A Morphometric and Morphological Study of mandibular lingula and its Clinical Significance

  • Dr Manavalan Mahima Sophia Assistant Professor, Department of Anatomy, Sri Muthukumaran Medical College & Research Institute, Chennai, India
  • Dr Alagesan Anupriya Assistant Professor, Department of Anatomy, Sri Muthukumaran Medical College & Research Institute, Chennai, India
  • Dr Ramachandran Kalpana Professor and Head, Department of Anatomy, Sri Muthukumaran Medical College & Research Institute, Chennai, India
Keywords: Lingula, Ramus of Mandible, Mandibular Foramen, Inferior Alveolar Nerve

Abstract

Aim: Mandibular lingula is a bony projection located on the medial aspect of its ramus. It is very closely related to the mandibular foramen and inferior alveolar nerve and vessels. The aim of the present study is to observe the different shapes, position and height of the lingula in relation to the mandible.

Materials and Methods: The study was conducted on 50 adult dry human mandibles (100 sides) in the Department of Anatomy, Sri Ramachandra Medical College & Research Institute, Chennai. The different shapes of lingula were observed and position and height of lingula in relation to mandible were measured using vernier callipers.

Results: The most frequent shape of the lingula observed in our study was triangular (49%) followed by nodular (23%), truncated (18%) and assimilated (10%) types. The lingula was located at a mean distance of 17.11 ± 2.32 mm and 14.86 ± 2.54 from the anterior and posterior border of ramus of mandible. The mean distance from the lingula to mandibular notch was 18.71 ± 3.18 mm and to the mandibular notch was 30.30 ± 5.11 mm. The mean height of the lingula was 7.45 ± 1.48 mm.

Conclusion: The lingula is a very important landmark where mandibular foramen has to be identified in procedures such as inferior alveolar nerve block , bilateral sagittal split ramus osteotomy and intraoral vertical split ramus osteotomy and for excision of nerve in facial neuralgia.

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References

1. Tuli A, Choudhry R, Choudhry S, Raheja S, Agarwal S. Variation in shape of the lingula in the adult human mandible. J Anatomy. 2000; 197(2):313-317. [PubMed]

2. Dobson J. Anatomical Eponyms. 2nd Ed. Edinburg, London: E and S Livingstone.1962; p.194. [PubMed]

3. Tsuji Y, Muto T, Kawakami T, Takeda S. Computed tomographic analysis of the position andcourse of the mandibular canal: Relevance to the sagittal split ramus osteotomy. Int J Oral Maxillofac Surg. 2005; 34: 243-246.

4. Varma CL, Sameer PA. Morphological variants of Lingula in south Indian Mandibles. RRJHMS , January to March 2013; 2(1):31-34.

5. Fabian FM. Observation of the position of the lingula in relation to the mandibular foramen and the mylohyoid groove. Ital J Anat Embryol. 2006; 111: 151-158. [PubMed]

6. Gardner M. Basic anatomy of the head and neck. London: Lea &Febiger. 1992; 383. [PubMed]

7. Basmajian JV Grant's Method of Anatomy, 10th edn. Baltimore, London: Williams & Wilkins.1980; p.474.

8. Nicholson ML. A study of the position of the mandibular foramen in the adult mandible. The Anatomical Record 1985; 212: 110-112. [PubMed]

9. Behrman SJ. Complications of sagittal osteotomy of the mandibular ramus. J oral surg. 1972; 30: 554-561. [PubMed]

10. Moore KL, Persaud TVN. The Developing Human-Clinically Oriented Embryology, Seventh edition, Saunders, Philadelphia. 2003. p: 204. [PubMed]

11. Sinnatamby CS. Mandible, Osteology of skull and hyoid bone. Last’s Anatomy, Regional and Applied. Eleventh edition. Churchill Livingstone, Elsevier. 2006. p. 532-533. [PubMed]

12. Standring S, Collins P, Healy JC, Wigley C, Beale TJ. Mandible: Infratemporal and pterygopalatine fossae and temporomandibular joint. Gray’s Anatomy - The Anatomical Basis of Clinical Practice, Fortieth edition. Churchill Livingstone, Elsevier. 2008. p. 530-532.

13. Hollinshead W H. Textbook of Anatomy. First edition. Calcutta, India: Harper and Row.1962; p: 855- 856.

14. Berkovitz BKB, Holland GR, Moxham BJ. Colour atlas and textbook of oral anatomy. Second edition. London: Wolfe Medical Publication. 1978; Pp:15.

15. Morgan DH, House LR, Hall WP, Vamuas S J. Diseases of temporomandibular apparatus. Second edition. Saint Louis: CV Mosby. 1982 ; Pp: 19.

16. Kositbowornchai S, Siritapetawee, Damrongrungruang T, Khongkankong W, Chatrchaiwiwatana S, Khamanarong K, Chanthaooplee T. Shape of the lingula and its localization by panoramic radiograph versus dry mandibular measurement. Surg Radiol Anat. 2007;29(8):689-694.

17. Jansisyanont P, Apihasmit S, Chompoopong. Shape, height and location of the lingula forsagittal ramus osteotomy in Thais. Clin Ana. 2009; 22:787-793.

18. Lopes PTC, Periera GAM, Santos AMPV. Morphological Analysis of the lingula in dry mandibles of individuals in Southern Brazil. J Morpholog Sci. 2010; 27(3-4):136-138.

19. Nirmale VK, Mane UW, Sukre SB, Diwan CV. Morphological Features of Human Mandible. Int J of Recent Trends in Sci Technol. 2012; 3 (2): 38-43.

20. Smita T. Variations in the Morphological appearance of lingula in dry adult human mandibles,Int J of Cur Res Rev. 2013; 5(24):41-45.

21. Samanta PP, Kharab P. Morphological Analysis of Lingula in Dry Adult Human Mandibles of North Indian Population. J Cranio Max Dis 2012;1: 7-11.

22. Padmavathi G, Varalakshmi KJ, Suman T, Roopashree K. A Morphological and morphometric study of the lingula in dry adult human mandibles of South Indian origin and its clinical significance. International Journal of Health Sciences and Research. 2014; 4(6): 56-61.

23. Smrity G, Krishna P. Morphological analysis of the lingula in dry mandibles of individuals in North India. Journal of Dental and Medical Sciences. 2014; 13(1):4-6.

24. Suwadee K, Mookdha S, Teerasak D, Waranyoo K, Supaporn C, Kimaporn K, Tanarat C. Shape of the lingula and its localisation by panaromic radiograph versus dry mandibular measurements. Surg Radiol Anat. 2007; 29:689-694.
CITATION
DOI: 10.17511/ijmrr.2015.i2.025
Published: 2015-03-31
How to Cite
1.
Mahima Sophia M, Anupriya A, Kalpana R. A Morphometric and Morphological Study of mandibular lingula and its Clinical Significance. Int J Med Res Rev [Internet]. 2015Mar.31 [cited 2024Nov.23];3(2):141-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/201
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Original Article