The influence of lateral pterygoid muscle activity on growth of the condylar cartilage of the mandible remains controversial. As a case in point, two recent studies involving total resection (myectomy) and sectioning (myotomy) of this muscle have come to contradictory conclusions. In the study reported here, it was found that young growing rats in which the lateral pterygoid muscle was bilaterally cut experienced significantly retarded mitotic activity and bone formation relative to their sham-operated counterparts. Changes in the shape and topographical distribution of cartilage over the condylar head, as well as the distribution of labelled cells, were also noted in myotomy animals at 4 days following surgery. Considerable resorption at the insertion of the muscle on the mandibular ramus was apparent at 14 days after surgery. However, the myotomy surgery was accompanied by a significant post-operative loss of body weight and incisal supra-eruption indicative of feeding difficulties, thereby complicating interpretation of the results.
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http://dx.doi.org/10.1093/ejo/12.4.370 | DOI Listing |
J Craniofac Surg
January 2025
Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Baghdad, Bab- Almoadham, Medical City.
Pterygomaxillary separation (PMS) is an important step in Le Fort I osteotomy procedure, without which complete mobilization of the maxilla cannot be achieved. The aim of this study was to evaluate PMS patterns and their relationship with the anatomic measurements in Le Fort I osteotomy. In this prospective observational study cone beam computed tomography (CBCT) was used to measure the anatomic variables of the pterygomaxillary junction (PMJ) region including thickness, width, the distance between the most concave point at the lateral surface of PMJ and the greater palatine foramen (C-GPF), and the angle preoperatively, and the separation patterns postoperatively divided into the clean-cut type, maxillary sinus type, and the pterygoid fracture type.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Department of Plastic Surgery, Peking University Third Hospital, Beijing, China.
Background: Transesutural distraction osteogenesis (TSDO) is a method of correcting midfacial hypoplasia (MH) secondary to cleft lip and palate (CLP) without osteotomy. However, there has been little research on how the morphology of the cranial base changes postoperatively or whether any correction of the cranial base occurs.
Materials And Methods: This retrospective study included 35 pediatric patients with MH secondary to CLP, who underwent TSDO treatment.
BMC Oral Health
January 2025
School of Dentistry, Complutense University of Madrid, Madrid, 28040, Spain.
Background: Orthodontic-orthognathic treatment is the standard of care for moderate and/or severe skeletal class III (SCIII) malocclusion. Following orthognathic surgery, morphological changes in the temporomandibular joint structures (TMJ) may contribute to condylar resorption (CR).
Objectives: This systematic review aimed to identify the morphological signs of condylar resorption (changes in the condylar head, position, neck, disk, and joint space) following orthognathic surgery in patients with SCIII compared with those with skeletal class II (SCII) malocclusion.
J Craniofac Surg
January 2025
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology.
Objective: To assess the dynamic mandibular movement of patients with condylar hyperplasia before and after simultaneous orthognathic surgery and condylectomy through an intraoral approach.
Methods: Two groups of patients diagnosed with unilateral condylar hyperplasia were studied: the preoperative group consisted of 23 patients and the postoperative group consisted of 13 patients who had undergone simultaneous orthognathic surgery and condylectomy through an intraoral approach with follow-up for more than 1 year. The normal reference value was obtained from 11 individuals without oral and maxillofacial diseases.
Medicina (Kaunas)
November 2024
Department of Anatomy, Faculty of Medicine, "Victor Babeş" University of Medicine and Pharmacy, 300041 Timişoara, Romania.
The lateral pterygoid muscle (LPM), a critical component of the masticatory muscles, typically comprises upper (SLPM) and lower (ILPM) heads. However, it is essential to note that the LPM's structure is not a constant feature, as the number of bundles and their topography can vary. Moreover, additional heads, such as medial and middle heads, and unique-headed configurations of the LPM have been reported.
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