International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: http://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
Open Access
Journal Browser
Go
International Journal of Dental Sciences and Research. 2015, 3(1), 1-3
DOI: 10.12691/ijdsr-3-1-1
Open AccessArticle

Lingula and Antilingula as Anatomic Reference Points for Ramus Osteotomies

Deepika Chenna1, Mamatha Hosapatna1, Antony Sylvan D’Souza1, Srikanth Gadicherla2 and Kalyana Chakravarthy Pentapati3,

1Department of Anatomy, Kasturba Medical College, Manipal, Manipal University

2Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal University, Manipal

3Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal University, Manipal

Pub. Date: December 30, 2014

Cite this paper:
Deepika Chenna, Mamatha Hosapatna, Antony Sylvan D’Souza, Srikanth Gadicherla and Kalyana Chakravarthy Pentapati. Lingula and Antilingula as Anatomic Reference Points for Ramus Osteotomies. International Journal of Dental Sciences and Research. 2015; 3(1):1-3. doi: 10.12691/ijdsr-3-1-1

Abstract

Aim: To evaluate the role of lingula and antilingula as landmark to guide the oral surgeons. Methods: A total of 50 mandibles (100 sides) were available for evaluating the lingula and antilingula. Four measurements (W, X, Y and Z) were recorded for the mandibular foramen, lingula and antilingula in 2 planes (horizontal and vertical) by single trained calibrated examiner. Results: Only 52 sides had palpable antilingula, hence the comparisons with respect to antilingula and mandibular foramen were done for only 52 sides. The mean values measured were significantly lower for lingula with respect to Y and W points while it was significantly higher with respect to X and Z points when compared to mandibular foramen. Antilingula also showed similar trend when compared to mandibular foramen. Conclusion: Lingula can be used as landmark to avoid the mandibular foramen to perform ramus osteotomies. Antilingula if palpable can be used as supplementary landmark for the same. With respect to both the landmarks, mandibular foramen is located posterioinferiorly.

Keywords:
foramen lingual antilingula mandible Sagittal split ramus osteotomy

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Schuchardt K. Ein Betrag Zur Chiurgischen Ka¨ieferorthopdie unter Berucksichtigung ihrer Bedeutung fur die Behandlung angeborener und erworbener Kieferdeformita¨ten bei Soldaten. Dtsch Zahn Mund Keiferheil 9: 73-891942.
 
[2]  Monnazzi MS, Passeri LA, Gabrielli MF, Bolini PD, de Carvalho WR, da Costa Machado H. 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: 74-82012.
 
[3]  Jansisyanont P, Apinhasmit W, Chompoopong S. Shape, height, and location of the lingula for sagittal ramus osteotomy in Thais. Clin Anat 22:787-932009.
 
[4]  Findik Y, Yildirim D, Baykul T. Three-dimensional anatomic analysis of the lingula and mandibular foramen: a cone beam computed tomography study. J Craniofac Surg 25: 607-102014.
 
[5]  Park KR, Kim SY, Kim GJ, Park HS, Jung YS. Anatomic study to determine a safe surgical reference point for mandibular ramus osteotomy. J Craniomaxillofac Surg 42: 22-72014.
 
[6]  Kay LW. Some anthropologic investigations of interest to oral surgeons. Int J Oral Surg 3: 363-79 1974.
 
[7]  Kositbowornchai S, Siritapetawee M, Damrongrungruang T, Khongkankong W, Chatrchaiwiwatana S, Khamanarong K, Chnathaooplee T. Shape of the lingula and its localization by panoramic radiograph versus dry mandibular measurement. Surg Radiol Anat 29: 689-94 2007.
 
[8]  Pogrel MA, Schmidt BL, Ammar A. The presence of the antilingula and its relationship to the true lingula. Br J Oral Maxillofac Surg 33: 235-328 1995.
 
[9]  Yates C, Olson D, Guralnick W. The antilingula as an anatomic landmark in oral surgery. Oral Surg Oral Med Oral Pathol 41: 705-8 1976.
 
[10]  Langston JR, Tebo HG. The incidence and relationship of the lateral ramus prominence to the mandibular foramen. Oral Surg Oral Med Oral Pathol 44: 190-6 1977.
 
[11]  Aziz SR, Dorfman BJ, Ziccardi VB, JanalM. Accuracy of using the antilingula as a sole determinant of vertical ramus osteotomy position. J OralMaxillofac Surg 65: 859-62 2007.
 
[12]  Caldwell JB, Letterman GS. Vertical osteotomy in the mandibular rami for correction of prognathism. J Oral Surg 12: 185-202 1954.
 
[13]  Gabriel AC. Some anatomical features of the mandible. J Anat 92: 580-6 1958.
 
[14]  Hall HD, McKenna SJ. Further refinement and evaluation of intraoral vertical ramus osteotomy. J Oral Maxillofac Surg 45: 684-8 1987.
 
[15]  Fontoura RA, Vasconcellos HA, Campos AES. Morphologic basis for the intraoral vertical ramus osteotomy: anatomic and radiographic localization of the mandibular foramen. J Oral Maxillofac Surg 60: 660-5 2002.
 
[16]  Fujimura K, Segami N, Kobayashi S. Anatomical study of the complications of intraoral vertico-sagittal ramus osteotomy. J Oral Maxillofac Surg 64: 384-9 2006.
 
[17]  Westermark A. Inferior alveolar nerve function after sagittal split osteotomy of the mandible: correlation with degree of intraoperative nerve encounter and other variables in 496 operations. Br J Oral Maxillofac Surg 36: 429-33 1998.
 
[18]  Martone CH, Ben Josef AM, Wolf SM, Mintz SM. Dimorphic study of surgical anatomic landmarks of the lateral ramus of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 75: 436-438 1993.
 
[19]  Hogan G, Ellis E. The “antilingula”-fact or fiction? J Oral Maxillofac Surg 64: 1248-1254 2006.