Evaluation of human temporal bone for loacting favourable site to place longer implant for implant retained auricular prosthesis –a clinicoanatomic study

K. Ramkumar, S. Sripriya, C. Sabarigirinathan
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Abstract

Aim: To find sites in human temporal bone for placing longer implant Materials & Methods: Dry human skull were procured from the anatomy department. External acoustic meatus(EAM) was taken as reference point from that point five arcs of radius15mm, 20mm,25mm,30mm,35 mm were drawn over the temporal bone. The temporal bone removed from the skull and the bone is removed from the outer most point towards the EAM. The thickness of the bone at 1oClock and 4o Clock position and 8oClock and 11o Clock position over the left and right side of the temporal measured using digital Vernier calliper. The temporal bone is thicker at the 3oClock on the left and 9oClock on the right side. The thickness at the new position also measured. Result: The mean bone thickness at 15mm, 20mm, 25mm ranges from 3.92 to 12.08mm. The mean bone Thickness at the 3oclock and 9 o clock position at the distance of 20mm from EAM ranges from 8.21 to 8.50mm.The Statistical significance within the group were analysed using paired t test and found to be statistical significant at P value less than. 05. Conclusion: The external surface of temporal bone at the 3oClock on the left and 9oClock on the right side denser and thicker. The bone availability is also more favours for placing longer implant.
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人工耳廓假体植入术中颞骨定位放置较长假体位置的临床解剖研究
目的:寻找在人颞骨内放置较长种植体的位置。材料与方法:从解剖处获得干颅骨。以外声道(EAM)为参考点,在颞骨上绘制半径为15mm、20mm、25mm、30mm、35mm的5条弧。将颞骨从颅骨上移开,并将骨头从最外侧点移向EAM。使用数字游标卡尺测量颞骨左右两侧在10clock和40clock位置以及8clock和110clock位置的骨厚度。左侧3oClock和右侧9oClock处颞骨较厚。同时测量了新位置的厚度。结果:15mm、20mm、25mm的平均骨厚为3.92 ~ 12.08mm。在距EAM 20mm的3点和9点位置,平均骨厚度为8.21至8.50mm。采用配对t检验分析组内统计学显著性,P值小于。05. 结论:左侧3lock、右侧9lock颞骨外表面密度大、厚度大。骨的可用性也更有利于放置较长的种植体。
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