Kyung Dong-Soo, Lee Jae-Ho, Lee Yong-Pil, Kim Dae-Kwang, Choi In-Jang
Medical Course, Keimyung University School of Medicine, Daegu, Korea.
Anat Cell Biol. 2011 Sep;44(3):241-3. doi: 10.5115/acb.2011.44.3.241. Epub 2011 Sep 29.
The digastric muscle, as the landmark in head and neck surgery, has two bellies, of which various variations have been reported. In the submental region of a 72-year-old Korean male cadaver, bilateral variations were found in the anterior belly of the digastric muscle. Two accessory bellies, medial to the two normal anterior bellies of the digastric muscle, ran posterior and medially, merging and attaching at the mylohyoid raphe of the mylohyoid muscle. The 3rd accessory belly originated from the right intermediate tendon and ran horizontally, merging the right lower bundle of the right accessory belly and inserted together. These accessory bellies had no connection with the left anterior belly. This unique variation has not been reported in the literature previously, and this presentation will guide clinicians during surgical interventions and radiological diagnoses.
二腹肌作为头颈外科的标志性肌肉,有两个肌腹,关于其各种变异已有报道。在一名72岁韩国男性尸体的颏下区域,发现二腹肌前腹存在双侧变异。两个副肌腹位于二腹肌两个正常前腹的内侧,向后内侧走行,在颏舌骨肌的颏舌骨缝处汇合并附着。第三个副肌腹起源于右侧中间腱,水平走行,与右侧副肌腹的右下束汇合并一起插入。这些副肌腹与左侧前腹无连接。这种独特的变异此前在文献中未见报道,本病例将为临床手术干预和放射学诊断提供指导。