心理论坛定位和形态变异的临床意义——系统综述
Clinical Implications of the Localization and Morphological Variability of the Mental Foramen-A Systematic Review.
Clinical Implications of the Localization and Morphological Variability of the Mental Foramen-A Systematic Review.
:颏孔是下颌骨的一个关键解剖结构,颏神经和伴随血管通过它出现。准确了解其位置和形态对于下颌骨前部的安全牙科和外科手术至关重要。:本研究是一项系统综述,旨在总结有关颏孔形态、定位和解剖变异及其临床相关性的最新证据。根据当前的系统评价指南,在PubMed和Google Scholar数据库中搜索了2015年至2025年间发表的研究。包括锥束计算机断层扫描(CBCT)研究和人类学调查,评估颏孔的位置、尺寸和解剖变异。:对35项研究(30项基于CBCT的研究和5项人类学研究)进行了定性分析,共涉及6240名下颌骨或患者。观察到颏孔相对于下颌边界和牙标志的水平和垂直位置存在相当大的差异。解剖变异包括大小和形状的差异、单侧或双侧副颏孔的存在,以及单侧或双侧椎间孔缺失的罕见病例。:对不同人群的最新CBCT和人类学数据的综合突显了临床相关的变异模式。这项研究确定了颏孔的关键位置模式和变体,这可以为临床规划提供信息,并有助于降低精神神经损伤的风险。
: The mental foramen is a key anatomical structure of the mandible through which the mental nerve and accompanying vessels emerge. Accurate knowledge of its location and morphology is essential for safe dental and surgical procedures in the anterior mandible. : This study was conducted as a systematic review to summarize current evidence on the morphology, localization, and anatomical variants of the mental foramen and their clinical relevance. : The PubMed and Google Scholar databases were searched for studies published between 2015 and 2025 in accordance with current systematic review guidelines. Cone-beam computed tomography (CBCT) studies and anthropological investigations assessing the position, dimensions, and anatomical variants of the mental foramen were included. : Thirty-five studies (30 CBCT-based and 5 anthropological) comprising a total of 6240 mandibles or patients were analyzed qualitatively. Considerable variability was observed in the horizontal and vertical position of the mental foramen in relation to mandibular borders and dental landmarks. Anatomical variations included differences in size and shape, the presence of unilateral or bilateral accessory mental foramina, and rare cases of unilateral or bilateral absence of the foramen. : The synthesis of recent CBCT and anthropological data across diverse populations highlights clinically relevant patterns of variability. This study identifies key positional patterns and variants of the mental foramen, which can inform clinical planning and help reduce the risk of mental nerve injury.
Mariola Krzykawska-Krupska, Janusz Pach, Piotr Regulski, Jacek Tomczyk, Izabela Strużycka, Kazimierz Szopiński, et al. Clinical Implications of the Localization and Morphological Variability of the Mental Foramen-A Systematic Review.. Diagnostics (Basel, Switzerland). 2026; doi:10.3390/diagnostics16050779.
Mariola Krzykawska-Krupska, Janusz Pach, Piotr Regulski, Jacek Tomczyk, Izabela Strużycka, Kazimierz Szopiński, et al (2026). Clinical Implications of the Localization and Morphological Variability of the Mental Foramen-A Systematic Review.. Diagnostics (Basel, Switzerland). https://doi.org/10.3390/diagnostics16050779
Mariola Krzykawska-Krupska, Janusz Pach, Piotr Regulski, Jacek Tomczyk, Izabela Strużycka, Kazimierz Szopiński, et al. Clinical Implications of the Localization and Morphological Variability of the Mental Foramen-A Systematic Review.[J]. Diagnostics (Basel, Switzerland), 2026 doi:10.3390/diagnostics16050779.
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