颏

Mental and mandibular foramen of 250 Chinese mandibles were studied.

观察250个中国人颏孔及下颌孔的位置所得到的结果如下：1.78.4％的颏孔是在第2前臼齿的下方。2。

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。

The dissection is directed obliquely, posteriorly and inferiorly through the mentalis muscle until contact is made with the mandibular symphysis.

解剖是针对倾斜，向后和inferiorly通过颏肌，直到接触与下颌颏。

The results are as follows:(1) Long train electrical stimulation at the vMNF inhibitited the myoelectric activities of genioglossus markedly.

结果如下：(1)长串电脉冲刺激vMNF导致颏舌肌肌电活动明显被抑制；(2)在vMNF内微量注射谷氨酸钠，颏舌肌肌电活动出现明显的抑制效应；(3)单脉冲电刺激vMNF引起颏舌肌抑制反应的潜伏期为(20.6±0.4)ms。

Result:The genioglossus muscle originates from the superior mental spine,and the geniohyoid muscle originates from the inferior mental spine.

结果 ：颏舌肌和颏舌骨肌分别起于上、下颏棘。

MethodsUsing narrowing genioplasty combined with Medpor implantation treated 11 patients with wideness chin and retrogenia.

应用颏部缩窄截骨结合高密度多孔聚乙烯隆颏矫正颏部宽大后缩畸形患者11例。

Cases underwent bilateral TMJ reconstruction, bone graft and genioplasty in order to advance the jaw. Bimaxillary surgical procedure was completed in 3 cases, and distraction osteogensis and TMJ reconstruction in 6 cases. Al patients gained good appearance, 29 patients can open their mouth larger than 3 cm, and one case had recurrent TMJ ankylosis. 29 cases'AI＜5 and oxygen saturation degree ＞90%(included the patient that had recurrent TMJ ankylosis).

结果 本研究有15例患者接受患侧下颌升支倒置TMJ重建、植骨前移，健侧升支矢状劈开、下颌前移和颏前移成形术；其中有3例行二期的上颌的Le Fort Ⅰ截骨术。6例行双侧TMJ重建、植骨前移下颌和颏成形术。3例施行同期双颌截骨前移和颏成形术；6例行单或双侧TMJ重建、牵引成骨术。

RESULTS:①There was higher tensile stress at the ingual side of symphysis, inside of molar and outside of condyle under the impact of chin.②There was higher tensile stress at the lingual side of symphysis, inside of contralateral molar, outside of contralateral angle, outside of homolateral angle and inside of homolateral body under the impact of body.③There was higher tensile stress at the inside of angle, inside of homolateral condyle, lingual side of symphysis, outside of contralateral condyle and inside of homolateral molar under the impact of angle.

结果：①撞击颏部，其舌侧区，磨牙后区内侧面、髁状突颈外表面以及下颌角外表面具有较高的张应力；②撞击下颌体部，颏部舌侧区，对侧磨牙后区内侧面、对侧下颌角外表面、撞击侧下颌角外侧面、撞击侧体部内侧面具有较高的张应力；③撞击下颌角，其内侧面、撞击侧髁状突颈内侧面、颏部舌侧面、对侧髁状突颈外表面以及撞击侧磨牙后区内侧面具有较高的张应力。

The main change of the morphology is the obvious incrassation of the soft tissue between the mentalabial sulcus and the superior cervial point.

下颌骨前徙手术较下颌后退形态变化要大而复杂，主要的形态变化是表现为颏唇沟点至颈上点间区域软组织明显增厚，颏突出度显著增强，颏部轮廓形态向正常接近。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。