A Study of Sex Determination from Human Mandible Using Various Morphometrical Parameters

Total Page:16

File Type:pdf, Size:1020Kb

A Study of Sex Determination from Human Mandible Using Various Morphometrical Parameters Original Research A Study of Sex Determination from Human Mandible Using Various Morphometrical Parameters Anupam Datta1, Santhosh Chandrappa Siddappa2,*, Viswanathan Karibasappa Gowda3, Siddesh Revapla Channabasappa4, Satish Babu Banagere Shivalingappa5, Srijith6, Debaleena Dey7 1,6Post Graduate Student, 2Professor, 3Professor and HOD, 5Associate Professor, Department of Forensic Medicine and Toxicology, J J M Medical College, Davangere, Karnataka, India, 577004. 4Senior Resident, Department of Forensic Medicine and Toxicology, Andaman & Nicobar Islands Institute of Medical Sciences, Port Blair, India, 744104. Contact No- 07204911185. 7Post Graduate Student. Department of Otolaryngology, Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India, 799014 Department of Forensic Medicine and Toxicology, J J M Medical College, Davangere, Karnataka, India, 577004. Department of Otolaryngology, Tripura Medical College and Dr. BRAM Teaching Hospital, Hapania, Agartala, Tripura, India, 799014. *Corresponding Author: E-mail: [email protected] ABSTRACT Introduction: Examination of bones is important for identification of deceased and determination of sex. The mandible is the largest and hardest facial bone, that commonly resist post mortem damage and forms an important source of information about sexual dimorphism. Aim: The purpose of the study is to analyze sexual dimorphism in the mandibles of South Indian population. Materials and Methods: A random collection of 50 adult, dry, complete, undamaged human mandibles of South Indian population were subjected to metrical parameters like Gonial angle, Bigonial width, Height of ramus, Bicondylar breadth, Mandibular length, Length of lower jaw, Mandibular index, Body thickness, Coronoid height, Bimental breadth, Symphyseal height and Body height using Mandibulometer and Digital Vernier caliper. Statistical Analysis used: The data’s were expressed as Mean ± SD and then analyzed by unpaired t-test by using IBM SPSS Statistics 21. Discriminating point and limiting points were also calculated. Results: After obtaining all the measurements, unpaired ‘t-test’ was performed. The Gonial angle, Bigonial width, Height of ramus, Bicondylar breadth, Mandibular length, Length of lower jaw, Body thickness, Coronoid height, Bimental breadth, Symphyseal height and Body height showed statistically significant gender difference. Conclusion: The present study highlighted that the gender of the mandible can be determined using different metrical parameters as an additional tool to establish the identity of a person. Key words: Mandible, Metrical parameters, Sexual dimorphism, South Indian population. INTRODUCTION mandible is derived. The mandible is the largest, Identification of human skeletal remains is strongest and lowest bone in the face. Mandible retains very important and integral part of medico legal and its shape better than other bones, so it plays an anthropological work. The determination of sex of an important role Forensic osteology and Anthro- individual is important and necessary both in the living pological works. and the dead for medico legal purpose. According to Present study wants to highlight the status of Krogman, the degree of accuracy in sexing adult statistical correlation among the 12 different metrical skeletal remains is entire skeleton 100%, Pelvis alone parameters in a known sample of 50 adult dry 95%, Skull alone 90%, Pelvis and skull 98% and long Mandible in South Indian population. bones alone 80%.1 In case of mass disasters like explosions, earthquake, warfare, aircraft crashes, MATERIAL AND METHODS floods, only when the fragmented bones are found, sex determination with 100% accuracy is not possible and Study design and collection of Data it depends largely on the available parts of skeleton. The study was carried out on 50 adult, dry, Skull is the most dimorphic and easily sexed portion complete human mandible, collected from Department of skeleton after pelvis. But in cases where intact skull of Forensic Medicine and Toxicology, J J M Medical is not found, mandible may play a vital role in sex College, Davangere. The different parameters of each determination, as it is the most dimorphic bone of mandible were studied with the help of Digital Vernier skull. caliper and Mandibulometer. The mandible is a Latin word which means lower jaw. Mandere means to chew. Thus the word Indian Journal of Forensic and Community Medicine, July - September 2015;2(3):158-166 158 Anupam Datta et al. A Study of Sex Determination from Human Mandible Using Various… Gonial angle: Angle formed by the inferior border of DATA MANAGEMENT AND STATISTICAL the corpus and the posterior border of the ramus. ANALYSIS Instrument: Mandibulometer.(fig. 1) In the first step of analysis, based on Bigonial width: it measures the straight distance morphological features mandibles were categorized between two gonia. Instrument: Vernier Caliper.(fig.2) into male and female. Then these male and female Height of ramus: direct distance from the highest bones were compared by 12 different metrical point on the mandibular condyle to gonion. parameters. After all the measurements were done, Instrument: Vernier caliper.(fig. 5) observations were statistically analysed by IBM SPSS Bicondylar breadth: it measures the straight distance Statistics 21. Unpaired T-Test was performed. between two condylia lateralia. Instrument: Vernier Mean and Standard Deviation were Caliper.(fig. 4) calculated for the ranges of each parameter of both the Mandibular length: distance of the anterior margin of genders. Using these values ‘calculated range’ was the chin from a centre point on the protected straight arrived at by the formula ‘mean ± 3 standard line placed along the posterior border of the two deviation’. For a given male calculated range is ‘a to mandibular angles. Instrument: Mandibulometer. b’ and for female ‘c to d’, values of ‘a’ (minimum in (fig.2) male range) and ‘d’ (maximum in female range) were Length of lower jaw: it measures the straight distance chosen as ‘demarking points’. Limiting point is an from the posterior margin of the chin to the tangent absolute value found within both ranges. Limiting drawn at the two gonia. Instrument: Vernier Caliper point was so chosen that vast number of male and Mandibulometer.(fig. 2) mandibles showed values greater than it and bulk of Mandibular index (Thomson criteria): Length of female mandibles showed values lesser than the lower jaw/Bicondylar Breadth X 100. Range variation chosen limiting point. So as compared to demarking (According to Lindegard and Sonesson) - point, the percentage of mandibles could be identified Dolichostenomandibular ≤ 97.9, Mesomandibular was far larger with limiting point. 98.0 – 104.9, Brachyeurymandibular ≥ 105.0. Body thickness: it measures the maximum thickness RESULTS in the plane of foramen mentale perpendicular to the Gonial angle: Gonial angle of male mandible varies longitudinal axis of the body. Instrument: Vernier from 115° – 140° with an average of 126.6° ± 6° and Caliper. (fig. 7) that of female mandible varies from 123° – 150° with Coronoid height: it measures the projective distance an average of 135.72° ± 8°. The demarking point of between coronion and lower wall of the bone. mandibular angle for male was less than 159.72 and Instrument: Vernier caliper. (fig. 6) for female was more than 108.6. Limiting point for Bimental breadth: it measures the straight distance mandibular angle was 131.16°, by which 84% of male between the inner margins of two mental foramina. and 64% of female were correctly sexed. The gender Instrument: Vernier Caliper.(fig. 3) differences in mean values of Mandibular angle of Symphyseal height: it measures the straight distance male and female is statistically highly significant between infradentale and gnathion. Instrument: (p=0.0001) for mandible. [Table 1]. Vernier Caliper. Body height: it measures the distance from alveolar Table 1: Gonial angle margin to the lower margin of the mandible in the level Details of measurement Male Female of mental foramen perpendicular to the base. No of bones 25 25 Instrument: Vernier Caliper.2 (fig. 6) Ranges (degrees) 115 - 140 123 – 150 In case of height of ramus, body thickness, coronoid Mean ± SD 126.6 ± 6 135.72 ± 8 height and body height, the average value of right and Calculated Range 108.6 – 144.6 111.72 – 159.72 left side of the mandible was taken into consideration p value 0.0001 in this study. t value -4.522 Inclusion criteria: All the intact, well-formed adult Bigonial width: Mandibles were included in this study. Bigonial width of male mandible varies from 85.57 – Exclusion criteria: Damaged, mutilated and 104.61 mm with an average of 95.70 ± 5.19 and that deformed mandibles, pathological diseased, fractured, of female mandible varies from 78.13 – 103.03 mm developmental disturbances of the mandible, with an average of 88.75 ± 6.78. The demarking point deformed and edentulous mandibles were excluded of Bigonial width for male was more than 109.09 and from the study. for female was less than 80.13. Limiting point for Bigonial width was 92.22, by which 72% of male and 80% of female were correctly sexed. The gender differences in mean values of Bigonial width of male Indian Journal of Forensic and Community Medicine, July - September 2015;2(3):158-166 159 Anupam Datta et al. A Study of Sex Determination from Human Mandible Using Various… and female is statistically highly significant female mandible varies from 60 - 80 mm with an (p=0.0001) for mandible. [Table 2] average of 70.64 ± 4.77. The demarking point of Mandibular length for male was more than 84.95 and Table 2: Bigonial width for female was less than 63.43. Limiting point for Details of measurement Male Female Mandibular length was 73.62, by which 80% of male No of bones 25 25 and 72% of female were correctly sexed. The gender Ranges (mm) 85.57 – 104.61 78.13 – 103.03 differences in mean values of Mandibular length of Mean ± SD 95.70 ± 5.19 88.75 ± 6.78 male and female is statistically highly significant Calculated Range 80.13 – 111.27 68.41 – 109.09 (p=0.0001) for mandible.
Recommended publications
  • The Morphometry of the Angle of Mandible and Its Correlation with Age and Sex in the Ethekwini Metropolitan Region: a Panoramic Study
    Int. J. Morphol., 35(2):661-666, 2017. The Morphometry of the Angle of Mandible and its Correlation with Age and Sex in the eThekwini Metropolitan Region: A Panoramic Study Morfometría del Angulo de la Mandíbula y su Correlación con Edad y Sexo en la Región Metropolitana eThekwini: Un Estudio Panorámico S. Pillay1; S. Ishwarkumar1; B.Z. De Gama1 & P. Pillay1 PILLAY, S.; ISHWARKUMAR, S.; DE GAMA, B. Z. & PILLAY, P. The morphometry of the angle of mandible and its correlation with age and sex in the eThekwini metropolitan region: A panoramic study. Int. J. Morphol., 35(2):661-666, 2017. SUMMARY: The angle of mandible is formed by the tangent line joining the posterior margin of the ramus and the base of the mandible. The angle of mandible has population-specific characteristics therefore; it is imperative to the field of forensic anthropology for age and sex determination. Literary reports regarding the use of the angle of mandible for age and sex determination vary, as some studies support it, while other studies have documented inefficiencies. Therefore, the aim of this investigation was to document the morphometry of the angle of mandible and to determine if a correlation between the angle of mandible, age and sex exists. Sixty four digital panoramic radiographs (n=128) of individuals between 16-30 years were morphometrically analysed using the Dicom Digital Imaging Software. The data was captured and analysed using the Statistical Package for Social Science (SPSS version 23.0). Despite females having a greater angle of mandible than males, no statistically significant correlation was found between the size of the angle of mandible and sex (p=0.088).
    [Show full text]
  • The Gonial Angle Relation with Different Dentitiontal Status on Orthopantomogram in Iraqi Sample
    Republic of Iraq Ministry of Higher Education And scientific Research University of Baghdad College of Dentistry The Gonial angle relation with different dentitiontal status on orthopantomogram in iraqi sample A project Submitted to Collage of Dentistry, University of Baghdad. Department of Oral and Maxillofacial Radiology in fulfillment for the requirement to award the degree B.D.S Done by Hadeer Majid Ali 5th Grade Supervisor Dr. Alaa Salah Mahdi B.D.S, M.SC. Oral and Maxillofacial Radiology Baghdad Iraq 2018_1439 Dedication To my parents who were their for me in every step of the way with their have love and support… To my supervisor for his guidance, help and endless support throughout this project… Hadeer Majid Ali Abstract Abstract Background: Mandibular angle plays an important role in ensuring a harmonious facial profile from esthetic point of view so it is a representative of mandible morphology. Resorption of alveolar bone is the best recognized feature of mandibular aging in the edentate subjects and changes of the mandibular cortical shape and thickness may be used as indications to many abnormalities, such as osteoporosis. Panoramic radiographs are a useful tool for the measurement because majority of dentists request an Orthopantomogram for patients during routine dental examination. The Aim of the study: to correlated the gonial angle relation with different dentitional status they are in three group dentulous, partial dentulous and edentulous using digital panoramic imaging system with age, gender and dental status. Subjects, Materials and Methods: This study was conducted on 30 Iraqi in three group dentulous , partial dentulous and edentulous attending to the digital panoramic clinic of the hospital of college of dentistry university of Baghdad Information from each subject was recorded in a special case sheet.
    [Show full text]
  • Ortho Part II
    Ortho Part II Paul K. Chu, DDS St. Barnabas Hospital November 21, 2010 REVIEW FROM LAST LECTURE 1 What kinds of steps are the following? Distal Mesial Distal Mesial Moyer’s Analysis Review 1) Take an impression of a child’s MANDIBULAR arch 2) Measure the mesial distal widths of ALL permanent incisors 3) Take the number you get and look at the black row 4) The corresponding number is the mesial distal width you need for the permanent canine- 1st premolar- 2nd premolar i .e . the 3 - 4 -5 ***(Black row) ----this is the distance you measure**** 2 Moyer’s Analysis Review #1) measure the mesial distal incisal edge width of EACH permanent incisor and add them up **Let’s say in this case we measured 21mm.** Step 1 Moyer’s Analysis Review Maxilla Look at the chart Mandibular Since The resulting number measured should give you needed 21mm we look widths of the maxilla or here. mandibular space needed for permanent canines and 1st and 2nd premolars. Step 2 3 Moyer’s Analysis Review Maxilla You also use the added Mandibular measurements of the mandibular incisors to get predicted MAXILLARY measurements as well! Step 2 The Dreaded Measurements Lecture 4 What Are We Trying to Accomplish? (In other words) Is the patient Class I, II, III skeletal? Does the patient have a skeletal open bite growth pattern, or a deep bite growth pattern, or a normal growth pattern? Are the maxillary/mandibular incisors proclined, retroclined or normal? Is the facial profile protrusive, retrusive, or straight? Why? Why? Why? Why does this patient have increased
    [Show full text]
  • Atlas of the Facial Nerve and Related Structures
    Rhoton Yoshioka Atlas of the Facial Nerve Unique Atlas Opens Window and Related Structures Into Facial Nerve Anatomy… Atlas of the Facial Nerve and Related Structures and Related Nerve Facial of the Atlas “His meticulous methods of anatomical dissection and microsurgical techniques helped transform the primitive specialty of neurosurgery into the magnificent surgical discipline that it is today.”— Nobutaka Yoshioka American Association of Neurological Surgeons. Albert L. Rhoton, Jr. Nobutaka Yoshioka, MD, PhD and Albert L. Rhoton, Jr., MD have created an anatomical atlas of astounding precision. An unparalleled teaching tool, this atlas opens a unique window into the anatomical intricacies of complex facial nerves and related structures. An internationally renowned author, educator, brain anatomist, and neurosurgeon, Dr. Rhoton is regarded by colleagues as one of the fathers of modern microscopic neurosurgery. Dr. Yoshioka, an esteemed craniofacial reconstructive surgeon in Japan, mastered this precise dissection technique while undertaking a fellowship at Dr. Rhoton’s microanatomy lab, writing in the preface that within such precision images lies potential for surgical innovation. Special Features • Exquisite color photographs, prepared from carefully dissected latex injected cadavers, reveal anatomy layer by layer with remarkable detail and clarity • An added highlight, 3-D versions of these extraordinary images, are available online in the Thieme MediaCenter • Major sections include intracranial region and skull, upper facial and midfacial region, and lower facial and posterolateral neck region Organized by region, each layered dissection elucidates specific nerves and structures with pinpoint accuracy, providing the clinician with in-depth anatomical insights. Precise clinical explanations accompany each photograph. In tandem, the images and text provide an excellent foundation for understanding the nerves and structures impacted by neurosurgical-related pathologies as well as other conditions and injuries.
    [Show full text]
  • The Muscles of the Jaw Are Some of the Strongest in the Human Body
    MUSCLES OF MASTICATION The muscles of the jaw are some of the strongest in the human body. They aid in chewing and speech by allowing us to open and close our mouths. Ready to unlock the mysteries of mastication? Then read on! OF MASSETERS AND MANDIBLES The deep and superficial masseter muscles enable mastication (chewing by pulling the mandible (jawbone) up towards the maxillae. Factoid! Humans’ jaws are able to bite with DEEP a force of about 150-200 psi (890 MASSETER Newtons). In contrast, a saltwater crocodile can bite with a force of 3,700 SUPERFICIAL psi (16, 400 Newtons)! MASSETER MAXILLA (R) 2 MANDIBLE MORE MASSETER FACTS The deep masseter’s origin is the zygomatic arch and the superficial masseter’s origin is the zygomatic bone. Both masseters insert into the ramus of the mandible, though the deep masseter’s insertion point is closer to the temporomandibular joint. The mandible is the only bone in the skull that we can consciously move (with the help of muscles, of course). 3 TEMPORALIS The temporalis muscles sit on either side of the head. Their job is to elevate and retract the mandible against the maxillae. They originate at the temporal fossa and temporal fascia and insert at the coronoid process and ramus of the mandible. 4 LATERAL SUPERIOR PTERYGOIDS HEAD The lateral pterygoids draw the mandibular condyle and articular disc of the temporomandibular joint forward. Each lateral pterygoid has two heads. The superior head originates at the sphenoid and infratemporal crest and the inferior head originates at the lateral pterygoid plate.
    [Show full text]
  • A Review of the Mandibular and Maxillary Nerve Supplies and Their Clinical Relevance
    AOB-2674; No. of Pages 12 a r c h i v e s o f o r a l b i o l o g y x x x ( 2 0 1 1 ) x x x – x x x Available online at www.sciencedirect.com journal homepage: http://www.elsevier.com/locate/aob Review A review of the mandibular and maxillary nerve supplies and their clinical relevance L.F. Rodella *, B. Buffoli, M. Labanca, R. Rezzani Division of Human Anatomy, Department of Biomedical Sciences and Biotechnologies, University of Brescia, V.le Europa 11, 25123 Brescia, Italy a r t i c l e i n f o a b s t r a c t Article history: Mandibular and maxillary nerve supplies are described in most anatomy textbooks. Accepted 20 September 2011 Nevertheless, several anatomical variations can be found and some of them are clinically relevant. Keywords: Several studies have described the anatomical variations of the branching pattern of the trigeminal nerve in great detail. The aim of this review is to collect data from the literature Mandibular nerve and gives a detailed description of the innervation of the mandible and maxilla. Maxillary nerve We carried out a search of studies published in PubMed up to 2011, including clinical, Anatomical variations anatomical and radiological studies. This paper gives an overview of the main anatomical variations of the maxillary and mandibular nerve supplies, describing the anatomical variations that should be considered by the clinicians to understand pathological situations better and to avoid complications associated with anaesthesia and surgical procedures. # 2011 Elsevier Ltd.
    [Show full text]
  • Anatomical Basis of Sleep-Related Breathing Abnormalities in Children with Nasal Obstruction
    ORIGINAL ARTICLE Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction Yehuda Finkelstein, MD; David Wexler, MD; Gilead Berger, MD; Ariela Nachmany, MA; Myra Shapiro-Feinberg, MD; Dov Ophir, MD Objective: To define, in a group of children with nasal tified in patients prone to obstructive breathing pat- obstruction, the anatomical differences that differenti- terns: increased flexure of the cranial base and bony na- ate those with quiet, unobstructed nocturnal respira- sopharynx, opening of the gonial angle, shortened tion from those with obstructive sleep-related breathing mandibular length, dorsocaudal location of the hyoid, re- abnormalities (snoring and obstructive sleep apnea). duced posterior airway space, and increased velar thick- ness. Design: Case series. Conclusions: A number of anatomical abnormalities may Patients: Fifty-nine children aged 3 to 13 years (35 boys contribute to sleep-related abnormal breathing in oth- and 24 girls) with nasal obstruction and without tonsil- erwise normal children with nasal obstruction. Our re- lar hypertrophy, known craniofacial syndromes, or neu- sults suggest that symptomatic children show some of romuscular diseases were included in the study. the same skeletal and soft-tissue configurations that are found in adults with obstructive sleep apnea. While ad- Main Outcome Measures: Each patient was catego- enoidectomy is generally an effective treatment in chil- rized as to severity of nocturnal obstructive breathing dren with obstructive sleep-related breathing abnormali- symptoms. Angular and linear cephalometric measure- ties, the underlying craniofacial variances that remain after ments were used for assessment of craniofacial features. adenoidectomy may predispose these patients to rede- Clinical symptom scores were correlated with the cepha- velopment of obstructive breathing abnormalities in adult- lometric measurements.
    [Show full text]
  • Radiopacities in Soft Tissue on Dental Radiographs: Diagnostic Considerations
    www.sada.co.za / SADJ Vol 70 No. 2 CLINICAL REVIEW < 53 Radiopacities in soft tissue on dental radiographs: diagnostic considerations SADJ March 2015, Vol 70 no 2 p53 - p59 CEE Noffke1, EJ Raubenheimer2, NJ Chabikuli3 SUmmarY Radiopacities in soft tissue in the maxillofacial and oral ACRONYMS region frequently manifest on panoramic radiographs in CAC: calcified carotid plaque various locations and in several sizes and shapes. Accurate CBCT: cone beam computed tomography diagnosis is important as the finding may indicate serious CTC: calcified triticeous cartilage disease states. This manuscript provides guidelines for the GHH: greater horn of hyoid bone interpretation of soft tissue radiopacities seen on dental SHTC: superior horn of thyroid cartilage radiographs and recommends additional radiological views required to locate and diagnose the calcifications. tissue ossification is the formation of mature bone with or INTRODUCTION without bone marrow in an extra-skeletal site. Appropriate Soft tissue radiopacities include calcification, ossification or examples are elongation of the styloid process through foreign objects. The latter are excluded from this manuscript. ossification of the attached ligaments and bone formation Calcification is the deposition of calcium salts in tissue. The in synovial chondromatosis. pathogenesis is based on either dystrophic or metastatic mechanisms. Dystrophic calcification, which comprises Idiopathic calcification involves normal serum calcium the majority of soft tissue calcifications in the head and concentration and healthy tissue, and can as such not be neck region, is the result of soft tissue damage with tissue classified as either dystrophic or metastatic. Examples of degeneration and necrosis which attracts the precipitation this are tumorous calcinosis which presents with calcifica- of calcium salts.
    [Show full text]
  • Rhesus Monkey with Emphasis on the External Carotid System '
    The Arterial System of the Head and Neck of the Rhesus Monkey with Emphasis on the External Carotid System ' WALTER A. CASTELLI AND DONALD F. HUELKE Department of Anatomy, The University of Michigan, Ann Arbor, Michigan ABSTRACT The arterial plan of the head and neck of 64 immature rhesus mon- keys (Macacn mulatta) was studied using four techniques - dissection, corrosion preparations, cleared specimens, and angiographs. In general, the arterial plan of this area in the monkey is similar to that of man. However, certain outstanding differ- ences were noted. The origin, course, and distribution of all arteries is described as well as the vascular relations to pertinent structures. As has been mentioned previously 10% formalin except 17 which were un- (Dyrud, '44; Schwartz and Huelke, '63) embalmed. Four different techniques were the rhesus monkey is useful for many used for the study of the arterial distribu- types of medical and dental investigations, tion : ( 1 ) dissections - 27 specimens; (2) yet its detailed gross morphology is virtu- corrosion preparations - 6; (3) cleared ally unknown. Although certain areas of specimens - 15; (4) angiographs - 16 the monkey have been studied in detail - heads ( 11 unembalmed and 5 embalmed). brachial plexus, facial and masticatory The arterial system of the specimens used musculature, subclavian, axillary and cor- for dissection was injected with vinyl ace- onary arteries, orbital vasculature, and tate, red latex, or with a red-colored gela- other structures (Schwartz and Huelke, tion mass. For the dissection of smaller ar- '63; Chase and DeGaris, '40; DeGaris and teries, the smallest of 150 ~1 in diameter, Glidden, '38; Chase, '38; Huber, '25; Wein- the binocular dissection microscope was stein and Hedges, '62; Samuel and War- used.
    [Show full text]
  • Surgical Anatomy of the Maxillary and Mandibular Nerves Maxillary Nerve
    Surgical anatomy of the maxillary and mandibular nerves Maxillary nerve III. pars infraorbitalis IV. pars II. pars I. pars facialis pterygopalatina cranialis Branch in the cranium the middle meningeal -given off at origin from the trigeminale ganglion -supplies the dura mater Branches in the pterygopalatine fossa 1.zygomatic nerve 2.pterygopalatine branches -nasal posterior (nasopalatine) -palatine nerves (greater palatine, lesser palatine) -orbital 4.superior alveolar nerves(posterior) zygomatic n. pterygopalatine n. orbitale nasopalatine n. pterygopalatine canal post. incisive n. ant.palatine n. middle The palatine nerves They are three in number: anterior,middle and posterior -anterior palatine nerve- emerges upon the hard palate through the greater palatine foramen and passes forward in a groove in the hard palate -gums, mucous membrane, glands post.sup.alv.nerve pterygopalatine canal post. middle ant.palatine n. Branches in the infraorbital canal -middle superior alveolar nerve -anterior superior alveolar nerve Branches on the face - inferior palpebral branches - external nasal branches - superior labial branches Connections of the pterygopalatine fossa 1. rotundum foramen 2. sphenopalatine foramen 3. inf.orbital fissure 4. pterygomaxillare fissure 5. pterygoid canal Vidii 6. pterygopalatine canal Innervation of the hard palate Innervation of the hard palate Mandibular nerve Mandibular nerve-branches 1. • anterior division (seu motoria) – masseteric nerve – deep temporal nerves – lateral and medial pterygoid nerve – tensor veli palatini nerve – tensor tympani nerve – buccal nerve (sensory nerve!) Mandibular nerve –branches 2. • posterior division (seu sensitiva) – meningeal branch – auriculotemporal nerve • r. meatus acustici externi • rr. parotidei • rr. articulationis • rr. auriculares anteriores • rr. temporales superficiales – lingual nerve (a sensory nerve) • rr. palatini • rr. communicantes c.
    [Show full text]
  • Understanding Primate Mandibular Symphyseal Fusion: Function, Integration, and Ontogeny
    UNDERSTANDING PRIMATE MANDIBULAR SYMPHYSEAL FUSION: FUNCTION, INTEGRATION, AND ONTOGENY A DISSERTATION SUBMITTED TO THE FACULTY OF THE UNIVERSITY OF MINNESOTA BY RYAN P. KNIGGE IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY DR. KIERAN P. MCNULTY December 2017 @ Ryan P. Knigge 2017 Acknowledgements First, I am deeply indebted to my advisor and mentor, Kieran McNulty, for many years of patience and support. He opened my eyes to exciting and innovative areas of scientific research and has challenged me to become a better student of anthropology, biology, and statistical practices. I am also particularly grateful for my committee members, Martha Tappen, Michael Wilson, and Alan Love, for so many interesting discussions and insights over the years. I thank the Department of Anthropology and my many friends and colleagues within for years of emotional and academic support. Many data collection and field work trips were funded through department block grants. Surely without these contributions, I would not have been able to succeed as a graduate student. I would like thank the previous and current managers of the Evolutionary Anthropology Labs at the University of Minnesota, John Soderberg and Matt Edling, for access to the collections and technical support. Without their help and generosity, data collection and analysis would not have been possible. I thank the University of Minnesota for supporting my research in many ways during my graduate school career. Portions of my data collection were funded through the University of Minnesota Graduate School Thesis Research Travel Grant. Dissertation writing support was provided through the Doctoral Dissertation Fellowship.
    [Show full text]
  • Resident Manual of Trauma to the Face, Head, and Neck
    Resident Manual of Trauma to the Face, Head, and Neck First Edition ©2012 All materials in this eBook are copyrighted by the American Academy of Otolaryngology—Head and Neck Surgery Foundation, 1650 Diagonal Road, Alexandria, VA 22314-2857, and are strictly prohibited to be used for any purpose without prior express written authorizations from the American Academy of Otolaryngology— Head and Neck Surgery Foundation. All rights reserved. For more information, visit our website at www.entnet.org. eBook Format: First Edition 2012. ISBN: 978-0-615-64912-2 Preface The surgical care of trauma to the face, head, and neck that is an integral part of the modern practice of otolaryngology–head and neck surgery has its origins in the early formation of the specialty over 100 years ago. Initially a combined specialty of eye, ear, nose, and throat (EENT), these early practitioners began to understand the inter-rela- tions between neurological, osseous, and vascular pathology due to traumatic injuries. It also was very helpful to be able to treat eye as well as facial and neck trauma at that time. Over the past century technological advances have revolutionized the diagnosis and treatment of trauma to the face, head, and neck—angio- graphy, operating microscope, sophisticated bone drills, endoscopy, safer anesthesia, engineered instrumentation, and reconstructive materials, to name a few. As a resident physician in this specialty, you are aided in the care of trauma patients by these advances, for which we owe a great deal to our colleagues who have preceded us. Additionally, it has only been in the last 30–40 years that the separation of ophthal- mology and otolaryngology has become complete, although there remains a strong tradition of clinical collegiality.
    [Show full text]