Arnaud-Brachet Melanie, Foletti Jean Marc, Graillon Nicolas, Chaumoître Katia, Chossegros Cyrille, Guyot Laurent
Department of Maxillofacial Surgery, Public Assistance Hospital,, University Hospital Center Conception, Marseille, France.
Service de chirurgie Maxillofaciale et plastique de la face, Hôpital Nord, chemin des Bourrely, 13915, Marseille, France.
Surg Radiol Anat. 2020 Jan;42(1):63-67. doi: 10.1007/s00276-019-02315-7. Epub 2019 Sep 5.
Since prehistory, changes of the facial skeleton have been related to the modification of diet. More recent studies have shown changes in the morphology of the mandible and maxilla due to variations of strain during mastication. The temporal muscle (TM) is a strong masticatory muscle, with its insertions extending through the temporal fossa. Our objective is to observe the relations between the TM and the lateral orbital wall (LOW) which could indicate an influence of mastication on the shape of the LOW.
We conducted a retrospective study using 100 CT scans. The length of the lateral orbital wall (LLOW), the angle between LOW and the medial orbital wall (MOW), the cross-sectional areas of LOW and of the TMs were measured on both sides of each CT scan. The correlation between TMs and other three parameters was studied by Pearson correlations.
A correlation was found between TMs and LOWs, a lower with LLOW, and a very weak and negative correlation between LOW/MOW angle.
Anatomical knowledge about TM and investigation of masticatory strains lead us to think that mastication have minimal effect on the morphology of the LOW, only on the frontal process of zygomatic. This may explain, in part, why the LOW is the strongest wall of the orbit.
自史前时代以来,面部骨骼的变化就与饮食的改变有关。最近的研究表明,咀嚼过程中应变的变化会导致下颌骨和上颌骨形态的改变。颞肌(TM)是一块强大的咀嚼肌,其附着点延伸至颞窝。我们的目的是观察颞肌与眶外侧壁(LOW)之间的关系,这可能表明咀嚼对眶外侧壁形状的影响。
我们使用100例CT扫描进行了一项回顾性研究。在每例CT扫描的两侧测量眶外侧壁长度(LLOW)、眶外侧壁与眶内侧壁(MOW)之间的夹角、眶外侧壁和颞肌的横截面积。通过Pearson相关性研究颞肌与其他三个参数之间的相关性。
发现颞肌与眶外侧壁之间存在相关性,与眶外侧壁长度的相关性较低,与眶外侧壁/眶内侧壁夹角之间存在非常微弱的负相关性。
关于颞肌的解剖学知识和咀嚼应变的研究使我们认为,咀嚼对眶外侧壁形态的影响最小,仅对颧骨额突有影响。这可能部分解释了为什么眶外侧壁是眼眶最坚固的壁。