Mandibular prognathism: a cineradiographic analysis of mandibular and hyoid bone movements before and after surgical correction. 1982

A M Miotti

A study was undertaken to investigate the effect of surgical treatment of mandibular prognathism on mandibular and hyoid movements during speech and swallowing in fourteen individuals. The material consisted of cineradiographic records of adult prognathic patients before and after the surgical correction. The records were obtained with a 16 mm, cinecamera at a speed of thirty-two frames per second. Image intensification was used, and the head of the patient was positioned in a cephalostat during the recording. Postoperative recordings were taken at about 1 month after the removal of intermaxillary fixation. To improve the accuracy of the analysis, templates of the skeletal structures were prepared. The following cephalometric landmarks were located and marked on the template: the tip of the upper central incisor, the occlusal plane, pogonion, and hyoid point. The coordinates of the cephalometric points were recorded by means of a Lysta dental digitizer linked to a Hewlett-Packard 9815A desk-top computer. The significance of the difference between the pre- and postoperative values was determined by the Student's test. The results were examined for variations in the vertical and horizontal ranges of movement and in the surface areas covered by pogonion and hyoid during movement. Correlation between several pairs of variants was tested. Large individual variations were found in the pattern and range of movement of the mandible and hyoid both pre- and postoperatively. The coefficients of correlation between several parameters showed some significant correlation, which disappeared after surgical correction. A general trend for a reduction in most parameters studied was shown. Some correlation between the amount of setback and the mandibular movement was also found. The hyoid and mandibular movements in tongue-reduction cases do not differ significantly. Lines of further investigation are suggested, with larger and possible more homogeneous samples.

UI MeSH Term Description Entries
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D009068 Movement The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior. Movements
D011378 Prognathism A condition marked by abnormal protrusion of the mandible. (Dorland, 27th ed) Prognathisms
D002933 Cineradiography Motion picture study of successive images appearing on a fluoroscopic screen. Cinefluorography,Radiocinematography,Cinefluorographies,Cineradiographies,Radiocinematographies
D003679 Deglutition The act of taking solids and liquids into the GASTROINTESTINAL TRACT through the mouth and throat. Swallowing,Deglutitions,Swallowings
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006928 Hyoid Bone A mobile U-shaped bone that lies in the anterior part of the neck at the level of the third CERVICAL VERTEBRAE. The hyoid bone is suspended from the processes of the TEMPORAL BONES by ligaments, and is firmly bound to the THYROID CARTILAGE by muscles. Lingual Bone,Bone, Hyoid,Bone, Lingual,Bones, Hyoid,Bones, Lingual,Hyoid Bones,Lingual Bones
D013060 Speech Communication through a system of conventional vocal symbols. Public Speaking,Speaking, Public

Related Publications

A M Miotti
February 1996, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons,
A M Miotti
September 1991, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics,
A M Miotti
June 1984, Shigaku = Odontology; journal of Nihon Dental College,
A M Miotti
November 1987, Zeitschrift fur Stomatologie (1984),
A M Miotti
January 1975, Stomatologiia,
A M Miotti
January 1961, Les Annales d'oto-laryngologie,
A M Miotti
May 1964, Revista paulista de medicina,
Copied contents to your clipboard!