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ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODSThe intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODS The intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

It can be moved both posteriorly and medially to lengthen the side of the palate and to contact with the cleft margin of the non-operated side without tension.Obviously,there is no need to perform the same surgical maneuvers on the other side again.The cleft is then closed by layers.

手术时,在腭部的一侧作完改变的六项操作以后,手术侧的腭部即彻底松弛,可以充分后退,增加该侧腭部先天不足的长度,并随意向近中侧移动,与对侧的裂缘接触,不需要在对侧再作同样的手术操作,即可将裂隙缝合。

After all of these six changes have been carried out on one side of the palate,the operated side becomes completely relaxed.It can be moved both posteriorly and medially to lengthen the side of the palate and to contact with the cleft margin of the non-operated side without tension.Obviously,there is no need to perform the same surgical maneuvers on the other side again.The cleft is then closed by layers.

手术时,在腭部的一侧作完改变的六项操作以后,手术侧的腭部即彻底松弛,可以充分后退,增加该侧腭部先天不足的长度,并随意向近中侧移动,与对侧的裂缘接触,不需要在对侧再作同样的手术操作,即可将裂隙缝合。

Effects of Coriolis force were analyzed with the three dimensional simulations and the following conclusions were drawn: The tangential component of Coriolis force induces cross stream secondary flow in the form of two-cell pattern,while the radial component of Coriolis force decelerates and accelerates the cent...

计算结果表明,切向哥氏力推动了通道截面内的双涡二次流,径向哥氏力则使得近侧壁流体加速和中心流体减速。换热计算结果从定性趋势上吻合公开文献中的实验现象,反映了旋转附加力的基本影响规律。

Dissect the fascia from the dorsum down to the bursa oer the medial aspect of the metatarsal head. Then make a cured incision through the bursa and capsule of the joint Fig. 1-24,; begin the incision oer the dorsomedial aspect of the joint, continue it proximally dorsal to the metatarsal head and then plantarward and distalward around the joint, and end it distally on the medioplantar aspect of the metatarsophalangeal joint.

然后弧形切开滑囊及跖趾关节囊图1-24,,切口起自关节背内侧,自跖骨头背侧向近端延长,然后转向跖侧,再转向远瑞,环绕关节而行,最后在远端终止于跖趾关节的跖内侧面,此切口形成一椭圆形网球拍状组织瓣,连接于近节趾骨的基底部

Results: After 6~7 months the dentures in crowded patients were arranged neatly, the upper first molars were moved 0.31mm mesially evenly, and the upper incisors were moved 0.20mm labially evenly.

结果:成人牙列拥挤患者6~7个月后牙列排齐整平,上颌第一磨牙向近中整体前移,其冠部平均前移了0.31mm,上颌切牙冠部向唇侧平均倾斜移动约0.20mm。

Dissect the fascia from the dorsum down to the bursa over the medial aspect of the metatarsal head. Then make a curved incision through the bursa and capsule of the joint Fig. 1-24,; begin the incision over the dorsomedial aspect of the joint, continue it proximally dorsal to the metatarsal head and then plantarward and distalward around the joint, and end it distally on the medioplantar aspect of the metatarsophalangeal joint.

然后弧形切开滑囊及跖趾关节囊图1-24,,切口起自关节背内侧,自跖骨头背侧向近端延长,然后转向跖侧,再转向远瑞,环绕关节而行,最后在远端终止于跖趾关节的跖内侧面,此切口形成一椭圆形网球拍状组织瓣,连接于近节趾骨的基底部

The initial point of collateral ligament was drilled two holes, 2 to 3 mm in distance, and crossed by steel wire. Then the superficial flexor tendon of finger was crossed under the steel wire and sutured to the terminal point of superficial flexor tendon of finger by 5/0 to 7/0 nontraumatic suture thread to maintain suitable tension, and sutured to collateral ligament by 8/0 nontraumatic suture thread.

用细克氏针在侧副韧带起点处向健侧钻两个相距2~3 mm骨孔穿过钢丝,切开屈肌腱鞘,从指浅屈肌腱一侧近端切取所需长度肌腱束,此肌腱束穿过钢丝孔,保持肌腱束的合适张力,用5/0~7/0无创线缝合于浅腱止点,应用8/0针线将肌腱束缝合于韧带上。

Then the superficial flexor tendon of finger was crossed under the steel wire and sutured to the terminal point of superficial flexor tendon of finger by 5/0 to 7/0 nontraumatic suture thread to maintain suitable tension, and sutured to collateral ligament by 8/0 nontraumatic suture thread.

用细克氏针在侧副韧带起点处向健侧钻两个相距2~3 mm骨孔穿过钢丝,切开屈肌腱鞘,从指浅屈肌腱一侧近端切取所需长度肌腱束,此肌腱束穿过钢丝孔,保持肌腱束的合适张力,用5/0~7/0无创线缝合于浅腱止点,应用8/0针线将肌腱束缝合于韧带上。

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