The Open Anatomy Journal




    (Discontinued)

    ISSN: 1877-6094 ― Volume 6, 2014

    En Bloc Removal of the Mandible, the Trigeminal Muscles and the Mandibular Nerve in Humans



    M.A Aziz1, K Lashley 1, R Diogo*, 2
    1 Department of Anatomy, Howard University, College of Medicine, 520 W Street, N.W., Washington, DC 20059, USA
    2 Center for the Advanced Study of Hominid Paleobiology, Department of Anthropology, George Washington University, 2110 G Street, N.W., Washington, DC 20052, USA

    Abstract

    The trigeminal nerve supplied muscles share many traits due to their common embryological derivation from the mandibular branchial arch. Many of these muscles, especially the masticatory, exhibit very complex intra- and intermuscular anatomical and functional specializations which continue to be investigated. Two schemes have been proposed to classify the intramuscular and extramuscular slips associated with these muscles: 1) based on recognizable laminae within each muscle; 2) based on the pattern of nerve distribution to definable parts of each muscle. The extramuscular slips have been identified on the bases of their nerve supply. The second scheme is beginning to yield results which confirm Edgeworth’s (1914, 1935) hypothesis regarding the ontogeny and phylogeny of the trigeminal nerve supplied musculature. These advances in the rational classification of these muscles have resulted from improved methods to expose the deeper parts of the masticatory and related spaces. However, because of the piecemeal exposure of parts of the spaces which contain some of the deeper trigeminal muscles there remain several issues that still need to be resolved. We provide a detailed protocol by which all the trigeminal nerve supplied muscles can be isolated from the upper cranium so that the entire mandibular nerve tree along with its musculature may be described as a connected complex of related structures. The practical and clinical implications of this new methodology are evaluated and discussed.

    Keywords: Trigeminal musculature, mandibular arch derivatives, mandibular nerve, En bloc dissection method, ontogeny, phylogeny.


    Article Information


    Identifiers and Pagination:

    Year: 2010
    Volume: 2
    First Page: 56
    Last Page: 66
    Publisher Id: TOANATJ-2-56
    DOI: 10.2174/1877609401002010056

    Article History:

    Received Date: 15/9/2009
    Electronic publication date: 22/4/2010
    Collection year: 2010

    © Aziz et al.; Licensee Bentham Open.

    open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.


    * Address correspondence to this author at the Center for the Advanced Study of Hominid Paleobiology, Department of Anthropology, George Washington University, 2110 G Street, N.W., Washington, DC 20052, USA; Tel: 001-202-994-6075; Fax: 001-202-994-6097; E-mail: Rui_Diogo@hotmail.com




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