Relationship between Mandibular Ramus Height and Masticatory Muscle Function in Patients with Unilateral Hemifacial Microsomia

Objective To clarify the relationship between mandibular ramus height and function of masticatory muscles in patients with hemifacial microsomia. Design Retrospective study of imaging and physiological data. Setting Images and physiological data were obtained from the records of Sapporo Medical Univ...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2017-01, Vol.54 (1), p.43-52
Hauptverfasser: Suzuki, Naohiro, Miyazaki, Akihiro, Igarashi, Tomohiro, Dehari, Hironari, Kobayashi, Jun-Ichi, Miki, Yoshiki, Ogi, Kazuhiro, Nagai, Itaru, Sonoda, Tomoko, Yotsuyanagi, Takatoshi, Hiratsuka, Hiroyoshi
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container_issue 1
container_start_page 43
container_title The Cleft palate-craniofacial journal
container_volume 54
creator Suzuki, Naohiro
Miyazaki, Akihiro
Igarashi, Tomohiro
Dehari, Hironari
Kobayashi, Jun-Ichi
Miki, Yoshiki
Ogi, Kazuhiro
Nagai, Itaru
Sonoda, Tomoko
Yotsuyanagi, Takatoshi
Hiratsuka, Hiroyoshi
description Objective To clarify the relationship between mandibular ramus height and function of masticatory muscles in patients with hemifacial microsomia. Design Retrospective study of imaging and physiological data. Setting Images and physiological data were obtained from the records of Sapporo Medical University Hospital. Patients A total of 29 patients with hemifacial microsomia who showed Pruzansky grades I, II deformity. Main Outcome Measures Mandibular ramus height and masticatory muscle volume were evaluated with multi-detector row computed tomography. The electromyographic value was measured by the K7 Evaluation System. The hemifacial microsomia patients were classified into three groups based on the mandibular ramus height ratio of the affected and unaffected sides: group 0, > 1.00; group 1, 1.00 to 0.85; group 2, < 0.85. The Tukey-Kramer method and Games-Howell method were used to determine correlations between parameters. Results Decreased mandibular ramus height was significantly correlated with both reduced electromyographic values of the masseter muscle (P < .05) and the amount of mandibular lateral deviation at the time of maximum opening (P < .05) on the affected side. These differences were prominent in unilateral hemifacial microsomia patients classified as group 2. Conclusions Decreased mandibular ramus height may cause dysfunction of the masseter muscles but not the temporal muscle on the affected side in patients with hemifacial microsomia.
doi_str_mv 10.1597/14-329
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Design Retrospective study of imaging and physiological data. Setting Images and physiological data were obtained from the records of Sapporo Medical University Hospital. Patients A total of 29 patients with hemifacial microsomia who showed Pruzansky grades I, II deformity. Main Outcome Measures Mandibular ramus height and masticatory muscle volume were evaluated with multi-detector row computed tomography. The electromyographic value was measured by the K7 Evaluation System. The hemifacial microsomia patients were classified into three groups based on the mandibular ramus height ratio of the affected and unaffected sides: group 0, &gt; 1.00; group 1, 1.00 to 0.85; group 2, &lt; 0.85. The Tukey-Kramer method and Games-Howell method were used to determine correlations between parameters. Results Decreased mandibular ramus height was significantly correlated with both reduced electromyographic values of the masseter muscle (P &lt; .05) and the amount of mandibular lateral deviation at the time of maximum opening (P &lt; .05) on the affected side. These differences were prominent in unilateral hemifacial microsomia patients classified as group 2. Conclusions Decreased mandibular ramus height may cause dysfunction of the masseter muscles but not the temporal muscle on the affected side in patients with hemifacial microsomia.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/14-329</identifier><identifier>PMID: 26752018</identifier><identifier>CODEN: CPJOEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Asymmetry ; Birth defects ; Case studies ; Child ; Classification ; Dentistry ; Electromyography ; Female ; Goldenhar Syndrome - diagnostic imaging ; Humans ; Imaging, Three-Dimensional ; Male ; Mandible - abnormalities ; Mandible - diagnostic imaging ; Masticatory Muscles - abnormalities ; Masticatory Muscles - diagnostic imaging ; Morphology ; Muscle function ; Retrospective Studies ; Teeth ; Tomography, X-Ray Computed</subject><ispartof>The Cleft palate-craniofacial journal, 2017-01, Vol.54 (1), p.43-52</ispartof><rights>2017 American Cleft Palate-Craniofacial Association. All rights reserved</rights><rights>Copyright Allen Press Publishing Services Jan 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c335t-237ac039e0f29f8e78b36c4f0886a11b20725f791f89d0259e323df05b12100f3</citedby><cites>FETCH-LOGICAL-c335t-237ac039e0f29f8e78b36c4f0886a11b20725f791f89d0259e323df05b12100f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1597/14-329$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1597/14-329$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26752018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suzuki, Naohiro</creatorcontrib><creatorcontrib>Miyazaki, Akihiro</creatorcontrib><creatorcontrib>Igarashi, Tomohiro</creatorcontrib><creatorcontrib>Dehari, Hironari</creatorcontrib><creatorcontrib>Kobayashi, Jun-Ichi</creatorcontrib><creatorcontrib>Miki, Yoshiki</creatorcontrib><creatorcontrib>Ogi, Kazuhiro</creatorcontrib><creatorcontrib>Nagai, Itaru</creatorcontrib><creatorcontrib>Sonoda, Tomoko</creatorcontrib><creatorcontrib>Yotsuyanagi, Takatoshi</creatorcontrib><creatorcontrib>Hiratsuka, Hiroyoshi</creatorcontrib><title>Relationship between Mandibular Ramus Height and Masticatory Muscle Function in Patients with Unilateral Hemifacial Microsomia</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>Objective To clarify the relationship between mandibular ramus height and function of masticatory muscles in patients with hemifacial microsomia. Design Retrospective study of imaging and physiological data. Setting Images and physiological data were obtained from the records of Sapporo Medical University Hospital. Patients A total of 29 patients with hemifacial microsomia who showed Pruzansky grades I, II deformity. Main Outcome Measures Mandibular ramus height and masticatory muscle volume were evaluated with multi-detector row computed tomography. The electromyographic value was measured by the K7 Evaluation System. The hemifacial microsomia patients were classified into three groups based on the mandibular ramus height ratio of the affected and unaffected sides: group 0, &gt; 1.00; group 1, 1.00 to 0.85; group 2, &lt; 0.85. The Tukey-Kramer method and Games-Howell method were used to determine correlations between parameters. Results Decreased mandibular ramus height was significantly correlated with both reduced electromyographic values of the masseter muscle (P &lt; .05) and the amount of mandibular lateral deviation at the time of maximum opening (P &lt; .05) on the affected side. These differences were prominent in unilateral hemifacial microsomia patients classified as group 2. 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Design Retrospective study of imaging and physiological data. Setting Images and physiological data were obtained from the records of Sapporo Medical University Hospital. Patients A total of 29 patients with hemifacial microsomia who showed Pruzansky grades I, II deformity. Main Outcome Measures Mandibular ramus height and masticatory muscle volume were evaluated with multi-detector row computed tomography. The electromyographic value was measured by the K7 Evaluation System. The hemifacial microsomia patients were classified into three groups based on the mandibular ramus height ratio of the affected and unaffected sides: group 0, &gt; 1.00; group 1, 1.00 to 0.85; group 2, &lt; 0.85. The Tukey-Kramer method and Games-Howell method were used to determine correlations between parameters. Results Decreased mandibular ramus height was significantly correlated with both reduced electromyographic values of the masseter muscle (P &lt; .05) and the amount of mandibular lateral deviation at the time of maximum opening (P &lt; .05) on the affected side. These differences were prominent in unilateral hemifacial microsomia patients classified as group 2. Conclusions Decreased mandibular ramus height may cause dysfunction of the masseter muscles but not the temporal muscle on the affected side in patients with hemifacial microsomia.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>26752018</pmid><doi>10.1597/14-329</doi><tpages>10</tpages></addata></record>
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identifier ISSN: 1055-6656
ispartof The Cleft palate-craniofacial journal, 2017-01, Vol.54 (1), p.43-52
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language eng
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source MEDLINE; SAGE Complete
subjects Adolescent
Asymmetry
Birth defects
Case studies
Child
Classification
Dentistry
Electromyography
Female
Goldenhar Syndrome - diagnostic imaging
Humans
Imaging, Three-Dimensional
Male
Mandible - abnormalities
Mandible - diagnostic imaging
Masticatory Muscles - abnormalities
Masticatory Muscles - diagnostic imaging
Morphology
Muscle function
Retrospective Studies
Teeth
Tomography, X-Ray Computed
title Relationship between Mandibular Ramus Height and Masticatory Muscle Function in Patients with Unilateral Hemifacial Microsomia
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