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Published in: Surgical and Radiologic Anatomy 2/2014

01-03-2014 | Original Article

Cone-beam computed tomography analysis of the shape, height, and location of the mandibular lingula

Authors: Ahmet Ercan Sekerci, Yıldıray Sisman

Published in: Surgical and Radiologic Anatomy | Issue 2/2014

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Abstract

Objectives

The precise anatomic location of the lingula is clinically significant because it is subject to injury during a variety of oral and maxillofacial surgical procedures. This is the first study to identify and classify the different morphological shapes of the mandibular lingula using cone-beam computed tomography.

Materials and methods

A retrospective study was performed to evaluate the shape, height, and location of the lingula in relation to surrounding structures using cone-beam computed tomographic images. The shape of the lingula was classified into triangular, truncated, nodular, and assimilated types. The location was determined by five distances from the lingular tip to: the anterior and the posterior borders of the mandibular ramus, the mandibular notch, the distal surface of the mandibular second molar, and the occlusal plane.

Results

Nodular shape of the lingula was most commonly found [51.2 % (422)] followed by truncated [32 % (264)]. The mean height of the lingula was 7.97 ± 1.84 mm. The mean distance of lingula from the anterior and posterior borders of mandibular ramus was 16.7 ± 2.7 and 13.0 ± 2.3 mm, respectively. The lingula was located at 15.3 ± 2.4 mm from the mandibular notch and 29.4 ± 3.9 mm from the distal side of alveolar socket of mandibular second molar tooth.

Conclusion

The present study provides new information to the literature concerning the shape, height, and location of the lingula in the Turkish population. This finding may assist surgeons to localize the lingula and avoid intraoperative complications.
Literature
1.
go back to reference Acebal-Bianco F, Vuylsteke PL, Mommaerts MY et al (2000) Perioperative complications in corrective facial orthopedic surgery: a 5-year retrospective study. J Oral Maxillofac Surg 58:754–760PubMedCrossRef Acebal-Bianco F, Vuylsteke PL, Mommaerts MY et al (2000) Perioperative complications in corrective facial orthopedic surgery: a 5-year retrospective study. J Oral Maxillofac Surg 58:754–760PubMedCrossRef
2.
go back to reference Afsar A, Haas DA, Rossouw PE et al (1998) Radiographic localization of mandibular anesthesia landmarks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:234–241PubMedCrossRef Afsar A, Haas DA, Rossouw PE et al (1998) Radiographic localization of mandibular anesthesia landmarks. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:234–241PubMedCrossRef
3.
go back to reference Apinhasmit W, Chompoopong S, Jansisyanont P et al (2011) The study of position of antilingula, midwaist of mandibular ramus and midpoint between coronoid process and gonion in relation to lingula of 92 Thai dried mandibles as potential surgical landmarks for vertical ramus osteotomy. Surg Radiol Anat 33:337–343PubMedCrossRef Apinhasmit W, Chompoopong S, Jansisyanont P et al (2011) The study of position of antilingula, midwaist of mandibular ramus and midpoint between coronoid process and gonion in relation to lingula of 92 Thai dried mandibles as potential surgical landmarks for vertical ramus osteotomy. Surg Radiol Anat 33:337–343PubMedCrossRef
4.
go back to reference Behnia H, Kheradvar A, Shahrokhi M (2000) An anatomical study of the lingual nerve in the third molar region. J Oral Maxillofac Surg 58:649–651PubMedCrossRef Behnia H, Kheradvar A, Shahrokhi M (2000) An anatomical study of the lingual nerve in the third molar region. J Oral Maxillofac Surg 58:649–651PubMedCrossRef
5.
go back to reference Berkovitz BK, Holland GR, Moxham BJ (1978) Colour atlas and textbook of oral anatomy, 2nd edn. Wolfe Medical Publication, UK, p 15 Berkovitz BK, Holland GR, Moxham BJ (1978) Colour atlas and textbook of oral anatomy, 2nd edn. Wolfe Medical Publication, UK, p 15
6.
go back to reference Bremer G (1952) Measurements of special significance in connection with anesthesia of the inferior alveolar nerve. Oral Surg Oral Med Oral Pathol 5:966–988PubMedCrossRef Bremer G (1952) Measurements of special significance in connection with anesthesia of the inferior alveolar nerve. Oral Surg Oral Med Oral Pathol 5:966–988PubMedCrossRef
7.
go back to reference Devi R, Arna N, Manjunath KY, Balasubramanyam (2003) Incidence of morphological variants of mandibular lingula. Indian J Dent Res 14(4):210–213 Devi R, Arna N, Manjunath KY, Balasubramanyam (2003) Incidence of morphological variants of mandibular lingula. Indian J Dent Res 14(4):210–213
8.
go back to reference Epker BN (1977) Modifications in the sagittal osteotomy of the mandible. J Oral Surg 35:157–159PubMed Epker BN (1977) Modifications in the sagittal osteotomy of the mandible. J Oral Surg 35:157–159PubMed
9.
go back to reference Hollinshead WH (1962) Text book of anatomy, 1st edn. Harper and Row, Calcutta, pp 855–856 Hollinshead WH (1962) Text book of anatomy, 1st edn. Harper and Row, Calcutta, pp 855–856
10.
go back to reference Hölzle FW, Wolff KD (2001) Anatomic position of the lingual nerve in the mandibular Third molar region with special consideration of an atrophied mandibular crest: anatomical study. Int J Oral Maxillofac Surg 30:333–338PubMedCrossRef Hölzle FW, Wolff KD (2001) Anatomic position of the lingual nerve in the mandibular Third molar region with special consideration of an atrophied mandibular crest: anatomical study. Int J Oral Maxillofac Surg 30:333–338PubMedCrossRef
11.
go back to reference Hossain S, Patwary S, Karim M (2001) Variation in shape of the lingulae in the adult human mandible of Bangladeshi skulls. Pak J Med Sci 17:233–236 Hossain S, Patwary S, Karim M (2001) Variation in shape of the lingulae in the adult human mandible of Bangladeshi skulls. Pak J Med Sci 17:233–236
12.
go back to reference Hunsuck EE (1968) A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg 26:250–253PubMed Hunsuck EE (1968) A modified intraoral sagittal splitting technic for correction of mandibular prognathism. J Oral Surg 26:250–253PubMed
13.
go back to reference Hwang TJ, Hsu SC, Huang QF et al (1990) Age changes in location of mandibular foramen. Zhonghua Ya Yi Xue Hui Za Zhi 9:98–103PubMed Hwang TJ, Hsu SC, Huang QF et al (1990) Age changes in location of mandibular foramen. Zhonghua Ya Yi Xue Hui Za Zhi 9:98–103PubMed
14.
go back to reference Jansisyanont P, Apinhasmit W, Chompoopong S (2009) Shape, height and location of the lingula for sagittal ramus osteotomy in Thais. Clin Anat 22:787–793PubMedCrossRef Jansisyanont P, Apinhasmit W, Chompoopong S (2009) Shape, height and location of the lingula for sagittal ramus osteotomy in Thais. Clin Anat 22:787–793PubMedCrossRef
15.
go back to reference Kanno CM, de Oliveira JA, Cannon M et al (2005) The mandibular lingula’s position in children as a reference to inferior alveolar nerve block. J Dent Child (Chic) 72:56–60 Kanno CM, de Oliveira JA, Cannon M et al (2005) The mandibular lingula’s position in children as a reference to inferior alveolar nerve block. J Dent Child (Chic) 72:56–60
16.
go back to reference Kim HJ, Lee HY, Chung IH et al (1997) Mandibular anatomy related to sagittal split ramus osteotomy in Koreans. Yonsei Med J 38:19–25PubMed Kim HJ, Lee HY, Chung IH et al (1997) Mandibular anatomy related to sagittal split ramus osteotomy in Koreans. Yonsei Med J 38:19–25PubMed
17.
go back to reference Kositbowornchai S, Siritapetawee M, Damrongrungruang T et al (2007) Shape of the lingula and its localization by panoramic radiograph versus dry mandibular measurement. Surg Radiol Anat 29:689–694PubMedCrossRef Kositbowornchai S, Siritapetawee M, Damrongrungruang T et al (2007) Shape of the lingula and its localization by panoramic radiograph versus dry mandibular measurement. Surg Radiol Anat 29:689–694PubMedCrossRef
18.
go back to reference Lopes PT, Pereira GA, Santos AM (2010) Morphological analysis of the lingula in dry mandibles of individuals on Southern Brazil. J Morphol Sci 27:136–138 Lopes PT, Pereira GA, Santos AM (2010) Morphological analysis of the lingula in dry mandibles of individuals on Southern Brazil. J Morphol Sci 27:136–138
19.
go back to reference Mbajiorgu EF (2000) A study of the position of the mandibular foramen in adult black Zimbabwean mandibles. Cent Afr J Med 46:184–190PubMed Mbajiorgu EF (2000) A study of the position of the mandibular foramen in adult black Zimbabwean mandibles. Cent Afr J Med 46:184–190PubMed
20.
go back to reference Monnazzi MS, Passeri LA, Gabrielli MF et al (2012) Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula. Int J Oral Maxillofac Surg 41:74–78PubMedCrossRef Monnazzi MS, Passeri LA, Gabrielli MF et al (2012) Anatomic study of the mandibular foramen, lingula and antilingula in dry mandibles, and its statistical relationship between the true lingula and the antilingula. Int J Oral Maxillofac Surg 41:74–78PubMedCrossRef
21.
go back to reference Morgan DH, House LR, Hall WP et al (1982) Diseases of temporomandibular apparatus, 2nd edn. CVMosby, St. Louis, p 19 Morgan DH, House LR, Hall WP et al (1982) Diseases of temporomandibular apparatus, 2nd edn. CVMosby, St. Louis, p 19
22.
go back to reference Murlimanju BV, Prabhu LV, Pai MM et al (2012) Morphological study of lingula of the mandibles in South Indian population. Morphologie 96:16–20PubMedCrossRef Murlimanju BV, Prabhu LV, Pai MM et al (2012) Morphological study of lingula of the mandibles in South Indian population. Morphologie 96:16–20PubMedCrossRef
23.
go back to reference Nicholson ML (1985) A study of the position of the mandibular foramen in the adult mandible. Anat Rec 212:110–112PubMedCrossRef Nicholson ML (1985) A study of the position of the mandibular foramen in the adult mandible. Anat Rec 212:110–112PubMedCrossRef
24.
go back to reference Nirmale VK, Mane UW, Sukre SB et al (2012) Morphological features of human mandible. Int J Recent Trends Sci Aechnol 3:33–43 Nirmale VK, Mane UW, Sukre SB et al (2012) Morphological features of human mandible. Int J Recent Trends Sci Aechnol 3:33–43
25.
go back to reference Samanta PR, Kharb P (2012) Morphological analysis of the lingula in dry adult human mandibles of north Indian population. J Cranio-Maxillary Dis 1:7–11 Samanta PR, Kharb P (2012) Morphological analysis of the lingula in dry adult human mandibles of north Indian population. J Cranio-Maxillary Dis 1:7–11
26.
go back to reference Smith GI, Brennan PA, Oh SS, Markus AF (2002) Modification of the Hunsuck sagittal split osteotomy using a nerve hook. Technical note. J Craniomaxillofac Surg 30:292–294PubMedCrossRef Smith GI, Brennan PA, Oh SS, Markus AF (2002) Modification of the Hunsuck sagittal split osteotomy using a nerve hook. Technical note. J Craniomaxillofac Surg 30:292–294PubMedCrossRef
27.
go back to reference Tuli A, Choudhry R, Choudhry S et al (2000) Variation in shape of the lingula in the adult human mandible. J Anat 197:313–317PubMedCrossRef Tuli A, Choudhry R, Choudhry S et al (2000) Variation in shape of the lingula in the adult human mandible. J Anat 197:313–317PubMedCrossRef
28.
go back to reference Viravudth Y, Plakornkul V (1989) The mandibular foramen in Thais. Siriraj Hosp Gaz 41:551–554 Viravudth Y, Plakornkul V (1989) The mandibular foramen in Thais. Siriraj Hosp Gaz 41:551–554
29.
go back to reference Werther JR, Hall DH (2000) Vertical ramus osteotomy and the inverted-L osteotomy. In: Betts NJ, Turvey TA (eds) Oral and maxillofacial surgery. WB Saunders, Philadelphia, pp 311–324 Werther JR, Hall DH (2000) Vertical ramus osteotomy and the inverted-L osteotomy. In: Betts NJ, Turvey TA (eds) Oral and maxillofacial surgery. WB Saunders, Philadelphia, pp 311–324
30.
go back to reference Woo SS, Cho JY, Park WH et al (2002) A study of mandibular anatomy for orthognathic surgery in Koreans. J Korean Assoc Oral Maxillofac Surg 28:126–131 Woo SS, Cho JY, Park WH et al (2002) A study of mandibular anatomy for orthognathic surgery in Koreans. J Korean Assoc Oral Maxillofac Surg 28:126–131
31.
go back to reference Yu IH, Wong YK (2008) Evaluation of mandibular anatomy related to sagittal split ramus osteotomy using 3-dimensional computed tomography scan images. Int J Oral Maxillofac Surg 37:521–528PubMedCrossRef Yu IH, Wong YK (2008) Evaluation of mandibular anatomy related to sagittal split ramus osteotomy using 3-dimensional computed tomography scan images. Int J Oral Maxillofac Surg 37:521–528PubMedCrossRef
Metadata
Title
Cone-beam computed tomography analysis of the shape, height, and location of the mandibular lingula
Authors
Ahmet Ercan Sekerci
Yıldıray Sisman
Publication date
01-03-2014
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 2/2014
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-013-1150-0

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