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Location, shape and anatomic relations of the mandibular foramen and the mandibular lingula: a contribution to surgical procedures in the ramus of the mandible

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Abstract

Purpose

The purpose of this study was to obtain morphological parameters of the mandibular foramen (MF) and the mandibular lingula (ML) as well as to use biometric data to locate these structures in the medial aspect of the mandibular ramus and to measure the angle that the inferior alveolar sulcus makes with the posterior margin of the ramus.

Methods

The sample was composed of 30 dry human mandibles. The quantitative variables were the distances between the MF and the ML, as well as the distances between these structures and the margins of the mandibular ramus. The angle between the inferior alveolar sulcus and the posterior margin was also measured. The qualitative variables were the shape of the MF and the ML. All variables were analyzed using statistical softwares and the admitted level of statistical significance was 5 %.

Results

The statistical analysis indicated a bilateral central positioning of the MF and the ML in relation to the medial surface of the mandibular ramus, however, with a more superior and posterior positioning when the relatives values—which also indicated an oval morphology of the MF and trapezoidal shape of the ML—were considered. The inferior alveolar sulcus was in an acute angle with the posterior margin of the ramus with a larger opening in the left side of the mandible—but equals, however, considering the margins of error.

Conclusions

With the data presented in this study, the surgeon will obtain quantitative and qualitative parameters that can be added to the surgical literature available, facilitating the identification and preservation of the anatomic structures in check, reducing, thus, the risk of iatrogenic injuries.

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References

  1. Tom WK, Martone CH, Mintz SM (1997) A study of mandibular ramus anatomy and its significance to sagittal split osteotomy. Int J Oral Maxillofac Surg 26:176–178

    Article  CAS  PubMed  Google Scholar 

  2. Smith BR, Rajchel JL, Waite DE, Read L (1991) Mandibular ramus anatomy as it relates to the medial osteotomy of the sagittal split ramus osteotomy. J Oral Maxillofac Surg 49:112–116

    Article  CAS  PubMed  Google Scholar 

  3. Murlimanju BV, Prabhu LV, Pai MM, Paul MT, Saralaya VV (2012) Morphological study of lingula of the mandibles in South Indian population. Morphologie 96:16–20

    Article  CAS  PubMed  Google Scholar 

  4. Goss CM (1988) Gray’s anatomy. Guanabara Koogan, Rio de Janeiro

    Google Scholar 

  5. Rouvière H, Delmas A (2006) Functional, topographic and descriptive human anatomy. Volume 1: Head and Neck. Barcelona, Elsevier

  6. Testut L, Latarjet A (1957) Compendium of human anatomy. Volume 1: Osteology, Artrology and Miology. Barcelona, Salvat

  7. Khoury JN, Mihailidis S, Ghabriel M, Townsend G (2011) Applied anatomy of the pterygomandibular space: improving the success of inferior alveolar nerve blocks. Aust Dent J 56:112–121

    Article  CAS  PubMed  Google Scholar 

  8. Turvey TA (1985) Intraoperative complications of sagittal osteotomy of the mandibular ramus: incidence and management. J Oral Maxillofac Surg 43:504–509

    Article  CAS  PubMed  Google Scholar 

  9. 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

    Article  PubMed  Google Scholar 

  10. Monazzi MS, Passeri MA, Gabrielli MFR, Bolini PDA, Hochuli-Vieira E, Ferreira Rocha J (2011) Anatomic location study of the mandibular foramen and lingula in dry mandibles. Revista Brasileira de Cirurgia Buco-Maxilo-Facial 11:15–22

    Google Scholar 

  11. Trauner R, Obwegeser H (1957) The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Part 1: surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol 10:677–689

    Article  CAS  PubMed  Google Scholar 

  12. Trauner R, Obwegeser H (1957) The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. Part 2: operating methods for microgenia and distoclusion. Oral Surg Oral Med Oral Pathol 10:787–792

    Article  CAS  PubMed  Google Scholar 

  13. Gonçalves PZ, Pastori CM, Marzola C, Toledo Filho JL, Zorzetto DLG, Toledo GL, Capelari MM (2013) Literature review about the sagittal osteotomy of the mandibular ramus. Rev Odontologia 13:874–888

    Google Scholar 

  14. Jansisyanont P, Apinhasmit W, Chompoopong S (2009) Shape, height, and location of the lingula for sagittal ramus osteotomy in Thais. Clin Anat 22:787–793

    Article  CAS  PubMed  Google Scholar 

  15. Barker BCW, Davies PL (1972) The applied anatomy of the pterygomandibular space. British Journal of Oral Surgery 10:43–55

    Article  CAS  PubMed  Google Scholar 

  16. Muto T, Shigeo K, Yamamoto K, Kawakami J (2003) Computed tomography morphology of the mandibular ramus in prognathism: effect on the medial osteotomy of the sagittal split ramus osteotomy. J Oral Maxillofac Surg 61:89–93

    Article  PubMed  Google Scholar 

  17. Chenna D, Hosapatna M, D’Souza AS, Gadicherla S, Pentapati KC (2015) Lingula and antilingula as anatomic references points for ramus osteotomies. International Journal of Dental Sciences and Research 3:1–3

    Article  Google Scholar 

  18. Jerolimov V, Kobler P, Keros J, Stanicic T, Bagic I (1998) Assessment of position of foramen mandibulae in recent adult population. Coll Antropol 22:169–177

    CAS  PubMed  Google Scholar 

  19. 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

    Article  CAS  PubMed  Google Scholar 

  20. Faig-Leite H, Kohatsu LI, Morosolli ARC, Moraes LC, Balducci I (2004) Radiographic study of the localization of the antilingula in dry mandibles and its relation with the foramen of the mandible. Ciênc Odontol Bras 7:74–78

    Google Scholar 

  21. Hogan G, Ellis E (2006) The “antilingula”—fact or fiction? J Oral Maxillofac Surg 64:1248–1254

    Article  PubMed  Google Scholar 

  22. Lew K, Townsend G (2006) Failure to obtain adequate anaesthesia associated with a bifid mandibular canal: a case report. Aust Dent J 51:86–90

    Article  CAS  PubMed  Google Scholar 

  23. Ten Cate AR (1998) Oral histology. Mosby, St Louis

    Google Scholar 

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Acknowledgments

We acknowledge the assistance that was provided to us by Mr. Antônio Alves da Silva, lab technician of the Federal University of Alagoas. We also acknowledge the unconditional support and incentive by all members of the Research Group “Applied Morphology and Health” (CNPq). This research was exclusively funded by the authors.

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Authors and Affiliations

  1. Institute of Health and Biological Sciences, Federal University of Alagoas, Campus A.C. Simões – ICBS – UFAL. Av. Lourival Melo Mota, s/n Tabuleiro dos Martins, Maceió, AL, CEP 57072-900, Brazil

    F. J. C. Lima & O. B. Oliveira Neto

  2. Faculty of Medicine, Federal University of Alagoas, Campus A.C. Simões – FAMED – UFAL. Av. Lourival Melo Mota, s/n Tabuleiro dos Martins, Maceió, AL, CEP 57072-900, Brazil

    F. T. Barbosa

  3. Federal University of Alagoas, Campus A.C. Simões – ICBS – UFAL. Rua Jorge de Lima, 113, Trapiche da Barra, Maceió, AL, CEP 57010-300, Brazil

    C. F. Sousa-Rodrigues

Authors
  1. F. J. C. Lima
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  2. O. B. Oliveira Neto
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  3. F. T. Barbosa
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  4. C. F. Sousa-Rodrigues
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Correspondence to F. J. C. Lima.

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Lima, F.J.C., Oliveira Neto, O.B., Barbosa, F.T. et al. Location, shape and anatomic relations of the mandibular foramen and the mandibular lingula: a contribution to surgical procedures in the ramus of the mandible. Oral Maxillofac Surg 20, 177–182 (2016). https://doi.org/10.1007/s10006-016-0547-4

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  • DOI: https://doi.org/10.1007/s10006-016-0547-4

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