DOI QR코드

DOI QR Code

Cross-sectional study of the mandibular body in patients with facial asymmetry

안면 비대칭환자의 하악골체부의 시상 단면에 관한 연구

  • Lee, Jae-Yeo (Depatment of Oral and Maxillofacial Surgery, Pusan National University) ;
  • Kim, Yong-Il (Depatment of Orthodontics, School of Dentistry, Pusan National University) ;
  • Hwang, Dae-Seok (Depatment of Oral and Maxillofacial Surgery, Pusan National University) ;
  • Kim, Yong-Deok (Depatment of Oral and Maxillofacial Surgery, Pusan National University) ;
  • Shin, Sang-Hun (Depatment of Oral and Maxillofacial Surgery, Pusan National University) ;
  • Kim, Uk-Kyu (Depatment of Oral and Maxillofacial Surgery, Pusan National University) ;
  • Chung, In-Kyo (Depatment of Oral and Maxillofacial Surgery, Pusan National University)
  • 이재열 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용일 (부산대학교 치의학전문대학원 교정학교실) ;
  • 황대석 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김욱규 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.11.24
  • Accepted : 2011.04.05
  • Published : 2011.04.29

Abstract

Introduction: To correct the facial asymmetry by mandibular jaw surgery, it is important to know the anatomy of the mandible including the mandibular canal positioning of patients with facial asymmetry. This study was performed to evaluate the differences in the cross-sectional surface in the body of the mandible between the deviated side and opposite side in patients with facial asymmetry. Materials and Methods: The study was conducted on 37 adult patients composed of 2 groups, the asymmetry group (n=20) and non-asymmetry group (n=17). Using the cross-sectional computed tomography (CT) images, the distance from the buccal aspect of the mandibular canal to the outer aspect of the buccal cortex, distance from the buccal aspect of the mandibular canal to the inner aspect of the buccal cortex, distance from the inferior aspect of the mandibular canal to the inferior border of the mandible, thickness of the mandible, and cross-sectional surface area of the mandible were measured in each side of the mandible Results: The cross-sectional area of the mandible including the mandibular canal positioning in the deviated side was not statistically different from the opposite side in the asymmetry group. Only the distance from the inferior aspect of the mandibular canal to the inferior border of the mandible in the ramus area of the deviated side was significantly longer than opposite side. On the other hand, the bucco-lingual width of the asymmetry group was thinner than the non-asymmetry group. Conclusion: The cross-sectional area including the mandibular canal of the mandible did not appear to be modified by the facial asymmetry.

Keywords

References

  1. Kronmiller JE. Development of asymmetries. Semin Orthod 1998;4:134-7. https://doi.org/10.1016/S1073-8746(98)80014-5
  2. Burstone CJ. Diagnosis and treatment planning of patients with asymmetries. Semin Orthod 1998;4:153-64. https://doi.org/10.1016/S1073-8746(98)80017-0
  3. Maeda M, Katsumata A, Ariji Y, Muramatsu A, Yoshida K, Goto S, et al. 3D-CT evaluation of facial asymmetry in patients with maxillofacial deformities. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:382-90. https://doi.org/10.1016/j.tripleo.2005.10.057
  4. Baek SH, Cho IS, Chang YI, Kim MJ. Skeletodental factors affecting chin point deviation in female patients with class III malocclusion and facial asymmetry: a three-dimensional analysis using computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:628-39. https://doi.org/10.1016/j.tripleo.2007.03.002
  5. Sakurai A, Hirabayashi S, Sugawara Y, Harii K. Skeletal analysis of craniofacial asymmetries in plagiocephaly (unilateral coronal synostosis). Scand J Plast Reconstr Surg Hand Surg 1998;32:81-9. https://doi.org/10.1080/02844319850158967
  6. St John D, Mulliken JB, Kaban LB, Padwa BL. Anthropometric analysis of mandibular asymmetry in infants with deformational posterior plagiocephaly. J Oral Maxillofac Surg 2002;60:873-7. Erratum in: J Oral Maxillofac Surg 2005;63:419. https://doi.org/10.1053/joms.2002.33855
  7. Haraguchi S, Takada K, Yasuda Y. Facial asymmetry in subjects with skeletal Class III deformity. Angle Orthod 2002;72:28-35.
  8. Fong JH, Wu HT, Huang MC, Chou YW, Chi LY, Fong Y, et al. Analysis of facial skeletal characteristics in patients with chin deviation. J Chin Med Assoc 2010;73:29-34. https://doi.org/10.1016/S1726-4901(10)70018-6
  9. Severt TR, Proffit WR. The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. Int J Adult Orthodon Orthognath Surg 1997;12:171-6.
  10. Tani M, Iketani M, Watanabe M, Suda S, Fujimura N, Miyazawa M, et al. Posterior-anterior cephalometric analysis in patients with dentofacial deformities. J Jpn Stomatol Soc 1989;35:1749-59.
  11. Pirttiniemi PM. Associations of mandibular and facial asymmetries- a review. Am J Orthod Dentofacial Orthop 1994;106:191-200. https://doi.org/10.1016/S0889-5406(94)70038-9
  12. Obwegeser HL, Makek MS. Hemimandibular hyperplasia-hemimandibular elongation. J Maxillofac Surg 1986;14:183-208. https://doi.org/10.1016/S0301-0503(86)80290-9
  13. Poikela A, Kantomaa T, Pirttiniemi P. Craniofacial growth after a period of unilateral masticatory function in young rabbits. Eur J Oral Sci 1997;105:331-7. https://doi.org/10.1111/j.1600-0722.1997.tb00249.x
  14. Persing J, James H, Swanson J, Kattwinkel J; American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Prevention and management of positional skull deformities in infants. Pediatrics 2003;112:199-202. https://doi.org/10.1542/peds.112.1.199
  15. Choi J, Min S, Oh SH, Kwon KH, Choi MK, Lee J, et al. Skeletal pattern analysis of facial asymmetry patient using three dimensional computed tomography. J Korean Assoc Oral Maxillofac Surg 2008;34:622-7.
  16. Westermark A, Bystedt H, von Konow L. Inferior alveolar nerve function after mandibular osteotomies. Br J Oral Maxillofac Surg 1998;36:425-8. https://doi.org/10.1016/S0266-4356(98)90457-0
  17. Yoshida T, Nagamine T, Kobayashi T, Michimi N, Nakajima T, Sasakura H, et al. Impairment of the inferior alveolar nerve after sagittal split osteotomy. J Craniomaxillofac Surg 1989;17:271-7. https://doi.org/10.1016/S1010-5182(89)80095-2
  18. Yamamoto R, Nakamura A, Ohno K, Michi KI. Relationship of the mandibular canal to the lateral cortex of the mandibular ramus as a factor in the development of neurosensory disturbance after bilateral sagittal split osteotomy. J Oral Maxillofac Surg 2002;60:490-5. https://doi.org/10.1053/joms.2002.31843
  19. Yoshioka I, Tanaka T, Khanal A, Habu M, Kito S, Kodama M, et al. Relationship between inferior alveolar nerve canal position at mandibular second molar in patients with prognathism and possible occurrence of neurosensory disturbance after sagittal split ramus osteotomy. J Oral Maxillofac Surg 2010;68:3022-7. https://doi.org/10.1016/j.joms.2009.09.046
  20. Hallikainen D, Iizuka T, Lindqvist C. Cross-sectional tomography in evaluation of patients undergoing sagittal split osteotomy. J Oral Maxillofac Surg 1992;50:1269-73. https://doi.org/10.1016/0278-2391(92)90225-O
  21. Jung YH, Nah KS, Cho BH. The location of the mandibular canal in prognathic patients compared to subjects with normal occlusion. Korean J Oral Maxillofac Radiol 2007;37:217-20.

Cited by

  1. Three-dimensional assessment of the anterior and inferior loop of the inferior alveolar nerve using computed tomography images in patients with and without mandibular asymmetry vol.21, pp.1, 2011, https://doi.org/10.1186/s12903-021-01424-3