ArticleSurgical and radiologic anatomy : SRA2021
CBCT study on the positional relationship between marginal points of pterygomaxillary junction and anterior nasal spine.
Article in Surgical and radiologic anatomy : SRA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Comprehensive analysis of lateral nasal wall anatomy to optimize the osteotomy in different skeletal patterns.Surgical and radiologic anatomy : SRA · 2024Article
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5 authors.
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Abstract
purposeThis study aimed to locate the inferior end (Pti) and the superior end (Pts) of pterygomaxillary junction (PMJ) relative to anterior nasal spine (ANS) so as to provide references for pterygomaxillary separation.
methodsThe study was based on CBCT images of 109 Chinese patients. We projected Pti and Pts to the frontal plane and measured the distance as well as the positional relationship between the projection points and ANS via three-dimensional reconstruction image.
resultsOn average, the ANS was 5.18 mm above the Pti and the horizontal distance between the Pti and ANS was 21.86 mm. The horizontal and vertical distances between Pts and ANS was 20.41 mm and 10.91 mm, respectively. The vertical height of PMJ was 16.09 mm. Scatter plots diagrammatic centered on ANS showed that 73% (160/218) Pti and 64% (140/218) Pts appeared in a 45° fan shape ranged from 20 to 25 mm radius in bilateral inferior and superior quadrant, respectively. There was no significant difference in the distance between both sides (P > 0.05).
conclusionDuring the pterygomaxillary disjunction, it exists a risk of injuring neurovascular bundle of the pterygopalatine fossa 16.09 mm above the lowest border of the pterygomaxillary junction. The region within a 45° fan shape ranged in 20-25 mm radius in inferior quadrant centered on ANS might be suitable for the osteotome position. The positional relationship especially between the ANS and Pti found in this study provides a reference for surgeons during pterygomaxillary disjunction.
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