The correlation between surgical reference points: antilingula, lingula, and mandibular foramen - 18/12/20

Doi : 10.1016/j.jormas.2020.11.007

Han-Jen Hsu ^a, Ying-Sheng Chen ^b, Ping-Ho Chen ^c, Han-Sheng Chen ^d,^⁎ , Chun-Ming Chen ^a,^c,⁎
^a Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
^b Dental Department, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan
^c School of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
^d Dental Department, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan

^⁎Corresponding author at: Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, San-Ming District, Kaohsiung, Taiwan.Department of Oral and Maxillofacial SurgeryKaohsiung Medical University HospitalKaohsiung Medical University100 Shih-Chuan 1st Road, San-Ming DistrictKaohsiungTaiwan^⁎⁎Corresponding author.

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 18 December 2020
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Abstract

The purpose of the present study was to investigate and determine the anatomical relationship between the antilingula, lingula, and mandibular foramen using cone-beam computed tomography (CBCT).

Methods

CBCT images of 90 participants (180 mandibular ramus) were collected. The locations of and distances between the antilingula, lingual, and mandibular foramen according to side (right and left) and skeletal patterns were measured and then evaluated by statistical analysis.

Results

Only 27 participants (15%) had bilateral distinct antilingula, lingula, and mandibular foramen. The antilingula was located anteriorly (4.28 mm and 3.59 mm) and above (1.99 mm and 8.52 mm) the lingula and mandibular foramen. The lingula was behind (0.69 mm) and above (6.53 mm) the mandibular foramen. Skeletal Class III was anterior and inferior to Class II and Class I in the antilingula, lingula, and mandibular foramen. Considering the correlations of landmarks, we found that the lingula was strongly correlated with the mandibular foramen on the X axis (r = 0.757) and Y-axis (r = 0.878).

Conclusion

The antilingula is located anteriorly and above the lingula and mandibular foramen. The lingula is behind and above the mandibular foramen. The osteotomy line of orthognathic surgery can only be safely designed through actual measurement of the locations of the antilingula, lingula, and mandibular foramen.

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Keywords : Antilingula, Lingula, Mandibular foramen, IVRO, SSRO