Iwanaga Joe, Kikuta Shogo, Oskouian Rod J, Tubbs R Shane
Seattle Science Foundation, 550 17th Avenue, Suite 600, Seattle, WA, 98122, USA.
Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Kurume, Japan.
Anat Sci Int. 2019 Jun;94(3):266-268. doi: 10.1007/s12565-019-00476-4. Epub 2019 Feb 1.
The lingual nerve is a branch of the mandibular division of the trigeminal nerve. It descends medial and anterior to the inferior alveolar nerve through the pterygomandibular space, runs by the lingual plate and lingual crest at the lower third molar closely, and supplies sensory fibers to the anterior two-thirds of the tongue. Therefore, injury of this nerve is occasionally induced by wisdom tooth extraction and could lead to paralysis of the tongue. The inferior alveolar nerve gives rise to the nerve to mylohyoid just before entering the mandibular foramen, which supplies the mylohyoid and anterior belly of the digastric muscle. We present an extremely rare anatomical variation where the nerve to mylohyoid arose from the lingual nerve near the submandibular duct during routine oral dissection.
舌神经是三叉神经下颌支的一个分支。它通过翼下颌间隙在下牙槽神经的内侧和前方下行,紧贴下颌第三磨牙处的舌板和舌嵴走行,并为舌前2/3提供感觉纤维。因此,拔除智齿偶尔会导致该神经损伤,进而引起舌麻痹。下牙槽神经在进入下颌孔之前发出下颌舌骨肌神经,该神经支配下颌舌骨肌和二腹肌前腹。我们报告了一种极其罕见的解剖变异,即在常规口腔解剖过程中,下颌舌骨肌神经起自下颌下腺导管附近的舌神经。