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下牙槽神经的一种罕见解剖变异。

An unusual anatomical variation of the inferior alveolar nerve.

作者信息

Maekawa Shogo, Nagata Mizuki, Matsushita Yuki, Tubbs R Shane, Iwanaga Joe

机构信息

Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.

Biointerfaces Institute, North Campus Research Complex, University of Michigan, Ann Arbor, MI, USA.

出版信息

Anat Cell Biol. 2020 Dec 31;53(4):519-521. doi: 10.5115/acb.20.145.

DOI:10.5115/acb.20.145
PMID:32814705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7769098/
Abstract

A number of studies have previously shown variations of inferior alveolar, however, only a few reports focused on nearby the foramen ovale. In a formalin fixed cadaver, we identified three minor branches (anterior, middle, and posterior branches) arising from the main trunk of the mandibular nerve adjacent to the foramen ovale, passing lateral to the maxillary artery (MA), and joining the inferior alveolar nerve. The diameter of the branches was 0.68 mm, 1.43 mm, and 0.40 mm, respectively. The branches traveled inside the lateral pterygoid muscle (LPM) or between the LPM and tensor/levator veli palatini. Moreover, all of the branches were superficial to MA. Knowledge of such a variation might be helpful to dentists during, for example, anesthetic blockade and various oral surgeries.

摘要

此前已有多项研究表明下牙槽存在变异,然而,仅有少数报告关注卵圆孔附近的情况。在一具福尔马林固定的尸体中,我们识别出三条小分支(前支、中支和后支),它们发自紧邻卵圆孔的下颌神经主干,经上颌动脉(MA)外侧走行,然后汇入下牙槽神经。这些分支的直径分别为0.68毫米、1.43毫米和0.40毫米。这些分支走行于翼外肌(LPM)内或LPM与腭帆张肌/腭帆提肌之间。此外,所有分支均位于MA的浅面。了解这种变异可能有助于牙医进行诸如麻醉阻滞和各类口腔手术等操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7316/7769098/2d3aa64544e7/ACB-53-519-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7316/7769098/6f8e7834c342/ACB-53-519-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7316/7769098/2d3aa64544e7/ACB-53-519-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7316/7769098/6f8e7834c342/ACB-53-519-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7316/7769098/2d3aa64544e7/ACB-53-519-f2.jpg

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本文引用的文献

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Anatomy of the lingual nerve: Application to oral surgery.舌神经解剖:在口腔外科中的应用。
Clin Anat. 2019 Jul;32(5):635-641. doi: 10.1002/ca.23361. Epub 2019 Apr 3.
2
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。
Anesth Prog. 2016 Summer;63(2):84-90. doi: 10.2344/0003-3006-63.2.84.
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An unusual communication between the trunk of the mandibular nerve and the lingual nerve in a female cadaver.
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The clinical anatomy of accessory mental nerves and foramina.副颏神经及孔的临床解剖学
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Variations in the branching pattern of posterior division of mandibular nerve: a case report.下颌神经后支分支模式的变异:一例报告
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Perforation of the inferior alveolar nerve by the maxillary artery: an anatomical study.上颌动脉穿经下牙槽神经的解剖学研究
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Surg Radiol Anat. 2004 Apr;26(2):128-35. doi: 10.1007/s00276-003-0179-x. Epub 2003 Oct 28.
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