颞下颌关节周边骨性结构的测量

›› 2017, Vol. 8 ›› Issue (3): 159-162.

颞下颌关节周边骨性结构的测量

刘可可¹,张雯雯²,刘璐瑶²,任靓明²,周乐²,郭晓冬²,于维先³,李波¹

1. 吉林大学基础医学院人体解剖学系
2. 吉林大学口腔医学院实验教学中心
3. 吉林大学口腔医院

收稿日期:2017-06-27 修回日期:2017-08-28 出版日期:2017-09-25 发布日期:2017-10-24
通讯作者: 李波 E-mail:lbo@jlu.edu.cn
基金资助:
吉林省科学技术厅国际科技合作项目;吉林省教育厅“十三五”科学技术研究规划项目;吉林省卫生计生委青年科技骨干培养计划项目

Measurement of bony structures around temporomandibular joint

Received:2017-06-27 Revised:2017-08-28 Online:2017-09-25 Published:2017-10-24

摘要/Abstract

摘要： 目的：探讨颞下颌关节与周围重要结构的毗邻关系，为避免在颞下颌关节手术中损伤周围重要结构提供数据支持。方法：选取颞下颌关节完整的颅骨标本43副，用游标卡尺和量角器测量颞下颌关节与其周围重要骨性标志的距离与角度。结果：鼓鳞裂最外侧到棘孔、卵圆孔、茎乳孔的最短距离分别是(22.69±2.02) mm、(27.23±2.07) mm、(17.67±1.76) mm，岩鳞裂最内侧到棘孔、卵圆孔、茎乳孔的最短距离分别是(6.55±1.56) mm、(11.64±1.73) mm、(17.53±1.75) mm，蝶棘根部到卵圆孔、茎乳孔的最短距离分别是(9.53±1.39) mm、(20.08±2.14) mm，关节结节最低点到棘孔、卵圆孔、茎乳孔的最短距离分别是(27.33±2.14) mm、(30.33±2.29) mm、(32.23±1.78) mm，关节结节最低点、棘孔、茎乳孔形成的三角形的三个夹角分别是(73.72±7.24)o、(55.58±6.49)o、(50.70±7.56)o，关节结节最低点、卵圆孔、茎乳孔形成的三角形的三个夹角分别是(62.41±6.88)o、(61.19±5.61)o、(56.40±7.60)o。结论：颞下颌关节周边的解剖位置测量数据可以为颞下颌关节手术提供参考标准，减少或避免手术并发症。

Abstract: Objective：To explore the anatomical relationship between the temporomandibular joint and its surrounding structures, and provide theoretical basis for avoiding the damage of important structure surrounding the temporomandibular joint. Methods：A total of 43 skull specimens of the temporomandibular joint were selected and the distance and angle between the temporomandibular joint and the important bone markers were measured with a vernier caliper and protractor. Results：The shortest distance from the squamotympanic fissure to the foramen Spinosum, foramen ovale, stylomastoid foramen was (22.69±2.02) mm, (27.23±2.07) mm, (17.67±1.76) mm. The shortest distance from the petrosquamous fissure to the foramen Spinosum, foramen ovale, stylomastoid foramen was(6.55±1.56) mm, (11.64±1.73) mm, (17.53±1.75) mm. The shortest distance from the sphenoidal crest to the foramen ovale, stylomastoid foramen was (9.53±1.39) mm, (20.08±2.14) mm. The shortest distance from the articular tubercle to the foramen Spinosum, foramen ovale, stylomastoid foramen was (27.33±2.14) mm,(30.33±2.29) mm,and(32.23±1.78) mm. The three angles of the triangle of articular tubercle, foramen Spinosum, stylomastoid foramen was (73.72±7.24)o, (55.58±6.49)o, (50.70±7.56)o. The three angles of the triangle of articular tubercle, foramen ovale, stylomastoid foramen was (62.41±6.88)o, (61.19±5.61)o, (56.40±7.60)o. Conclusions：Anatomical location measurements of the temporomandibular joint can provide a reference for temporomandibular joint surgery, thus reducing or avoiding some complications after surgery.

刘可可张雯雯刘璐瑶任靓明周乐郭晓冬于维先李波. 颞下颌关节周边骨性结构的测量[J]. , 2017, 8(3): 159-162.

参考文献

[1]da Cunha DV, Degan VV, Vedovello Filho M, et al.Real-time three-dimensional jaw tracking in temporomandibular disorders [J]. J Oral Rehabil, 2017.
[2]龙星.颞下颌关节疾病的外科治疗 [J]. 口腔颌面外科杂志, 2013, (02):79-84.
[3]马绪臣, 张震康.颞下颌关节紊乱病的命名、诊断分类及治疗原则 [J]. 中华口腔医学杂志, 2002, (04):4-6.
[4]Elmadawy A, Hegab A, Alahmady H, et al.Clinical and electromyographic assessment of facial nerve function after temporomandibular joint surgery[J].Int J Oral Maxillofac Surg, 2015, 44(10):1275-1280
[5]Baur DA, Beushausen M, Leech B, et al.Anatomic study of the distance between the articular eminence and foramen spinosum and foramen spinosum and petrotympanic fissure[J].J Oral Maxillofac Surg, 2014, 72(6):1125-1129
[6]Rodella LF, Buffoli B, Labanca M, et al.A review of the mandibular and maxillary nerve supplies and their clinical relevance[J].Arch Oral Biol, 2012, 57(4):323-334
[7]Kim NH, Shin SH.Facial nerve palsy associated with a cystic lesion of the temporal bone[J].Ear Nose Throat J, 2014, 93(3):104-106
[8]de Andrade AF, Figueiredo EG, Caldas JG, et al.Intracranial vascular lesions associated with small epidural hematomas[J].Neurosurgery, 2008, 62(2):416-420
[9]Anagnostopoulou S, Venieratos D, Antonopoulou M.Temporomandibular joint and correlated fissures: anatomical and clinical consideration[J].Cranio, 2008, 26(2):88-95
[10]么学东, 范松青, 安高, et al.颞下颌关节骨性结构的测量与分析 [J]. 实用口腔医学杂志, 2011, (06):801-804.
[11]白果, 何冬梅, 杨驰, et al.颞下颌关节骨性三维测量标准的建立及在骨关节病中的应用 [J]. 中国口腔颌面外科杂志, 2016, (01):14-18.
[12]Al-koshab M, Nambiar P, John J.Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians[J].PLoS One, 2015, 10(3):e0121682-
[13]Khairnar KB, Bhusari PA.An anatomical study on the foramen ovale and the foramen spinosum[J].Journal of clinical and diagnostic research : JCDR, 2013, 7(3):427-429
[14]Al-Saleh MA, Punithakumar K, Lagravere M, et al.Three-Dimensional Assessment of Temporomandibular Joint Using MRI-CBCT Image Registration[J].PLoS One, 2017, 12(1):e0169555-
[15]Kim SM, Lee HY, Kim HK, et al.Cochlear line: a novel landmark for hearing preservation using the anterior petrosal approach[J].J Neurosurg, 2015, 123(1):9-13
[16]Unver Dogan N, Fazliogullari Z, Uysal II, et al.Anatomical Examination of the Foramens of the Middle Cranial Fossa[J].International Journal of Morphology, 2014, 32(1):43-48
[17]孙永强.咽旁颞下区显微解剖学研究[D]. 郑州:郑州大学, 2004.
[18]Jiang Y, Chen Y, Yao J, et al.Anatomic Assessment of Petrous Internal Carotid Artery,Facial Nerve,and Cochlea Through the Anterior Transpetrosal Approach[J].J Craniofac Surg, 2015, 26(7):2180-2183
[19]Sa SC, Melo SL, Melo DP, et al.Relationship between articular eminence inclination and alterations of the mandibular condyle: a CBCT study [J]. Braz Oral Res, 2017, 31:e25.
[20]Panneerselvam E, Prasad PJ, Balasubramaniam S, et al.The Influence of the Mandibular Gonial Angle on the Incidence of Mandibular Angle Fracture-A Radiomorphometric Study[J].J Oral Maxillofac Surg, 2017, 75(1):153-159