• 제목/요약/키워드: Posterior Slope Angle

검색결과 26건 처리시간 0.035초

두부규격방사선사진과 측두하악관절 단층방사선사진 계측치간의 상관관계 (Relation of the measuring values in cephalometric radiographs and TMJ tomographs)

  • 한진우
    • Imaging Science in Dentistry
    • /
    • 제37권1호
    • /
    • pp.19-26
    • /
    • 2007
  • Purpose : To examine whether the maxillofacial skeletal morphology correlates with the condylar position and the anatomic characteristics of articular eminence using measurements of lateral cephalometric radiographs and individualized sagittal temporomandibular joint (TMJ) tomographs. Materials and Methods : I compared measurements of 202 TMJs of 101 orthodontic patients of Kangnung National University Dental Hospital. 1 used Pearson's correlation for comparison of the measuring values in lateral cephalometric radiographs and individualized sagittal TMJ tomographs. Results : Large occlusal plane angle tendency showed decreased width of posterior eminence slope, decreased depth of articular fossa and decreased posterior slope angle of eminence. Large mandibular plane angle tendency showed decreased superior joint space, decreased depth of articular fossa and decreased posterior slope angle of eminence. Large genial angle tendency showed decreased depth of articular fossa, decreased posterior slope angle of eminence and anterior position of condylar head. Large anterior facial height and large posterior facial height tendency showed increased width of posterior slope of eminence, increased depth of articular fossa, increased posterior slope angle of eminence and posterior position of condylar head. Conclusion : Maxillofacial skeletal morphology has correlation with the anatomic characteristics of TMJ. Individualized sagittal TMJ tomographs can provide useful information for anatomical analysis of TMJ.

  • PDF

근위경골절골술에서 해부학적 축과 역학적 축의 변화가 경골후방경사각에 미치는 영향 (The Effect of Anatomical Axis and Mechanical Axis on Change of Posterior Tibial Slope Angle in PTO(Proximal Tibial Osteotomy))

  • 신은지;김철웅;이호상;배지훈;왕준호;;오동준
    • 대한기계학회:학술대회논문집
    • /
    • 대한기계학회 2008년도 추계학술대회A
    • /
    • pp.1543-1546
    • /
    • 2008
  • The purpose of this study was to investigate factors affecting the change of tibial posterior slope and introduce a mathematical model which calculate, through 3-dimensional analysis of the proximal tibia, how the angle of the opening wedge along the anteromedial tibial cortex influences the tibial posterior slope and valgus correction when performing a medial open wedge osteotomy. This mathematical model with navigation system can be guidelines which provide surgeons on preoperative and intraoperative measurements to maintain or correct the tibial slope and to obtain the desired valgus correction of the lower limb during an opening wedge osteotomy.

  • PDF

Computer Assisted Surgery(CAS)를 이용한 개방형 쐐기 근위경골 절골술에서 전내측 경골피질경사각이 후방경골경사각의 변화에 미치는 영향 (The Effect of Anteromedial Tibial Cortex Angle on Change of Posterior Tibial Slope Angle in PTO(Proximal Tibial Osteotomy) using Computer Assisted Surgery(CAS))

  • 이호상;김철웅;배지훈;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
    • /
    • 대한기계학회 2008년도 추계학술대회A
    • /
    • pp.1467-1470
    • /
    • 2008
  • An upper tibial opening wedge osteotomy is an operation to cure a malalignment and a degenerate arthritis. To prevent the postoperative malalignment caused by the upper tibial opening wedge osteotomy, the research to define the relationship between a Hinge Axis Angle and a Posterior Slope Angle is needed. The effect of the relationship between the hinge axis angle and the gap angle on the posterior slope angle is studied. After 3-D Compute Tomography (CT) scanning image is reconstructed, the virtual surgery is performed by the reconstructed 3-D tibia model. It was proved that the relationship between the hinge axis angle and the gap angle were constant and the simple mathematical model could be derived. To verify the suggested mathematical model, it compared with the measured data from the virtual surgery. In conclusion, while the deviation between the data from the virtual surgery and ones of the mathematical model under the gap angle<$10^{\circ}$ was less than 1%.

  • PDF

Evaluation of Articular Eminence Morphology in Patients with Spontaneous Temporomandibular Joint Dislocation Using Cone Beam Computed Tomography

  • Kim, Ji Hoo;Park, Hyun-Jeong;Seo, Yo-Seob;Ryu, Ji-Won;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
    • /
    • 제47권1호
    • /
    • pp.27-37
    • /
    • 2022
  • Purpose: This study aimed to broaden our understanding of the predisposing factor and treatment of dislocation by analyzing and evaluating the morphology of the articular eminence (AE) in subjects with temporomandibular joint (TMJ) dislocation using cone beam computed tomography (CBCT). Methods: The subjects were divided into two groups: dislocation (31 subjects) and control (32 subjects). CBCT was used to examine 126 TMJs in 63 subjects (26 males, 37 females). The height, width, and posterior slope of the AE were measured in the parasagittal plane. The posterior slope was measured using the "top-roof line angle (TR angle)" method and the "best-fit line angle (BF angle)" method. The AE on the left side (AEL) and the AE on the right side (AER) of the subjects in the dislocation group were separately analyzed and compared with the control group after taking measurements. The average value of both sides was used when comparing with subjects with bilateral dislocation. Results: Dislocations were more frequent in females (67.7%) than in males (32.3%). The dislocation group showed a gentler TR angle than the control group in the AER and in the average of AE on the both sides (AEB). The same group also showed a wider AE in the AEL and the AER (p<0.05). In subjects with unilateral dislocation, the width of the AE with dislocation was narrower and the TR angle and BF angle was steeper than the other side without dislocation (p<0.05). Conclusions: In subjects with unilateral TMJ dislocation, the posterior slope of the AE is steeper, and the width is narrower at the site of dislocation compared to the site without dislocation. However, in subjects with bilateral TMJ dislocation, AEB were wider, and the mean value of the posterior slope of AEB was gentler than that of the control group.

측두하악장애 환자에서 과두크기와 관절융기의 후방경사에 관한 연구 (A STUDY ON THE SIZE OF CONDYLE AND THE POSTERIOR SLOPE OF THE ARTICULAR EMINENCE IN PATIENTS WITH TEMPOROMANDIBULAR JOINT DISORDERS.)

  • 박원희;심광섭;우순섭;이영수
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제22권1호
    • /
    • pp.43-50
    • /
    • 2000
  • The purpose of this study was to investigate the interrelationship between temporomandibular joint disorders, and the condyle size and angle of the posterior slope of the articular eminence. The subjects used in this study were 100 patients with temporomandibular joint disorders and 100 volunteers with normal temporomandibular joints. All the patients and the volunteers were subjected to take panoramic and temporomandibular radiographs for the morphologic evaluation. The films were traced, measured, and analyzed. The data were processed with SPSS/PC+ package for statistical analysis. The obtained results were as follows; 1. The posterior slope of the articular eminence in the group of temporomandibular joint disorders was larger than that in the normal group (p<0.05). The mean articular eminence angle was $31.6^{\circ}\;{\pm}\;6.3$ in the group of temporomandibular joint disorder, and $29.9^{\circ}\;{\pm}\;8.4$ in the normal group. 2. There were no statistically significant differences in the discrepancies of the left and right articular eminence angular measurements between the group (p>0.05). 3. There were no statistically significant differences in the condylar ratio between the groups (p>0.05). 4. There were no statistically significant differences in the discrepancies of the left and right ramus length measurements between the groups (p>0.05). 5. The relative size of condyle to fossa in the group of temporomandibular disorders was smaller than that in the normal group (p<0.05).

  • PDF

Computer Assisted Surgery(CAS)를 이용한 개방형 근위경골절골술 시 전내측피질골경사각이 경골후방경사각에 미치는 영향 (Effect of Anteromedial Cortex Oblique Angle on Change of Tibial Posterior Slope Angle in High Tibial Osteotomy Using Computer Assisted Surgery (CAS))

  • 이호상;김재정;왕준호;김철웅
    • 대한기계학회논문집B
    • /
    • 제36권3호
    • /
    • pp.351-361
    • /
    • 2012
  • 슬관절 내반슬과 외반슬의 부정정렬을 교정하는 방법 중 대표적인 수술법이 근위경골절골술이다. 개방형 쐐기 근위경골절골술(OWHTO)의 경우 근위비골 인접부의 경골외측 비골신경을 손상시킬 우려가 없고, 수술도중 교정각의 개방 정도를 임의대로 조절 변경 가능한 장점으로 최근 선호되고 있다. 그러나 술후 관상면에서의 외반 및 내반 교정은 바르게 이루어지는 반면, 시상면에서는 수술자가 의도하지 않은 경골내측고평부의 후방경사각(PSA) 변화가 발생한다는 문제점이 있다. 저자들은 이와 같은 문제의 극복을 위해 Computer Assisted Surgery를 이용한 근위경골절골술 기법을 자체적으로 개발하였고, 근위경골부의 CT 이미지 3차원 재건과 컴퓨터를 이용한 가상절골술을 수행하였다. 또한 술후에도 후방경사각(PSA)이 변화하지 않는 수술기법에 대해 제시하였다. 본 연구결과는 환자고유의 전내측피질골 경사각(ACOA)과 후방경사각(PSA)의 명확한 관계성에 대해 제시해줄 것이며 환자마다 다른 최적의 후방경사각 결정법에 대해 제시해 줄 것으로 판단된다.