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一例下牙槽神经环绕上颌动脉的病例。

A case of inferior alveolar nerve encircling the arteria maxillaris.

作者信息

Nayak Unnathi, Vadgaonkar Rajanigandha, Pai Mangala M, Murlimanju B V

机构信息

Third Semester MBBS Student, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of Anatomy, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

Anat Cell Biol. 2020 Jun 30;53(2):240-243. doi: 10.5115/acb.19.194.

DOI:10.5115/acb.19.194
PMID:32647091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7343564/
Abstract

Here we report a case of inferior alveolar nerve (IAN), which had variability in its formation. IAN was formed by dual roots, which were branching out from the posterior division of mandibular nerve. The observed roots were forming a loop around the pterygoid part of arteria maxillaris (MA). One of the roots was superficial to the MA and the other was deep to it. It is believed that this type of morphological variation in the formation of IAN can have clinial implications, which include compression by adjacent structures and nerve entrapment. The knowledge of this variation is important to anaesthesiologists and dentists, while administering local anaesthesia. This is also enlightening to the maxillofacial surgeons, neurologists and radiologists.

摘要

在此,我们报告一例下牙槽神经(IAN)形成存在变异的病例。IAN由双根组成,这两根从下颌神经后支分出。观察到的根在下颌动脉(MA)翼肌部周围形成一个环。其中一根位于MA浅面,另一根位于其深面。据信IAN形成过程中的这种形态变异可能具有临床意义,包括受到相邻结构的压迫和神经卡压。了解这种变异对于麻醉医生和牙医在进行局部麻醉时很重要。这对颌面外科医生、神经科医生和放射科医生也有启发意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/7343564/0bb6d75d4985/ACB-53-240-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/7343564/1ca26c6514e5/ACB-53-240-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/7343564/0bb6d75d4985/ACB-53-240-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/7343564/1ca26c6514e5/ACB-53-240-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/7343564/0bb6d75d4985/ACB-53-240-f2.jpg

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本文引用的文献

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Morphometric study on mandibular foramen and incidence of accessory mandibular foramen in mandibles of south Indian population and its clinical implications in inferior alveolar nerve block.印度南部人群下颌骨下颌孔的形态计量学研究及下颌副孔的发生率及其在下牙槽神经阻滞中的临床意义
Anat Cell Biol. 2016 Dec;49(4):241-248. doi: 10.5115/acb.2016.49.4.241. Epub 2016 Dec 31.
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Variant Inferior Alveolar Nerves and Implications for Local Anesthesia.下牙槽神经变异及其对局部麻醉的影响。
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下牙槽神经的组织学特征和束状排列
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Morphological assessment of the anterior loop of the mandibular canal in Koreans.韩国人下颌管前襻的形态学评估。
Anat Cell Biol. 2015 Mar;48(1):75-80. doi: 10.5115/acb.2015.48.1.75. Epub 2015 Mar 20.
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Variations in the anatomy of the inferior alveolar nerve.下牙槽神经的解剖变异。
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Variation in the origin of the inferior alveolar nerve.下牙槽神经起始的变异。
Clin Anat. 2002 Mar;15(2):143-7. doi: 10.1002/ca.1110.