scholarly journals Assessment of the anterior and caudal extent of inferior alveolar nerve canal, location of inferior alveolar canal and mental foramen, and the depth of submandibular fossa using computed tomography

2021 ◽  
Vol 12 (3) ◽  
pp. 380
Author(s):  
Tahir Ahmad ◽  
Deepak Kumar ◽  
Ramandeep Brar ◽  
Chintan Narad ◽  
S.P. S. Sodhi ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jae-Young Kim ◽  
Michael D. Han ◽  
Kug Jin Jeon ◽  
Jong-Ki Huh ◽  
Kwang-Ho Park

Abstract Background The purpose of this study was to investigate the differences in configuration and dimensions of the anterior loop of the inferior alveolar nerve (ALIAN) in patients with and without mandibular asymmetry. Method Preoperative computed tomography images of patients who had undergone orthognathic surgery from January 2016 to December 2018 at a single institution were analyzed. Subjects were classified into two groups as “Asymmetry group” and “Symmetry group”. The distance from the most anterior and most inferior points of the ALIAN (IANant and IANinf) to the vertical and horizontal reference planes were measured (dAnt and dInf). The distance from IANant and IANinf to the mental foramen were also calculated (dAnt_MF and dInf_MF). The length of the mandibular body and symphysis area were measured. All measurements were analyzed using 3D analysis software. Results There were 57 total eligible subjects. In the Asymmetry group, dAnt and dAnt_MF on the non-deviated side were significantly longer than the deviated side (p < 0.001). dInf_MF on the non-deviated side was also significantly longer than the deviated side (p = 0.001). Mandibular body length was significantly longer on the non-deviated side (p < 0.001). There was no significant difference in length in the symphysis area (p = 0.623). In the Symmetry group, there was no difference between the left and right sides for all variables. Conclusion In asymmetric patients, there is a difference tendency in the ALIAN between the deviated and non-deviated sides. In patients with mandibular asymmetry, this should be considered during surgery in the anterior mandible.


2019 ◽  
pp. 1-2
Author(s):  
Hicham Sabani

Lipomas are the most commonly occurring soft tissue tumors, being intraosseous involvement very rare, and the jaw is its most uncommon bone location. Thus intraosseous mandibular lipomas constitute a real diagnostic challenge due to the unspecic clinical and radiographic features, therefore, only 28 cases have been reported in the literature. Herein we report an extremely rare case of an intraosseous mandibular lipoma that initially developed in Inferior alveolar nerve canal, characterize with dental cone beam computed tomography, and conrmed with histopathologic analysis after surgery. To the best of our knowledge, our case is one of the rst cases of intraosseous mandibular lipomas involving the inferior alveolar nerve canal never been previously reported. Their rarity reinforces the need to document each and every case.


2016 ◽  
Vol 8 (1) ◽  
pp. 18-28
Author(s):  
Andrés C Limardo ◽  
Belén De Fazio ◽  
Francisco Lezcano ◽  
Rodrigo Vallejo ◽  
Nicolás Abud ◽  
...  

Introducción: Las lesiones iatrogénicas del nervio dentario inferior son complicaciones documentadas de diversos procedimientos quirúrgicos en la mandíbula. Debido a ello se justifica una descripción más detallada con referencias morfométricas de dicho conducto, como así también una correlación con imágenes. Materiales y métodos: Se realizó un estudio descriptivo observacional con una muestra de 44 hemimandíbulas secas y 100 tomografías computadas de mandíbulas de pacientes al azar. Se realizaron mediciones del foramen mandibular y mentoniano con respecto a bordes mandibulares. Se hicieron cortes en la rama y el cuerpo con sus respectivas mediciones. Se utilizaron Tomografías Computadas Cone Beam 3D de 100 pacientes las cuales fueron procesadas por el programa Compudent Navigator 3D®. Utilizando este programa se pudieron realizar las mismas mediciones que en los preparados anatómicos, como así también la reconstrucción del conducto. En una segunda etapa se realizó una correlación entre los valores morfométricos del estudio anatómico y se comparó con los estudios por imágenes (TC con reconstrucción 3D Dental Scan). Resultados: Se expresaron en tablas con diversas variables. Discusión: Los textos clásicos de anatomía y los libros de cirugía de la especialidad describen en detalle el recorrido y las relaciones del CAI, y presentan datos morfométricos pero no lo hacen en poblaciones locales. Como conclusión podemos afirmar que, tomando como punto de partida la anatomía y correlacionándola con la imagenologia, podemos llegar a evitar lesiones del nervio alveolar inferior en el transcurso de diversos procedimientos realizados en la mandíbula. Introduction: Iatrogenic inferior alveolar nerve injuries are documented complications of different surgical procedures in the jaw. It should justify a more detailed description with morphometric references of the duct and a correlation with images. Materials and method: A descriptive observational study with a sample of 44 dry hemijaws and 100 CT scans of patients. Measur-ements of the mandibular foramen and mental foramen with respect to jaw edges were made. Cuts in the branch and body were made with their respective measurements. Cone Beam Computed Tomography 3D (CBCT 3D) of 100 patients were processed by the Compudent Navigator 3D® program. The use of this program permited the same measurements done in the cadaveric jaws and the reconstruction of the duct. In a second stage we performed a correlation between the anatomic morphometric values compared with imaging studies (CT Dental Scan with 3D reconstruction) Results: They were shown in tables with different variables. Discussion: The classic texts of Anatomy and surgery books describe in detail the pathway and relations of the duct, and present morphometric data but not in local population. We may conclude that it is possible to avoid injuries of the inferior alveolar nerve during jaw surgery by considering the anatomy and its correlation with images.


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