5]	李文, 杨思艺, 黄蕾, 卿霁雯, 蒋松涛, 张磊. 基于MRI探讨Lisfranc韧带的形态学特点及临床意义[J]. 中国临床解剖学杂志, 2024, 42(1): 21-25.
[6]	李凡凡, 徐阳, 王晓旭. 紫草素调节Nrf2/HO-1信号通路对实验性大鼠肉芽肿性小叶性乳腺炎的治疗作用研究[J]. 中国临床解剖学杂志, 2024, 42(1): 26-32.
[7]	王兴航, 丁佳媛, 李放, 包翠芬, 阎丽菁. 人参皂苷Rg1通过抑制NLRP3炎症小体途径减轻氧糖剥夺/复供后小胶质细胞炎症反应[J]. 中国临床解剖学杂志, 2024, 42(1): 33-41.
[8]	程莹莹, 武建军, 蔡海燕, 焦旭文, 马江波, 丁银秀. 体外炎性诱导星形胶质细胞激活及功能分析[J]. 中国临床解剖学杂志, 2024, 42(1): 42-46.
[9]	祁志, 杨力, 贾秋叶, 陈浩伦, 段兆达, 吴春云. 依达拉奉经MAPKs通路对脂多糖激活的小胶质细胞Sirt3表达调控[J]. 中国临床解剖学杂志, 2024, 42(1): 47-53.
[10]	张晶晶, 王洪新. 黄芩苷通过PDGF/P38 MAPK信号通路对肺动脉高压大鼠的保护作用[J]. 中国临床解剖学杂志, 2024, 42(1): 54-58.
[11]	乐钦, 陈荣丽, 熊婧熙, 王婷怡, 蔡志恒, 易秋实, 曾心怡. 白芨多糖对大鼠跨区皮瓣choke区的影响[J]. 中国临床解剖学杂志, 2024, 42(1): 59-64.
[12]	李笑予, 张磊, 付磊, 李东波, 汪国友. 三步接骨法治疗Sanders Ⅱ型跟骨骨折的有限元研究[J]. 中国临床解剖学杂志, 2024, 42(1): 65-70.
[13]	吴研飞, 马剑雄, 卢斌, 王颖, 柏豪豪, 靳洪震, 马信龙. CT后处理技术重建CT值与终板抗压强度的相关性研究[J]. 中国临床解剖学杂志, 2024, 42(1): 71-76.
[14]	庄万强, 唐毅, 骆勇刚, 张辉. 关节镜联合胫骨高位截骨术对髌骨位置及髌股关节功能影响的早中期回顾性研究[J]. 中国临床解剖学杂志, 2024, 42(1): 77-82.
[15]	罗鹰, 窦伟誉, 吴小杭, 陈璟昆, 彭昌贵, 潘剑英 . 微创海马钢板内固定治疗跟骨骨折并发症的影响因素[J]. 中国临床解剖学杂志, 2024, 42(1): 83-88.