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Detection of buccal perimandibular neurovascularisation associated with accessory foramina using limited cone-beam computed tomography and gross anatomy

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Abstract

Purpose

To investigate buccal perimandibular neurovascularisation associated with the mandibular accessory buccal foramina (ABF) which were detected using a limited cone-beam computed tomography (limited CBCT).

Methods

Five Japanese cadaveric mandibles had been examined using helical CT to investigate the presence or absence of ABF. Two mandibles indicating the presence of AMF were examined more minutely using a limited CBCT. Following the three-dimensional radiological observation of ABF, the mandibles were removed from the cadavers and dissected with referring to the findings of AMF on the limited CBCT images.

Results

Four ABF of the three mandibular sides, which were depicted with limited CBCT, had different perimandibular neurovascularisation. Three accessory foramina were associated with the following arteries: a branch of the submental, facial, and buccal artery, and one was associated with a branch of the mental nerve. A branch of the mental nerve re-entered the mandible through the accessory foramen after it exited from a mental foramen.

Conclusion

Limited CBCT is useful for pre-operative three-dimensional assessment of mandible since high-resolution analysis demonstrates not only the skeletal conditions but also the assessment and suggestions of perimandibular neurovascularisation.

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Acknowledgment

The authors wish to thank Assistant Technologist Mr. Goh Matsubara of the Department of Anatomy-1, Tsurumi University School of Dental Medicine for supporting this study.

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Authors and Affiliations

  1. Department of Oral Radiology, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, Kanagawa, 230-8501, Japan

    Kaori Fuakami & Kaoru Kobayashi

  2. Department of Anatomy-1, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, Kanagawa, 230-8501, Japan

    Kazuya Shiozaki & Shinji Shimoda

  3. Department of Diagnostic Imaging, Tsurumi University Dental Hospital, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, Kanagawa, 230-8501, Japan

    Akira Mishima

  4. Department of Oral and Maxillofacial Surgery, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama, Kanagawa, 230-8501, Japan

    Yoshiki Hamada

Authors
  1. Kaori Fuakami
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  2. Kazuya Shiozaki
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  3. Akira Mishima
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  4. Shinji Shimoda
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  5. Yoshiki Hamada
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  6. Kaoru Kobayashi
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Correspondence to Kaori Fuakami.

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Fuakami, K., Shiozaki, K., Mishima, A. et al. Detection of buccal perimandibular neurovascularisation associated with accessory foramina using limited cone-beam computed tomography and gross anatomy. Surg Radiol Anat 33, 141–146 (2011). https://doi.org/10.1007/s00276-010-0719-0

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  • DOI: https://doi.org/10.1007/s00276-010-0719-0

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