članak: 1 od 1  
Vojnosanitetski pregled
2010, vol. 67, br. 10, str. 839-846
jezik rada: srpski
originalan članak
doi:10.2298/VSP1010839A

Komparativna analiza linearnih morfometrijskih parametara humane mandibule dobijenih direktnim i indirektnim merenjem
aInstitut za anatomiju, Medicinski fakultet, Niš
bVojnomedicinska akademija
cUniverzitet u Nišu, Mašinski fakultet
dKlinički centar, Centar za radiologiju, Niš
eUniverzitet u Nišu, Medicinski fakultet
fUniverzitet u Nišu, Medicinski fakultet, Stomatološka klinika

e-adresa: stojanka@junis.ni.ac.rs

Projekat Ministarstva nauke Republike Srbije, br. TR-12012

Sažetak

Uvod/Cilj. Rekonstrukcija nedostajuće, oštećene ili deformisane kosti donje vilice predstavlja izazov kako u funkcionalnom, tako i u estetskom pogledu. Cilj istraživanja bio je utvrđivanje potencijalnih razlika u vrednostima osnovnih linearnih morfometrijskih parametara (LMP) dobijenih direktnim i indirektnim merenjem istih humanih mandibula, uz istovremenu proveru preciznosti indirektne metode merenja koja se rutinski koristi u svakodnevnom kliničkom radu. Istraživanje je od značaja za definisanje parametarskog modela 'standardne mandibule', odnosno virtuelnog modeliranja humane mandibule u budućim istraživanjima i kliničkoj praksi. Metode. Istraživanje je sprovedeno na 12 anatomskih osteoloških preparata adultnih humanih mandibula. Određivane su vrednosti 10 standardnih LMP koristeći standardne anatomske orijentacione tačke. Parametri su mereni na istim mandibulama manuelno i to direktno, uz pomoć kljunastog merila sa nonijusom i indirektno, softverskim alatom na dvodimenzionalnim (2D) rekonstrukcijama snimaka multislajsnih kompjuterskih tomografija (MSCT), uz međusobno poređenje vrednosti za isti LMP. Rezultati. Statistički značajne razlike upoređivanih vrednosti LMP-a, dobijenih različitim metodama merenja, bile su prisutne kod gnationinterdentalne distance (Gn-IdD) i gnation-kondilarne distance (Gn-KoD), obostrano. U oba slučaja, značajno više srednje vrednosti (sa procentualnom razlikom) uočene su pri direktnom u odnosu na indirektno merenje: Gn-IdD (21,57%; 29,2 mm vs 22,9 mm; p = 0,004); Gn-KoD leva strana (14,1%; 122,7 mm vs 105,4 cm; p = 0,001); Gn-KoD desna strana (11,87%; 124,7 mm vs 109,9 mm; p = 0,009). Zaključak. Uočene razlike u nepreciznosti indirektnog merenja, ukazuju na potrebu uvođenja odgovarajućeg korekcionog faktora za Gn-IdD i Gn-KoD prilikom definisanja parametarskog modela 'standardne mandibule' na osnovu morfometrijskog merenja na 2D rekonstrukcijama MSCT snimaka. Dodatna ispitivanja na većem broju uzoraka, uz kvantifikovanje anatomskih varijacija u odnosu na pol, starost, stanje denticije i etničko poreklo, dodatno povećavaju preciznost merenja, a time i pouzdanost budućeg parametarskog modela humane mandibule.

Ključne reči

mandibula; ljudi; tomografija, kompjuterizovana rendgenska; osetljivost i specifičnost

Reference

Balcikonyte, E., Balciuniene, I., Alekna, V. (2003) Bone mineral density and radiographic mandibular body height. Stomatologija, 5(4), str. 137-40
Benazzi, S., Stansfield, E., Milani, C., Gruppioni, G. (2009) Geometric morphometric methods for three-dimensional virtual reconstruction of a fragmented cranium: The case of Angelo Poliziano. International Journal of Legal Medicine, 123(4): 333
Benazzi, S., Stansfield, E., Kullmer, O., Fiorenza, L., Gruppioni, G. (2009) Geometric morphometric methods for bone reconstruction: The mandibular condylar process of Pico della Mirandola. Anatomical Record Advances in Integrative Anatomy and Evolutionary Biology, 292(8): 1088
Buikstra, J.H., Ubelaker, D.H. (1994) Standards for data collection from human skeletal remains. u: Arkansas Archeological Survey Research Series, Arkansas, No. 44, Archeological Survey
Chang, H.P., Liu, P.H., Yang, Y.H., Lin, H.C., Chang, C.H. (2006) Craniofacial morphometric analysis of mandibular prognathism. Journal of oral rehabilitation, 33(3): 183-93
Ciocca, L., de Crescenzio, F., Fantini, M., Scotti, R. (2009) CAD/CAM and rapid prototyped scaffold construction for bone regenerative medicine and surgical transfer of virtual planning: A pilot study. Computerized Medical Imaging and Graphics, 33(1): 58
Cui, J., Zhu, S., Hu, J., Li, J., Luo, E. (2008) The effect of different reduction mandibuloplasty types on lower face width and morphology. Aesthetic Plastic Surgery, 32(4): 593
del Santo, M., Guerrero, C.A., Buschang, P.H., English, J.D., Samchukov, M.L., Bell, W.H. (2000) Long-term skeletal and dental effects of mandibular symphyseal distraction osteogenesis. American journal of orthodontics and dentofacial orthopedics, 118(5): 485-93
Drăgulescu, D., Stanciu, D., Toth-Taşcău, M. (2002) Modeling and dynamic study of human mandible. u: Conference of mechanical vibrations with international participation (X), 23-24 May, Romania, Timisoara, 2002
Eufinger, H. (1994) Individual augmentation of the atrophic mandible based on CAD/CAM-manipulated computed tomography data-in vitro results. International Journal of Oral and Maxillofacial Surgery, 23 (6 Pt 2): 399-402
Green, H., Curnoe, D. (2009) Sexual dimorphism in southeast Asian crania: a geometric morphometric approach. Homo, 60(6): 517-34
Han, K., Kim, J. (2001) Reduction mandibuloplasty: ostectomy of the lateral cortex around the mandibular angle. Journal of craniofacial surgery, 12(4): 314-25
Hanihara, T. (1996) Comparison of craniofacial features of major human groups. American journal of physical anthropology, 99(3): 389-412
Iseri, H., Malkoç, S. (2005) Long-term skeletal effects of mandibular symphyseal distraction osteogenesis. An implant study. European journal of orthodontics, 27(5): 512-7
Krisjane, Z., Urtane, I., Krumina, G., Bieza, A., Zepa, K., Rogovska, I. (2007) Condylar and mandibular morphological criteria in the 2D and 3D MSCT imaging for patients with Class II division 1 subdivision malocclusion. Stomatologija, 9(3): 67-71
Lascala, C.A., Panella, J., Marques, M.M. (2004) Analysis of the accuracy of linear measurements obtained by cone beam computed tomography (CBCT-NewTom). Dento maxillo facial radiology, 33(5): 291-4
Lou, L., Lagravere, M.O., Compton, S., Major, P.W., Flores-Mir, C. (2007) Accuracy of measurements and reliability of landmark identification with computed tomography (CT) techniques in the maxillofacial area: a systematic review. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 104(3): 402-11
Nicholson, E., Harvati, K. (2006) Quantitative analysis of human mandibular shape using three-dimensional geometric morphometrics. American journal of physical anthropology, 131(3): 368-83
Nizam, A., Gopal, R.N., Naing, L., Hakim, A.B., Samsudin, A.R. (2006) Dimensional accuracy of the skull models produced by rapid prototyping technology using stereolithography apparatus. Arch Orofac Sci, 1, str. 60-6
Oettlé, A.C., Pretorius, E., Steyn, M. (2009) Geometric morphometric analysis of the use of mandibular gonial eversion in sex determination. Homo, 60(1): 29-43
Puişoru, M., Forna, N., Fătu, A.M., Fătu, R., Fătu, C. (2006) Analysis of mandibular variability in humans of different geographic areas. Annals of anatomy = Anatomischer Anzeiger, 188(6): 547-54
Sadler, T.W., Langman, J. (2006) Longmans medical embriology. Baltimore: Lippincott Williams & Wilkins, 10th ed
Sohmura, T., Kusumoto, N., Otani, T., Yamada, S., Wakabayashi, K., Yatani, H. (2009) CAD/CAM fabrication and clinical application of surgical template and bone model in oral implant surgery. Clinical oral implants research, 20(1): 87-93
Standring, S., ur. (2004) Gray's anatomy: The anatomical basis of clinical practice. Philadelphia: Elsevier Churchill Livingstone, 1173-74
Starly, B., Fang, Z., Sun, W., Shokoufandeh, A., Regli, W. (2005) Threedimensional reconstruction for medical-CAD modeling. J Comput Aided Des Appl, 2(1-4), str. 431-8
Steyn, M., Işcan, M.Y. (1998) Sexual dimorphism in the crania and mandibles of South African whites. Forensic science international, 98(1-2): 9-16
Stojkovic, M., Trajanovic, M., Vitkovic, N., Milovanovic, J., Arsic, S., Mitkovic, M. (2009) Referential geometrical entities for reverse modeling of geometry of femur. u: Tavares J.M., Jorge N. (ur.) VIPIMAGE 2009. Thematic Conference on Computational Vision and Medical Image Processing, (II), 2009 Oct 14-16. Portugal, Proceedings, Porto, p. 189-94
Sun, W., Darling, A., Starly, B., Nam, J. (2004) Computer-aided tissue engineering: Overview, scope and challenges. Biotechnol Appl Biochem, 39(Pt 1), str. 29-47
Trajanović, M., Vitković, N., Stojković, M., Manić, M., Arsić, S. (2009) The morphological approach to geometrical modelling of the distal femur. u: Papadrakakis M., Kojic M., Papadopoulos V. (ur.) SEECCM 2009, an IACM-ECCOMAS special Interest conference, South-East European conference on computational mechanics (II), june, Rhodes, str. 22-24, proceedings on CD-ROM: SE191
van der Meulen, D., Claes, P., Loeckx, D., de Greef, S., Willems, G., Suetens, P. (2006) Computerized craniofacial reconstruction using CT derived implicit surface representations. Forensic Sci Int, 159S: S164-74
van Vlijmen, O.J.C., Maal, T.J.J., Bergé, S.J., Bronkhorst, E.M., Katsaros, C., Kuijpers-Jagtman, A.M. (2009) A comparison between two-dimensional and three-dimensional cephalometry on frontal radiographs and on cone beam computed tomography scans of human skulls. European journal of oral sciences, 117(3): 300-5
Waitzman, A.A., Posnick, J.C., Armstrong, D.C., Pron, G.E. (1992) Craniofacial skeletal measurements based on computed tomography Part I: Accuracy and reproducibility. Cleft Palate-Craniofacial Journal, 29(2): 112
Zollikofer, C.P.E., Ponce, de L.M.S., Martin, R.D. (1998) Computerassisted paleoanthropology. Evol Anthropol, 6: 41-54