Myers L J
Department of Anatomy, University of Oklahoma.
J Am Dent Assoc. 1988 Sep;117(3):437-9. doi: 10.1016/s0002-8177(88)73014-7.
The presence of these two muscle attachments will be helpful in treating TM disorders. Why they have not been previously described is a mystery, but it is more understandable when the difficulty of dissection is noted. Freeing the disk while investigating the retrodiskal area, and then performing fiber-by-fiber dissection of the deep masseter muscle are uncommon procedures. Muscle fibers often exist from the deep masseter muscle to the capsule of the TMJ, and these muscles could easily be mistaken for the fibers already known and, therefore, ignored when the masseter was removed in dissection. If the first specimen dissected had not been a well-developed male with strong tendon attachment, the attachments would have been missed in this case as well.
这两个肌肉附着点的存在将有助于治疗颞下颌关节紊乱症。它们之前为何未被描述仍是个谜,但考虑到解剖的难度,这就比较容易理解了。在探查盘后区域时松解关节盘,然后对深层咬肌进行逐纤维解剖,这些都是不常见的操作。咬肌深层的肌肉纤维常常延伸至颞下颌关节的关节囊,在解剖过程中切除咬肌时,这些肌肉很容易被误认为是已知的纤维,从而被忽略。如果解剖的第一个标本不是一个肌腱附着发达的成年男性,那么在这个病例中这些附着点也会被遗漏。