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舌神经的一大舌下腺分支:一例罕见病例报告。

A large sublingual glandular branch of the lingual nerve: a rare case report.

作者信息

Albuck Aaron, Haikata Yuto, Watanabe Koichi, Tubbs R Shane, Iwanaga Joe

机构信息

Tulane University School of Medicine, New Orleans, LA, USA.

Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

出版信息

Anat Cell Biol. 2022 Sep 30;55(3):380-383. doi: 10.5115/acb.22.016. Epub 2022 Jul 18.

DOI:10.5115/acb.22.016
PMID:35848092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9519773/
Abstract

While the route, location, and pathology of the lingual nerve has been detailed extensively in reports in the literature, its terminal branch to the sublingual gland is often overlooked. It is known, via both gross and histological observation, that the sublingual glandular branch terminates at the posterior aspect of the sublingual gland. Upon routine cadaveric dissection of a male cadaver, one of the lingual nerve branches was found to terminate at the anteroinferior portion of a herniated sublingual gland. This specific course has not previously been discussed or reported via gross or histological observation. Therefore, a timely review of the lingual nerve's terminal sublingual glandular branch's anatomy and clinical significance pertaining to this case is warranted. Surgeons who treat patients with submental masses should be aware of the anatomy of this nerve and the potential variance described here in order to avoid postprocedural complications.

摘要

虽然舌神经的走行、位置及病理在文献报道中已有详尽阐述,但其至舌下腺的终末支常被忽视。通过大体及组织学观察可知,舌下腺支在舌下腺后方终止。在对一具男性尸体进行常规尸体解剖时,发现一条舌神经分支在疝出的舌下腺的前下部终止。此前尚未通过大体或组织学观察讨论或报道过这一特殊走行。因此,有必要及时回顾舌神经终末舌下腺支的解剖结构及其与该病例相关的临床意义。治疗颏下肿物患者的外科医生应了解该神经的解剖结构及此处描述的潜在变异,以避免术后并发症。

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本文引用的文献

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Dual innervation of the submandibular gland by nerve to mylohyoid and chorda tympani.下颌下腺由下颌舌骨肌神经和鼓索双重神经支配。
Morphologie. 2021 Dec;105(351):316-318. doi: 10.1016/j.morpho.2020.11.004. Epub 2020 Dec 4.
2
How to avoid iatrogenic lingual nerve injury in the retromolar area: an anatomical study of retromolar pad and lingual nerve.如何避免磨牙后区医源性舌神经损伤:磨牙后垫与舌神经的解剖学研究
Surg Radiol Anat. 2020 May;42(5):523-528. doi: 10.1007/s00276-020-02422-w. Epub 2020 Jan 27.
3
An anatomical study of the lingual nerve in the lower third molar area.
下颌第三磨牙区舌神经的解剖学研究。
Anat Cell Biol. 2019 Jun;52(2):140-142. doi: 10.5115/acb.2019.52.2.140. Epub 2019 Jun 30.
4
Anatomical study of the so-called "retromolar gland": Distinguishing normal anatomy from oral cavity pathology.所谓“磨牙后腺”的解剖学研究:区分正常解剖结构与口腔病理学表现。
Clin Anat. 2018 May;31(4):462-465. doi: 10.1002/ca.23047. Epub 2018 Feb 22.
5
Clinical Anatomy of the Lingual Nerve: A Review.舌神经的临床解剖学:综述
J Oral Maxillofac Surg. 2017 May;75(5):926.e1-926.e9. doi: 10.1016/j.joms.2017.01.009. Epub 2017 Jan 18.
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A cadaveric study on mylohyoid herniation of the sublingual gland.一项关于舌下腺下颌舌骨肌疝的尸体研究。
Eur Arch Otorhinolaryngol. 2016 Dec;273(12):4413-4416. doi: 10.1007/s00405-016-4095-1. Epub 2016 May 14.
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Anatomy, biogenesis and regeneration of salivary glands.唾液腺的解剖、生物发生及再生
Monogr Oral Sci. 2014;24:1-13. doi: 10.1159/000358776. Epub 2014 May 23.
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Lingual nerve injury.舌神经损伤。
Headache. 2003 Oct;43(9):975-83. doi: 10.1046/j.1526-4610.2003.03189.x.