The pterygomaxillary junction: An imaging study for surgical information of LeFort I osteotomy
Identifieur interne : 000030 ( Main/Exploration ); précédent : 000029; suivant : 000031The pterygomaxillary junction: An imaging study for surgical information of LeFort I osteotomy
Auteurs : Yen-Po Chin [Taïwan] ; Maria Belen Leno [Taïwan] ; Sarayuth Dumrongwongsiri [Taïwan] ; Kyung Hoon Chung [Taïwan] ; Hsiu-Hsia Lin [Taïwan] ; Lun-Jou Lo [Taïwan]Source :
- Scientific Reports [ 2045-2322 ] ; 2017.
Abstract
Maxillary osteotomy is a common surgical procedure and often involves separation of the pterygomaxillary junction (PMJ), which is a “blinded” procedure with inherent risks. Knowledge of the PMJ structure is essential. It remains unclear whether patients with different facial types have different PMJ structures, or different surgical outcome. This study evaluated the computed tomographic images of 283 consecutive patients who received orthognathic surgery. Patients were classified into Angle class I, II, III and cleft lip/palate groups. The results showed that the PMJ was 5.1 ± 1.4 mm in thickness, 9.7 ± 1.7 mm in width, and 102.0 ± 4.0 degrees relative to the sagittal plane in the level of posterior nasal spine. There were no statistically significant differences in these measurements among the groups. The class III group demonstrated significantly smaller angle relative to the maxillary occlusal plane. The cleft group showed significantly longer vertical distance between the posterior nasal spine and the lower border of PMJ, shorter distance between the second molar and PMJ, and longer distance between the descending palatine artery and PMJ. With regard to postoperative outcome, the cleft group showed higher incidence of pterygoid plate fracture. The results in this study provide additional surgical anatomic information.
Url:
DOI: 10.1038/s41598-017-10592-8
PubMed: 28855714
PubMed Central: 5577125
Affiliations:
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first="Yen-Po" last="Chin">Yen-Po Chin</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0425 5914</institution-id><institution-id institution-id-type="GRID">grid.260770.4</institution-id><institution>Department of Medicine, National Yang Ming University,</institution></institution-wrap>Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Taipei</wicri:regionArea></affiliation></author><author><name sortKey="Leno, Maria Belen" sort="Leno, Maria Belen" uniqKey="Leno M" first="Maria Belen" last="Leno">Maria Belen Leno</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung 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Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Plastic & Reconstructive Surgery, and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan</wicri:regionArea><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Scientific Reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">Maxillary osteotomy is a common surgical procedure and often involves separation of the pterygomaxillary junction (PMJ), which is a “blinded” procedure with inherent risks. Knowledge of the PMJ structure is essential. It remains unclear whether patients with different facial types have different PMJ structures, or different surgical outcome. This study evaluated the computed tomographic images of 283 consecutive patients who received orthognathic surgery. Patients were classified into Angle class I, II, III and cleft lip/palate groups. The results showed that the PMJ was 5.1 ± 1.4 mm in thickness, 9.7 ± 1.7 mm in width, and 102.0 ± 4.0 degrees relative to the sagittal plane in the level of posterior nasal spine. There were no statistically significant differences in these measurements among the groups. The class III group demonstrated significantly smaller angle relative to the maxillary occlusal plane. The cleft group showed significantly longer vertical distance between the posterior nasal spine and the lower border of PMJ, shorter distance between the second molar and PMJ, and longer distance between the descending palatine artery and PMJ. With regard to postoperative outcome, the cleft group showed higher incidence of pterygoid plate fracture. The results in this study provide additional surgical anatomic information.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Williams, Wg" uniqKey="Williams W">WG Williams</name></author><author><name sortKey="Lo, Lj" uniqKey="Lo L">LJ Lo</name></author><author><name sortKey="Chen, Yr" uniqKey="Chen Y">YR Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belmont, Jr" uniqKey="Belmont J">JR Belmont</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, Wh" uniqKey="Bell W">WH Bell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Melsen, B" uniqKey="Melsen B">B Melsen</name></author><author><name sortKey="Ousterhout, Dk" uniqKey="Ousterhout D">DK Ousterhout</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kanazawa, T" uniqKey="Kanazawa T">T 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sortKey="Lin, Hsiu Hsia" sort="Lin, Hsiu Hsia" uniqKey="Lin H" first="Hsiu-Hsia" last="Lin">Hsiu-Hsia Lin</name><name sortKey="Lo, Lun Jou" sort="Lo, Lun Jou" uniqKey="Lo L" first="Lun-Jou" last="Lo">Lun-Jou Lo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:28855714" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |