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Anatomical Bases of the Temporal Muscle Trigger Points.
Garrido, Luis Carlos Fernandez; Simonetti, Giulianna; Saleh, Samir Omar; Hojaij, Flávio; Andrade, Mauro; Jacomo, Alfredo Luiz; Akamatsu, Flavia Emi.
Afiliação
  • Garrido LCF; Department of Surgery, Laboratory of Medical Research-Division of Human Structural Topography, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
  • Simonetti G; Department of Surgery, Laboratory of Medical Research-Division of Human Structural Topography, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
  • Saleh SO; Department of Surgery Medicine, Laboratory of Medical Research, FMUSP, São Paulo, SP, Brazil.
  • Hojaij F; Department of Surgery Medicine, Laboratory of Medical Research, FMUSP, São Paulo, SP, Brazil.
  • Andrade M; Department of Surgery, Laboratory of Medical Research-Division of Human Structural Topography, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
  • Jacomo AL; Department of Surgery, Laboratory of Medical Research-Division of Human Structural Topography, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
  • Akamatsu FE; Department of Surgery, Laboratory of Medical Research-Division of Human Structural Topography, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Biomed Res Int ; 2024: 6641346, 2024.
Article em En | MEDLINE | ID: mdl-38435541
ABSTRACT

Method:

Temporal muscles of 14 adult cadavers were studied. The muscle bellies were divided into six areas, three superior (1.2 and 3) and three inferior areas (4, 5, and 6) lower, according to a Cartesian plane to analyze and describe the entry points of the branches of the deep temporal nerves into the muscle. The branching distribution was analyzed using Poisson log-linear tests with Bonferroni post hoc tests for comparison between groups (sextants) (p < 0.05).

Results:

Deep temporal nerve entry points were found in the temporal muscle in all areas. Most of the branches were observed in areas 2 and 5, which coincide with the muscle fibers responsible for mandible elevation and related to the previously described MTPs. Fewer branches were found in areas 1 and 6, where contraction produces mandible retraction.

Conclusion:

There is an anatomical correlation between the branching pattern of the deep temporal nerve and temporal muscle trigger points. Adequate knowledge of the innervation of the temporal muscle may help elucidate the pathophysiology of myofascial syndromes and provide a rational basis for interventional or conservative approaches and help surgeons avoid iatrogenic lesions to the deep temporal nerve lesion.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Músculo Temporal / Pontos-Gatilho Limite: Adult / Humans Idioma: En Revista: Biomed Res Int Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Músculo Temporal / Pontos-Gatilho Limite: Adult / Humans Idioma: En Revista: Biomed Res Int Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos