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基于根系的耳颞神经分类建议。

Proposed classification of auriculotemporal nerve, based on the root system.

作者信息

Komarnitki Iulian, Tomczyk Jacek, Ciszek Bogdan, Zalewska Marta

机构信息

Department of Descriptive and Clinical Anatomy, Medical University of Warsaw, Warsaw, Poland.

Department of Biological Anthropology, Cardinal Stefan Wyszynski University, Warsaw, Poland.

出版信息

PLoS One. 2015 Apr 9;10(4):e0123120. doi: 10.1371/journal.pone.0123120. eCollection 2015.

DOI:10.1371/journal.pone.0123120
PMID:25856464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4391942/
Abstract

The topography of the auriculotemporal nerve (ATN) root system is the main criterion of this nerve classification. Previous publications indicate that ATN may have between one and five roots. Most common is a one- or two-root variant of the nerve structure. The problem of many publications is the inconsistency of nomenclature which concerns the terms "roots", "connecting branches", or "branches" that are used to identify the same structures. This study was performed on 80 specimens (40 adults and 40 fetuses) to propose a classification based on: (i) the number of roots, (ii) way of root division, and (iii) configuration of interradicular fibers that form the ATN trunk. This new classification is a remedy for inconsistency of nomenclature of ATN in the infratemporal fossa. This classification system has proven beneficial when organizing all ATN variants described in previous studies and could become a helpful tool for surgeons and dentists. Examination of ATN from the infratemporal fossa of fetuses (the youngest was at 18 weeks gestational age) showed that, at that stage, the nerve is fully developed.

摘要

耳颞神经(ATN)根系的局部解剖是该神经分类的主要标准。先前的出版物表明,ATN可能有1至5个根。最常见的是神经结构的单根或双根变体。许多出版物存在的问题是命名不一致,涉及用于识别相同结构的“根”“连接支”或“分支”等术语。本研究对80个标本(40例成人和40例胎儿)进行,以基于以下方面提出一种分类:(i)根的数量,(ii)根的分支方式,以及(iii)形成ATN干的根间纤维的形态。这种新分类是对颞下窝ATN命名不一致问题的一种补救。当整理先前研究中描述的所有ATN变体时,该分类系统已证明是有益的,并且可能成为外科医生和牙医的有用工具。对胎儿颞下窝的ATN进行检查(最年轻的为孕18周)表明,在那个阶段,神经已完全发育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/d24f34c9498e/pone.0123120.g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/ed015e59a67b/pone.0123120.g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/f5a444ff3bce/pone.0123120.g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/5d5d246076d0/pone.0123120.g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/628d3a37f1c1/pone.0123120.g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/f316bf32a22d/pone.0123120.g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/e0ff1a91cfc3/pone.0123120.g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/53bd6160d5a7/pone.0123120.g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/d24f34c9498e/pone.0123120.g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/ed015e59a67b/pone.0123120.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/5ebf1dd52d5a/pone.0123120.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/5ed58c3fa456/pone.0123120.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/c4bc0e8f119c/pone.0123120.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/33d43638a489/pone.0123120.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/69dd80178035/pone.0123120.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/eb7163f4796a/pone.0123120.g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/c34274a2a460/pone.0123120.g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/f5a444ff3bce/pone.0123120.g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/5d5d246076d0/pone.0123120.g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/628d3a37f1c1/pone.0123120.g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/f316bf32a22d/pone.0123120.g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/e0ff1a91cfc3/pone.0123120.g013.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5e/4391942/d24f34c9498e/pone.0123120.g015.jpg

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Anat Sci Int. 2015 Sep;90(4):216-21. doi: 10.1007/s12565-014-0247-9. Epub 2014 Jun 28.
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Singapore Med J. 2013 Mar;54(3):149-51. doi: 10.11622/smedj.2013051.
3
The brachial plexus branches to the pectoral muscles in adult rats: morphological aspects and morphometric normative data.
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Front Neuroanat. 2012 Oct 10;6:41. doi: 10.3389/fnana.2012.00041. eCollection 2012.
4
Clinical anatomy of the auriculotemporal nerve in the area of the infratemporal fossa.颞下窝区域耳颞神经的临床解剖学
Folia Morphol (Warsz). 2012 Aug;71(3):187-93.
5
The auriculotemporal nerve in etiology of migraine headaches: compression points and anatomical variations.耳颞神经在偏头痛病因中的作用:压迫点和解剖变异。
Plast Reconstr Surg. 2012 Aug;130(2):336-341. doi: 10.1097/PRS.0b013e3182589dd5.
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Refractory facial pain attributed to auriculotemporal neuralgia.归因于耳颞神经痛的顽固性面部疼痛。
J Headache Pain. 2012 Jul;13(5):415-7. doi: 10.1007/s10194-012-0439-4. Epub 2012 Mar 30.
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Anatomy of the auriculotemporal nerve: variations in its relationship to the superficial temporal artery and implications for the treatment of migraine headaches.耳颞神经解剖:与颞浅动脉关系的变化及其对偏头痛治疗的影响。
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Toothache referred from auriculotemporal neuralgia: case report.
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