Maxillofacial Plastic and Reconstructive Surgery

  • Volume 40
  • /
  • Pages.15.1-15.6
  • /
  • 2018
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  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Anatomical study of the location of the antilingula, lingula, and mandibular foramen for vertical ramus osteotomy

  • Park, Jin Hoo (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Jung, Hwi-Dong (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Kim, Hyung Jun (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry)
  • Received : 2018.05.29
  • Accepted : 2018.06.18
  • Published : 2018.12.31
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Abstract

Background: The purpose of this study was to identify the location of the antilingula, lingula, and mandibular foramen in Korean cadavers and to promote safe and accurate surgery without damage to the inferior alveolar neurovascular bundle (IANB) when performing a vertical ramus osteotomy (VRO). Methods: This study was conducted on the dried mandibles of 20 adult cadavers. Digital calipers were used to measure the distances from the anatomical reference points (antilingula, lingula, and mandibular foramen). Result: The antilingula was located at the anterior 44% and superior 31% in the ramus. The lingula was located at the anterior 55% and superior 30% in the ramus. The mandibular foramen was located at the anterior 58% and superior 46% in the ramus. Regarding the positional relationship with the antilingula, the lingula was located 0.54 mm superior and 4.19 mm posterior, and the mandibular foramen was located 6.95 mm inferior and 4.98 mm posterior. The results suggested that in order to prevent damage to the IANB, osteotomy should be performed in the posterior region of ramus at least 29% of the total horizontal length of the ramus. Conclusion: Using only the antilingula as a reference point is not guaranteed to IANB injury. However, it is still important as a helpful reference point for the surgeon in the surgical field.

Keywords

References

  1. Caldwell JB, Letterman GS (1954) Vertical osteotomy in the mandibular rami for correction of prognathism. J Oral Surg (Chic) 12:185-202
  2. Zaytoun HS, Phillips C, Terry BC (1986) Long-term neurosensory deficits following transoral vertical ramus and sagittal split osteotomies for mandibular prognathism. J Oral Maxillofac Surg 44:193-196 https://doi.org/10.1016/0278-2391(86)90107-2
  3. Yates C, Olson D, Guralnick W (1976) The antilingula as an anatomic landmark in oral surgery. Oral Surgery, Oral Medicine, Oral Pathology 41:705-708 https://doi.org/10.1016/0030-4220(76)90182-1
  4. Reitzik M, Griffiths RR, Mirels H (1976) Surgical anatomy of the ascending ramus of the mandible. British Journal of Oral Surgery 14:150-155 https://doi.org/10.1016/0007-117X(76)90032-9
  5. Martone CH, Ben-Josef AM, Wolf SM, Mintz SM (1993) Dimorphic study of surgical anatomic landmarks of the lateral ramus of the mandible. Oral Surgery, Oral Medicine, Oral Pathology 75:436-438 https://doi.org/10.1016/0030-4220(93)90166-2
  6. Pogrel MA, Schmidt BL, Ammar A (1995) The presence of the antilingula and its relationship to the true lingula. Br J Oral Maxillofac Surg 33:235-238 https://doi.org/10.1016/0266-4356(95)90007-1
  7. da Fontoura RA, Vasconcellos HA, Siqueira Campos AE (2002) Morphologic basis for the intraoral vertical ramus osteotomy: anatomic and radiographic localization of the mandibular foramen. J Oral Maxillofac Surg 60:660-665 https://doi.org/10.1053/joms.2002.33115
  8. Aziz SR, Dorfman BJ, Ziccardi VB, Janal M (2007) Accuracy of using the antilingula as a sole determinant of vertical ramus osteotomy position. J Oral Maxillofac Surg 65:859-862 https://doi.org/10.1016/j.joms.2006.05.065
  9. Apinhasmit W, Chompoopong S, Jansisyanont P et al (2011) The study of position of antilingula, midwaist of mandibular ramus and midpoint between coronoid process and gonion in relation to lingula of 92 Thai dried mandibles as potential surgical landmarks for vertical ramus osteotomy. Surg Radiol Anat 33:337-343 https://doi.org/10.1007/s00276-010-0700-y
  10. Monnazzi MS, Passeri LA, Gabrielli MFR, Bolini PDA, de Carvalho WRS, da Costa Machado H (2012) Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula. Int J Oral Maxillofac Surg 41:74-78 https://doi.org/10.1016/j.ijom.2011.08.009
  11. Park K-R, Kim S-Y, Kim G-J, Park H-S, Jung Y-S (2014) Anatomic study to determine a safe surgical reference point for mandibular ramus osteotomy. J Cranio-Maxillofac Surg 42:22-27 https://doi.org/10.1016/j.jcms.2013.01.041
  12. Hosapatna M, Ankolekar VH, D'Souza AS, Deepika C, D'Souza A (2015) The study of antilingula and its relation to the lingula and mandibular foramen, the presence of mylohyoid bridging in dry mandibles of South Indian population. Journal of Maxillofacial and Oral Surgery 14:308-311
  13. Zhou C, Jeon T-H, Jun S-H, Kwon J-J (2017) Evaluation of mandibular lingula and foramen location using 3-dimensional mandible models reconstructed by cone-beam computed tomography. Maxillofacial Plastic and Reconstructive Surgery 39:30 https://doi.org/10.1186/s40902-017-0128-y
  14. Baik HS, Han HK, Kim DJ, Proffit WR (2000) Cephalometric characteristics of Korean Class III surgical patients and their relationship to plans for surgical treatment. The International journal of adult orthodontics and orthognathic surgery 15:119-128
  15. Behrman S (1974) Complications associated with orthognathic surgery. In: Current advances in oral surgery. Mosby, St Louis, MO, pp 109-143
  16. Hall HD, Chase DC, Payor LG (1975) Evaluation and refinement of the intraoral vertical subcondylar osteotomy. Journal of oral surgery (American Dental Association : 1965) 33:333-341
  17. Hogan G, Ellis E (2006) The "antilingula"-fact or fiction? J Oral Maxillofac Surg 64:1248-1254 https://doi.org/10.1016/j.joms.2006.04.021
  18. Tsuji Y, Muto T, Kawakami J, Takeda S (2005) Computed tomographic analysis of the position and course of the mandibular canal: relevance to the sagittal split ramus osteotomy. Int J Oral Maxillofac Surg 34:243-246 https://doi.org/10.1016/j.ijom.2004.06.001
  19. Fujimura K, Segami N, Kobayashi S (2006) Anatomical study of the complications of intraoral vertico-sagittal ramus osteotomy. J Oral Maxillofac Surg 64:384-389 https://doi.org/10.1016/j.joms.2005.11.009

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  1. Examination of the Safe Zone in Mandibular Ramus Osteotomies vol.32, pp.6, 2021, https://doi.org/10.1097/scs.0000000000007352
  2. Antilingula as a Surgical Reference Point for Vertical Ramus Osteotomy vol.2021, pp.None, 2018, https://doi.org/10.1155/2021/5585297