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Radiographic study of the distribution of maxillary intraosseous vascular canal in Koreans

机译:韩国人上颌骨内血管分布的影像学研究

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Background This study aimed to investigate the distribution and prevalence of intraosseous loop (anastomosis between posterior superior alveolar artery and infraorbital artery) in Koreans detected on computed tomography (CT) images taken prior to sinus augmentation surgery. Methods From the 177 patients who underwent sinus augmentation with lateral approach at Ewha Womans University Department of Implant Dentistry, 284 CT scans were evaluated. The canal height (CH), ridge height (RH), and canal height from the sinus floor (CHS) were measured on para-axial views at the first premolar, first molar, and second molar. The horizontal positions of the bony canals in the lateral wall were also classified. One-way analysis of variance (ANOVA) and t test were used to estimate the statistical differences ( p Results The intraosseous loops were detected in 92 CT scans (32?%). The mean vertical height of the bony canals from the alveolar crest (CH) was 23.45?±?2.81, 15.92?±?2.65, and 16.61?±?2.92?mm at the second premolar, first molar, and second molar, respectively. In the horizontal positions of the bony canals, intraosseous type was the most predominant. The canal heights more than 15?mm and less than 17?mm were most prevalent (33.7?%) and those under 13?mm were 12.0?%. Conclusions The radiographic findings in this study could be used to decide the lateral osteotomy line avoiding potential vascular complication. However, only one third of the canals could be detected in CT scans; a precaution should be taken for the possibility of severe bleeding during lateral osteotomy.
机译:背景技术本研究旨在调查在鼻窦增高手术之前拍摄的计算机断层扫描(CT)图像中检测到的韩国人的骨内环(后牙槽上动脉与眶下动脉之间的吻合)的分布和患病率。方法在梨花女子大学种植牙学系的177例行鼻窦窦侧入路扩大术的患者中,进行了284次CT扫描。在第一前磨牙,第一磨牙和第二磨牙的副轴视图上测量了根管高度(CH),脊高(RH)和距窦底的根管高度(CHS)。还对侧壁中骨管的水平位置进行了分类。采用单向方差分析(ANOVA)和t检验估计统计学差异(p结果92例CT扫描中检测到了骨内loop(32%)。从牙槽c到骨管的平均垂直高度( CH)在第二磨牙,第一磨牙和第二磨牙处分别为23.45?±?2.81、15.92?±?2.65和16.61?±?2.92?mm,在骨管的水平位置,骨内类型为根管高度大于15?mm和小于17?mm最为普遍(33.7%),小于13?mm的高度为12.0%。切骨术避免了潜在的血管并发症,但是,在CT扫描中仅能检测到三分之一的根管;应采取预防措施,以防止在侧面切骨术中发生严重出血的可能性。

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