下颌角整形截骨线厚度的三维CT测量和临床意义.pdfVIP

下颌角整形截骨线厚度的三维CT测量及临床意义 山东大学第二医院美容烧伤整形中心(250033)王吉昌蔡景龙徐斌杨加峰 摘要：目的测量下颌角整形截骨线周围骨质的厚度，为手术提供解剖学依据。方法应用螺旋CT扫 描37例行下颌角整形术的青年女性的下颌骨，三维重建后测量设计的截骨线上位于双侧下颌升支后缘，下 颌升支中部、下颌第3磨牙后缘，2、3磨牙之间，l、2磨牙之间，第2前磨牙与第1磨牙之间垂直切面的 最厚，向前向后逐渐减小，升值区最小。结论本研究结果能指导下颌角截骨整形术中的器械干预深度， 减少手术的并发症。 Themandibularthicknessmeasurementrelativetothemandibular angleplasty 3-DCTanditsclinical by significance 咖帕口●■ To theanatomicaIbasisforthemandibular Abstract：Objectiveprovide angleplastyby themandibularthicknessrelativetothemandibular Iine．Methods37 measuring osteotomy youth the women werescanned CT．Aftermandibleswere patients’mandible byspiral thicknessofthemandibleon Iineweremeasuredonthe reconstructed。the osteotomy planes to of oftnemandibular the mandibukarmiddle correspondingposteriormargin ramus，thepart ramus，the lineofthethird Iinebetweenthesecondandthird jRebetweenthesecond posterior molar,the molar,the firstmolarandtheIinebetweenthefirstmolarandthesecond datawas and analyzed premolar．The by SPSS11．5．ResultsThethichestboneontheosteotomVIineliesunderthesecondandthird molar,then bonethicknessbecomethinnerforwardandbackward．丁hethinnestIiesonthemiddleof the bony part themandibularramus．ConclusionThedataofthis can the