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Retrospective cone beam computerized tomography study of the infraorbital foramen in relation to the maxillary sinus.

机译:回顾性锥形束计算机断层扫描研究与上颌窦相关的眶下孔。

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Objectives: As cone beam computerized tomography is used more widely for initial data collection and treatment planning, more valuable anatomic information is at the disposal of clinicians. The scans provide a very accurate display of the patient's anatomy and these beneficial findings can be used to prevent surgical complications as well as advancing anatomical knowledge. This study aims to expand the current knowledge on the location of the infraorbital nerve in relation to the maxillary sinus in a group of patients who had CBCT scans taken for diagnosis and treatment planning. The study also aims to determine if age, gender or ethnicity have a relationship with the location of the nerve in relation to the sinus.;Materials and Methods: 821 CBCT scans were take at Temple University Kornberg School of Dentistry Department of Oral and Maxillofacial Radiology from January 1, 2009 to July 31, 2013. These scans were evaluated using i-CAT computer imaging software. Patients under 18, patients without posterior or maxillary dentitions and patients who's scans did not include the infraorbital nerve were excluded from the study. A total of four hundred three (403) CBCT scans were included in the study. Patients with visible infraorbital nerves were selected and location, age, gender and ethnicity were recorded. Individual scans had infraorbital nerves identified and examined for relationship superior to a specific tooth, and distance above the floor of the sinus.;Results: After reviewing 680 scans, only 403 were included in the study due to exclusions. Scans were subdivided into age, gender, ethnicity and location of the nerve in relation to tooth position. The total average distance from the infraorbital foramen to the floor of the maxillary sinus was 23.94 mm on the right side and 22.84 mm on the left side. The average distance of males was 25.3 mm on the right and 24.27 mm on the left. The females' average distance was 22.77 mm on the right and 21.62 mm on the left. The distance increased as the patients aged. The most common maxillary tooth inferior to the foramen was second premolar 46.65% of time, followed by the first molar 41.69% of the time. The difference between genders, right and left sides, and age groups all showed statistical significance. The differences between the ethnicities were not statistically significant.;Conclusion: Based on the data collected and analyzed in the present study, the infraorbital foramen appeared to be located above the second premolar or first molar 88% of the time. The distance of the foramen from the floor of the sinus was larger in men than women. The right and left side can be different, and the distance tends to increase with the age of the patient. This information can be applied to better achieve local anesthetic delivery success, and avoid complications and nerve damage when performing procedures.
机译:目标:随着锥束计算机断层扫描技术被广泛用于初始数据收集和治疗计划,更多有价值的解剖学信息可供临床医生使用。扫描结果非常准确地显示了患者的解剖结构,这些有益的发现可用于预防手术并发症以及增进解剖学知识。这项研究的目的是在接受CBCT扫描以进行诊断和治疗计划的一组患者中,扩大有关眶下神经相对于上颌窦位置的现有知识。该研究还旨在确定年龄,性别或种族是否与与窦有关的神经位置有关。;材料与方法:坦普尔大学肯伯格牙科学院进行了821次CBCT扫描,口腔颌面放射科从2009年1月1日至2013年7月31日。使用i-CAT计算机成像软件评估了这些扫描。未纳入18岁以下患者,无后牙或上颌牙列的患者以及扫描不包括眶下神经的患者。该研究共进行了四百三十三(403)次CBCT扫描。选择可见眶下神经的患者,并记录其位置,年龄,性别和种族。单独扫描发现眶下神经并检查其与特定牙齿的关系以及距窦底的距离。结果:在审查了680次扫描后,由于排除而仅纳入研究403次。扫描分为年龄,性别,种族和与牙齿位置相关的神经位置。从眶下孔到上颌窦底部的总平均距离在右侧是23.94 mm,在左侧是22.84 mm。男性的平均距离在右侧为25.3毫米,在左侧为24.27毫米。雌性的平均距离在右侧为22.77 mm,在左侧为21.62 mm。距离随着患者年龄的增长而增加。次于前孔的最常见上颌牙是第二前磨牙的时间为46.65%,其次是第一磨牙的时间为41.69%。性别,左右,年龄组之间的差异均具有统计学意义。结论:根据本研究收集和分析的数据,眼眶下孔似乎有88%的时间位于第二前磨牙或第一磨牙上方。男人的孔距窦底的距离比女人的大。右侧和左侧可以不同,并且距离会随着患者年龄的增长而增加。该信息可用于更好地实现局麻药的成功递送,并在执行手术时避免并发症和神经损伤。

著录项

  • 作者

    Langan, Thomas A.;

  • 作者单位

    Temple University.;

  • 授予单位 Temple University.;
  • 学科 Dentistry.
  • 学位 M.S.
  • 年度 2016
  • 页码 52 p.
  • 总页数 52
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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