ABSTRACT
<p><b>OBJECTIVE</b>To compare the lingual region upper airway CT scan results of OSAS patients and normal adults to explore if there are upper airway stricture in OSAS patients and the reason of stricture.</p><p><b>METHODS</b>59 patients with OSAS and 57 normal adults were included in the study. CT evaluated the lingual region upper airway with the use of a Philips Tomoscan AV Expander E1 spiral scanner. The shapes of lingual region upper airway were observed. The area and the dimensions of lingual region was studied, and the thickness of retropharyngeal and lateral pharyngeal tissue were evaluated too. The another focus area was tongue, and the evaluated data included the tongue width, genioglossus width, hyogolssus width, tongue length and tongue area.</p><p><b>RESULTS</b>The data comparative results of OSAS and normal groups were as follows: the right to left diameter and area of OSAS patients' lingual region upper airways were less than those of normal adults, the thickness of lateral pharyngeal, tongue width, genioglossus width, hyogolssus width and tongue area were more than those of normal adults. And there were not obviously difference between OSAS patients and normal adults in tongue length, anterior-to-posterior dimension and thickness of retropharyngeal wall tissue of upper airway.</p><p><b>CONCLUSIONS</b>The study suggests that there are obviously difference between the patients with OSAS and normal adult in lingual upper airway CT scan measure. And the anatomic stricture of lingual upper airway is one of the etiology of OSAS. The main reasons of stricture are increasing of thickness of lateral pharyngeal, tongue width, genioglossus width, hyogolssus width and tongue area.</p>
Subject(s)
Adult , Female , Humans , Male , Middle Aged , Pharynx , Diagnostic Imaging , Sleep Apnea, Obstructive , Diagnostic Imaging , Tomography, X-Ray Computed , Methods , Tongue , Diagnostic ImagingABSTRACT
<p><b>OBJECTIVE</b>The purpose of this study was to determine the incidence of temporary and permanent sensory disturbance of the inferior alveolar nerve (IAN) after bilateral sagittal split osteotomy (BSSO) of the mandible.</p><p><b>METHODS</b>14 patients were selected for this study. Before BSSO and at 1 week, 1, 3, 6 and 12 months after BSSO, the sensibility of bilateral inferior alveolar nerves were examined using sharp-blunt testing, 2-point discrimination, electronic pain response test (ZGK-1 electrometer).</p><p><b>RESULTS</b>With conventional sharp-blunt and 2-point discrimination test, electronic pain response test, the incidence of temporary impairment of IAN after BSSO was 78% (22/28). Obvious sensory recovery of IAN was found 6 to 12 months postoperatively. Permanent sensory disturbance of unilateral inferior alveolar nerve occurred in 2 patients.</p><p><b>CONCLUSIONS</b>Sensory recovery of the inferior alveolar nerve after bilateral sagittal split osteotomy of the mandible would take 6 to 12 months. Serious injury of the IAN would cause permanent neurosensory deficits.</p>
Subject(s)
Adolescent , Adult , Female , Humans , Male , Mandible , General Surgery , Mandibular Nerve , Oral Surgical Procedures , Osteotomy , Methods , Sensory Thresholds , Trigeminal Nerve InjuriesABSTRACT
Objective: To study the vitro bioactivity of the Ti-24Nb-4Zr-7.9Sn (TNZS) disks modified by anodic oxidation(AD) and its effects on adhesion of human osteoblast-like MG63 cells. Methods:The TNZS titanium alloy disks were treated with anodic oxidation and the bioactivity was assessed by investigating the formation of apatite on the film surface after soaking in simulated body fluids. The surface composition of the specimens after immersion was evaluated by EDX and X-ray diffraction. MG63 osteoblast-like cells were seeded on the Ti6Al4V,TNZS,AD-TNZS disks, and then the number of attached cells were counted and the cell morphology was examined at each given period. Results:The apatite can form on the treated TNZS disks after soaking in SBF for 6 days. The ratio of attached MG63 on AD-TNZS disks after 60 or 120 min seeding were significant higher than that on other samples and the cells on AD-TNZS disks spread better. Conclusion:The TNZS alloy modified by anodic oxidation can induce apatite formation in SBF and increase the early attachment of osteoblasts.
ABSTRACT
Objective: To study surface landmark of the blood vessles i n subtemporal parapharyngeal region. Methods:6 corpse heads were dissected, the anatomical character and the ralationship between surface landma rks and blood vessels was observed. Results:The distance between inferior medial point of meatus acusticus externus and internal jugular vein fo ramen was (11.5?2.0) mm, that between medial margin of condyle process and in ternal artery foramen was (10.0?1.3) mm. Internal carotid artery was (12.0? 3.0) mm away from posterior margin of mandibular horn, internal jugular vein wa s (5.0?2.0) mm in front of the transverse process of the first cervical verte brae (S1).Conclusions:The inferior point of meatus acustics exte rnus, anterior point of condyle process, mandibular horn and transverse process of S1 can be used as surface landmarks for internol jugular vein and carotid art ery.