Evaluation of Mandibular Foramen Localization Through Three Dimensional Computed Tomography in Pediatric Population
Öz
The purpose
of our study is to evaluate the location of the mandibular foramen according to
age, gender and location (right / left) using three dimensional computerized
tomography in living persons in the pediatric population. This study included
102 pediatric patients who underwent cranial computerized tomograghy for any
reason. Averages and standard deviations of the parameters examined were
determined. Gender (female / male) and regional (right / left) comparisons of
the obtained data were statistically evaluated and the age-related collaterals
of the parameters were evaluated. In our study, distance between mandibular
foramen and mandibular notch was 13,4±2,2 mm; distance between the lower edge
of the mandible and mandibular notch was 34.8 ± 4.4 mm, distance between
mandibular foramen and backside of mandibular ramus was 9.1 ± 1.8 mm, mandibular
anteroposterior diameter was 24 ± 2.4 mm. There was no significant difference
between male-female and right-left comparisons. There was positive correlation
between age and measurements. When we compare the information obtained in our
study with the knowledge of the literature, it is observed that many of the
bulges are similar but there are differences in some measurements. These
differences suggest that other studies performed on dry bones and panoramic
radiographs, working in different age groups, racial differences, different
methods of measurement, and less work on computerized tomograghy studies. Mandibular
foramen have certain age-related changes, and longitudinal anatomical studies
are needed to confirm these differences. The exact location of the foramen
mandibulae in the pediatric population is of great importance in terms of
reducing the anesthetic complications in mandibular anesthesia.
Anahtar Kelimeler
Kaynakça
- Referans1Afsar, A., Haas, D.A., Rossouw, P.E. & Wood, R.E.(1998). Radiographic localization of mandibular anesthesia landmarks. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 86, 234-241.
- Referans2Aksu, F., Zeybek, G., Aksu, E., Özcan, E., Çapraz, E. & Alibeyoğlu, M.A. (2007). Foramen Mandibulae’nın Lokalizasyonu ve Morfometrisi. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 21(3), 131-135.
- Referans3Altunsoy, M., Aglarci, O.S., Ok, E., Nur, B.G., Gungor, E. & Colak, M.(2014). Localization of the mandibular foramen of 8-18 years old children and youths with cone-beam computed tomography. Journal of Pediatric Dentistry, 2, 44-8. doi: 10.4103/2321-6646.137677
- Referans4Ashkenazi, M., Taubman, L. & Gavish, A. (2011). Age-associated changes of the mandibular foramen position in anteroposterior dimension and of the mandibular angle in dry human mandibles. The Anatomical Record, 294, 1319–1325. doi: 10.1002/ar.21429
- Referans5Bunyarit, S. S, Yuen Ying, R. P, Kadir, B. A, Nizam, M. M. & Rahman M. M.(2016). Dental intervention perspective: anatomical variation of mental and mandibular foramen in selected malay patients. Bangladesh Journal Of Medical Science [Serial Online]. 15(3), 450-454. doi: http://dx.doi.org/10.3329/bjms.v15i3.30200
- Referans6Cantekin, K., Sekerci, A.E., Miloglu, O. & Buyuk, S.K. (2014). Identification of the mandibular landmarks in a pediatric population. Medicina Oral, Patología Oral y Cirugía Bucal, 19(2),e136–41. doi: 10.4317/medoral.18980
- Referans7da Fontoura, R.A., Vasconcellos, H.A. & Campos, A.E.(2002). Morphologic basis for the intraoral vertical ramus osteotomy: anatomic and radiographic localization of the mandibular foramen. Journal of Oral and Maxillofacial Surgery, 60(6), 660–5.
- Referans8Epars, J.F., Mavropoulos, A. & Kiliaridis, S. (2013). Influence of age and vertical facial type on the location of the mandibular foramen. Pediatric Dentistry 35(4), 369–73.
- Referans9Juodzbalys, G. & Wang, H. (2010). Identification of the mandibular vital structures: practical clinical applications of anatomy and radiological examination methods. Journal of Oral & Maxillofacial Research.1(2), e1. doi: 10.5037/jomr.2010.1201.
- Referans10Kane, A.A., Lo, L.J., Chen, Y.R., Hsu, K.H. & Noordhoff, M.S.(2000). The course of the inferior alveolar nerve in the normal human mandibular ramus and in patients presenting for cosmetic reduction of the mandibular angles. Plastic and Reconstructive Surgery,106(5), 1162–74.
- Referans11Levine, M.H., Goddard, A.L. & Dodson, T.B. (2007). Inferior alveolar nerve canal position: a clinical and radiographic study. Journal of Oral and Maxillofacial Surgery, 65(3), 470–4. doi: 10.1016/j.joms.2006.05.056
- Referans12Lim, M.Y., Lim, W.W., Rajan, S., Nambiar, P. & Ngeow, W.C. (2015). Age related changes in the location of the mandibular and mental foramen in children with Mongoloid skeletal pattern. European Archives of Paediatric Dentistry 16, 397. doi:10.1007/s40368-015-0184-x.
- Referans13Lo, L.J., Wong, F.H. & Chen, Y.R.(2004). The position of the inferior alveolar nerve at the mandibular angle: an anatomic consideration for aesthetic mandibular angle reduction. Annals of Plastic Surgery, 53(1), 50–5.
- Referans14Movahhed, T., Makarem, A., Imanimoghaddam, M., Anbiaee, N., Sarrafshirazi, A.R. & Shakeri, M.T. (2011). Locating the mandibular foramen relative to the occlusal plane using panoramic radiography. Journal of Applied Sciences, 11,573–78. doi: 10.3923/jas.2011.573.578
- Referans15Oguz, O. & Bozkır, M.G.(2002). Evaluation of location of mandibular and mental foramina in dry, young, adult human male, dentulous mandibles. West Indian Medical Journal, 51, 14-16.
- Referans16Ono, E., Filho, M.E., Moraes, L.C., Castilho, J.C.M. & Moraes, M.E.L. (2005). Anteroposterior location of the mandibular foramen of 7 to 12 year-old children in panoramic radiographs. Ciência Odontológica Brasileira, 8(2), 6–12.
- Referans17Paryab, M. & Ahmadyar, M. (2015). Locating mandibular foramen in children with mandibular retrognathism in mixed dentition. Journal of Dental Research, Dental Clinics, Dental Prospects, 9(2), 66-71. doi: 10.15171/joddd.2015.014.
- Referans18Sağlam, A. (2005). Dental Anestezi. 1.Baskı. Berkay Ofset Ltd.Şti., Ankara.
- Referans19Sancak, B. & Cumhur, M.(2002). Fonksiyonel Anatomi (Baş Boyun ve İç Organlar). 2. Baskı. ODTÜ Yayıncılık, Ankara.
- Referans20Sekerci, A.E., Cantekin, K. & Aydinbelge, M.(2013). Cone beam computed tomographic analysis of the shape, height, and location of the mandibular lingula in a population of children. BioMed Research International, 2013, 825453. doi: 10.1155/2013/825453.
- Referans21Tsai, H.H.(2004). Panoramic radiographic findings of the mandibular foramen from deciduous to early permanent dentition. Journal of Clinical Pediatric Dentistry,28(3),215–9.
- Referans22Tyndall, D.A., Renner, J.B., Phillips, C. & Matteson, S.R. (1992). Positional changes of the mandibular condyle assessed by three-dimensional computed tomography. Journal of Oral and Maxillofacial Surgery, 50(11):1164-72.
Pediatrik Populasyonda Foramen Mandibulae Lokalizasyonunun Üç Boyutlu Bilgisayarlı Tomografi İle Değerlendirilmesi
Öz
Çalışmamızın amacı
pediatrik populasyonda canlı kişilerde üç boyutlu bilgisayarlı tomografi
kullanarak foraman mandibulae’nın lokalizasyonunu yaş, cinsiyet ve yerleşimine
(sağ/sol) göre değerlendirmektir. Bu çalışmaya herhangi bir nedenle kraniyal
bilgisayarlı tomografisi çekilmiş 102 pediatrik hasta dahil edildi. İncelenen
parametrelerin ortalamaları ve standart sapmaları belirlendi. Elde edilen
verilerin cinsiyet (kız/erkek) ve bölge (sağ/sol) karşılaştırması istatistiksel
olarak değerlendirildi ve parametrelerin yaşa bağlı korelasyonuna bakıldı.
Çalışmamızda foramen mandibulae ile incisura mandibula arasındaki uzaklık
ortalama 13,4±2,2 mm olarak, mandibulanın alt kenarı ile incisura mandibula
arasındaki uzaklık 34,8±4,4 mm, foramen mandibulae ile ramus’un arka kenarına
olan transvers mesafe 9,1±1,8 mm, mandibulanın anteroposterior çapı 24±2,4 mm
bulundu. Kız – erkek ve sağ-sol karşılaştırmasında anlamlı bir fark yoktu. Yaş
ile ölçümler arasında pozitif yönde korelasyon bulundu. Çalışmamızda elde
edilen bilgileri literatür bilgisi ile karşılaştırdığımızda birçok bulgunun
birbirine benzer olduğu ancak bazı ölçümlerde farklılıklar olduğu gözlemlenmektedir.
Bu farklılıklar, diğer çalışmaların kuru kemiklerde ve panoramik
radyografilerde yapılmış olması, farklı yaş gruplarında çalışılmış olunması,
ölçüm yöntemlerinin farklı olmasından ve canlı üzerinde bilgisayarlı tomografi
ile yapılan çalışmaların az olmasından kaynaklanmaktadır. Foramen mandibulae’da
yaşla ilgili belirli değişiklikler vardır ve bu farklılıkları doğrulamak için
daha çok anatomik çalışmalara ihtiyaç vardır. Pediatrik populasyonda foramen mandibulae
lokalizasyonun tam olarak bilinmesi yapılacak olan mandibular anestezilerde
anestezik komplikasyonların azaltılması açısından büyük önem arz etmektedir.
Anahtar Kelimeler
Kaynakça
- Referans1Afsar, A., Haas, D.A., Rossouw, P.E. & Wood, R.E.(1998). Radiographic localization of mandibular anesthesia landmarks. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 86, 234-241.
- Referans2Aksu, F., Zeybek, G., Aksu, E., Özcan, E., Çapraz, E. & Alibeyoğlu, M.A. (2007). Foramen Mandibulae’nın Lokalizasyonu ve Morfometrisi. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 21(3), 131-135.
- Referans3Altunsoy, M., Aglarci, O.S., Ok, E., Nur, B.G., Gungor, E. & Colak, M.(2014). Localization of the mandibular foramen of 8-18 years old children and youths with cone-beam computed tomography. Journal of Pediatric Dentistry, 2, 44-8. doi: 10.4103/2321-6646.137677
- Referans4Ashkenazi, M., Taubman, L. & Gavish, A. (2011). Age-associated changes of the mandibular foramen position in anteroposterior dimension and of the mandibular angle in dry human mandibles. The Anatomical Record, 294, 1319–1325. doi: 10.1002/ar.21429
- Referans5Bunyarit, S. S, Yuen Ying, R. P, Kadir, B. A, Nizam, M. M. & Rahman M. M.(2016). Dental intervention perspective: anatomical variation of mental and mandibular foramen in selected malay patients. Bangladesh Journal Of Medical Science [Serial Online]. 15(3), 450-454. doi: http://dx.doi.org/10.3329/bjms.v15i3.30200
- Referans6Cantekin, K., Sekerci, A.E., Miloglu, O. & Buyuk, S.K. (2014). Identification of the mandibular landmarks in a pediatric population. Medicina Oral, Patología Oral y Cirugía Bucal, 19(2),e136–41. doi: 10.4317/medoral.18980
- Referans7da Fontoura, R.A., Vasconcellos, H.A. & Campos, A.E.(2002). Morphologic basis for the intraoral vertical ramus osteotomy: anatomic and radiographic localization of the mandibular foramen. Journal of Oral and Maxillofacial Surgery, 60(6), 660–5.
- Referans8Epars, J.F., Mavropoulos, A. & Kiliaridis, S. (2013). Influence of age and vertical facial type on the location of the mandibular foramen. Pediatric Dentistry 35(4), 369–73.
- Referans9Juodzbalys, G. & Wang, H. (2010). Identification of the mandibular vital structures: practical clinical applications of anatomy and radiological examination methods. Journal of Oral & Maxillofacial Research.1(2), e1. doi: 10.5037/jomr.2010.1201.
- Referans10Kane, A.A., Lo, L.J., Chen, Y.R., Hsu, K.H. & Noordhoff, M.S.(2000). The course of the inferior alveolar nerve in the normal human mandibular ramus and in patients presenting for cosmetic reduction of the mandibular angles. Plastic and Reconstructive Surgery,106(5), 1162–74.
- Referans11Levine, M.H., Goddard, A.L. & Dodson, T.B. (2007). Inferior alveolar nerve canal position: a clinical and radiographic study. Journal of Oral and Maxillofacial Surgery, 65(3), 470–4. doi: 10.1016/j.joms.2006.05.056
- Referans12Lim, M.Y., Lim, W.W., Rajan, S., Nambiar, P. & Ngeow, W.C. (2015). Age related changes in the location of the mandibular and mental foramen in children with Mongoloid skeletal pattern. European Archives of Paediatric Dentistry 16, 397. doi:10.1007/s40368-015-0184-x.
- Referans13Lo, L.J., Wong, F.H. & Chen, Y.R.(2004). The position of the inferior alveolar nerve at the mandibular angle: an anatomic consideration for aesthetic mandibular angle reduction. Annals of Plastic Surgery, 53(1), 50–5.
- Referans14Movahhed, T., Makarem, A., Imanimoghaddam, M., Anbiaee, N., Sarrafshirazi, A.R. & Shakeri, M.T. (2011). Locating the mandibular foramen relative to the occlusal plane using panoramic radiography. Journal of Applied Sciences, 11,573–78. doi: 10.3923/jas.2011.573.578
- Referans15Oguz, O. & Bozkır, M.G.(2002). Evaluation of location of mandibular and mental foramina in dry, young, adult human male, dentulous mandibles. West Indian Medical Journal, 51, 14-16.
- Referans16Ono, E., Filho, M.E., Moraes, L.C., Castilho, J.C.M. & Moraes, M.E.L. (2005). Anteroposterior location of the mandibular foramen of 7 to 12 year-old children in panoramic radiographs. Ciência Odontológica Brasileira, 8(2), 6–12.
- Referans17Paryab, M. & Ahmadyar, M. (2015). Locating mandibular foramen in children with mandibular retrognathism in mixed dentition. Journal of Dental Research, Dental Clinics, Dental Prospects, 9(2), 66-71. doi: 10.15171/joddd.2015.014.
- Referans18Sağlam, A. (2005). Dental Anestezi. 1.Baskı. Berkay Ofset Ltd.Şti., Ankara.
- Referans19Sancak, B. & Cumhur, M.(2002). Fonksiyonel Anatomi (Baş Boyun ve İç Organlar). 2. Baskı. ODTÜ Yayıncılık, Ankara.
- Referans20Sekerci, A.E., Cantekin, K. & Aydinbelge, M.(2013). Cone beam computed tomographic analysis of the shape, height, and location of the mandibular lingula in a population of children. BioMed Research International, 2013, 825453. doi: 10.1155/2013/825453.
- Referans21Tsai, H.H.(2004). Panoramic radiographic findings of the mandibular foramen from deciduous to early permanent dentition. Journal of Clinical Pediatric Dentistry,28(3),215–9.
- Referans22Tyndall, D.A., Renner, J.B., Phillips, C. & Matteson, S.R. (1992). Positional changes of the mandibular condyle assessed by three-dimensional computed tomography. Journal of Oral and Maxillofacial Surgery, 50(11):1164-72.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Orjinal Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2019 |
| Gönderilme Tarihi | 20 Ekim 2018 |
| Kabul Tarihi | 28 Şubat 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 4 Sayı: 3 |
Sağlık Akademisi Kastamonu, 2017 yılından itibaren UAK doçentlik kriterlerine göre 1-b dergiler (SCI, SSCI, SCI-expanded, ESCI dışındaki uluslararası indekslerde taranan dergiler) sınıfında yer almaktadır. SAĞLIK AKADEMİSİ KASTAMONU Dergi kapağı Türk Patent Enstitüsü tarafından tescil edilmiştir.