A Functional Analysis of the Temporomandibular Joint in Homosapiens Sapiens and Homo Sapiens Neanderthalensis
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A Study of Occurrence and Types of Suprameatal Spines in the Suprameatal Triangle
ISSN: 2455-2631 © March 2021 IJSDR | Volume 6, Issue 3 A STUDY OF OCCURRENCE AND TYPES OF SUPRAMEATAL SPINES IN THE SUPRAMEATAL TRIANGLE Preetha Parthasarathy Under graduate SIMATS Saveetha Dental College, 162, Poonamalle high road, Velappanchavadi, Chennai- 600095. India. Mrs. M.S. Thenmozhi Dept of Anatomy SIMATS Saveetha Dental College, 162, Poonamalle high road, Velappanchavadi, Chennai- 600095. India. Corresponding author: Mrs. Thenmozhi. M.S Dept of anatomy SIMATS Saveetha dental college, Velappanchavadi Chennai-600095 India Running title: Types of suprameatal spines ABSTRACT: AIM: To identify the occurrence and types of suprameatal spines on either sides of the skull in the suprameatal triangle and to study their clinic implications. OBJECTIVE: To figure out the presence of suprameatal spines in the suprameatal triangle and to review the literature on anatomical and clinic aspects of suprameatal triangle. INTRODUCTION: Suprameatal triangle is present between the posterior wall of external acoustic meatus and posterior root of zygomatic process, in the temporal bone. It is also called as Macewen’s triangle. Suprameatal spine is seen below the upper limit of the orifice of the inner end of external acoustic meatus which is closed by tympanic membrane. It is also called as spine of Henle. RESULT: From the above conducted study, it can be seen that, when the suprameatal spines were evaluated according to its type and occurrence, the crest type of spine present was more than the triangle type. The crest type of spine was found to be 62.2% and the triangle type of spine was about 37.8% CONCLUSION: Thus, this study shows the prevalence of crest and triangle type spine in the dry skulls evaluated. -
Applied Anatomy of the Temporomandibular Joint
Applied anatomy of the temporomandibular joint CHAPTER CONTENTS process which, together with the temporal process of the zygo- Bones . e198 matic bone, forms the zygomatic arch (Fig. 1). The midline fusion of the left and right mandibular bodies Joint .capsule .and .ligaments . e198 provides a connection between the two temporomandibular Intra-articular .meniscus . e198 joints, so that movement in one joint always influences the opposite one. Nociceptive .innervation . e199 Muscles .and .tendons . e199 Joint capsule and ligaments Biomechanical .aspects . e200 Forward movement of the mandible . e200 The joint capsule is wide and loose on the upper aspect around Opening and closing the mouth. e200 the mandibular fossa. Distally, it diminishes in a funnel shaped Grinding movements . e200 manner to become attached to the mandibular neck (Fig. 2). Nerves .and .blood .vessels . e200 Its laxity prevents rupture even after dislocation. Laterally and medially, a local reinforcement of the joint capsule is found. The lateral collateral ligament courses from The temporomandibular joint (TMJ) is sited at the base of the the zygomatic arch obliquely downwards and backwards skull and formed by parts of the mandible and the temporal towards the posterior rim of the mandibular neck, lateral to bone, separated by an intra-articular meniscus. It is a synovial the outer aspect of the capsule. At its posterior aspect, it is in joint capable of both hinge (rotation) and sliding (translatory) close relation to the joint capsule and prevents the joint from movements. Like other synovial joints, it may be affected by opening widely. Medially, the joint capsule is locally reinforced internal derangement, inflammatory arthritis, arthrosis, and by the medial collateral ligament. -
Innervation of the Temporomandibular Joint Can Be Discussed It Is Necessary First to Describe Its Embryology, Gfoss Anatomy and Microscopic Appe¿Ìrance
à8.ì 'R? INNERVATION OF THE TEMPOROMAI\DIBULAR J AN EXPERIMENTAL AMMAL MODEL USING AUSTRALIAN MERINO STIEEP ABDOLGHAFAR TAHMASEBI-SARVESTANI' B. Sc, M. Sc Thesis submitted for the degree of DOCTOR OF PHILOSOPHY In The Department of Anatomical Sciences The University of Adelaide (Faculty of Medicine)' Adelaide, South Australia, 5005 April, L997 tfüs tñesisis [elicatelø nl wtfe Aggñleñ ø¡tlour g4.arzi"e tfr.re e c friûfren Ía fiera ñ, fo zic ñ atú fi l-1 ACKNOWLEDGMENTS I am greatly indebted to my supervisors Dr. Ray Tedman and Professor Alastair Goss who first inrroduced me to this freld of study and providing me with the opportunity to carry out this work. I wish to thank them for their constant interest and guidance throughout the course of this study. I am also indebted to the scholarship committee of the Shiraz Medical Science University and Ministry of Health and Medical Education, Iran for gânting me a 4 year scholarship to study at the Universiry of Adelaide. I thank professor Goss and the Japanese Surgical Research team for their expertise in surgical animal models, and Professor July Polak and Dr Mika Hukkanen, Royal postgraduate Medical School London University for their expertise in immunohistochemistry and for providing some of the antisera used in the neuropeptide studies. I would also like to thank Professor Ian Gibbins, Department of Anatomy and Histology of the Flinders Medical Centre for, without the use of his laboratories, materials, and expertise, the double and triple labelling parts of the immunocytochemical work would not have occurred. I also orwe many thanks to Susan Matthew, a senior laboratory officer for her skilful technical assistance in double and triple immunocytochemistry. -
Diagnosis and Treatment of Temporomandibular Disorders ROBERT L
Diagnosis and Treatment of Temporomandibular Disorders ROBERT L. GAUER, MD, and MICHAEL J. SEMIDEY, DMD, Womack Army Medical Center, Fort Bragg, North Carolina Temporomandibular disorders (TMD) are a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, and surrounding musculature and osseous components. TMD affects up to 15% of adults, with a peak incidence at 20 to 40 years of age. TMD is classified asintra-articular or extra- articular. Common symptoms include jaw pain or dysfunction, earache, headache, and facial pain. The etiology of TMD is multifactorial and includes biologic, environmental, social, emotional, and cognitive triggers. Diagnosis is most often based on history and physical examination. Diagnostic imaging may be beneficial when malocclusion or intra-articular abnormalities are suspected. Most patients improve with a combination of noninvasive therapies, including patient education, self-care, cognitive behavior therapy, pharmacotherapy, physical therapy, and occlusal devices. Nonsteroidal anti-inflammatory drugs and muscle relaxants are recommended initially, and benzodiazepines or antidepressants may be added for chronic cases. Referral to an oral and maxillofacial surgeon is indicated for refrac- tory cases. (Am Fam Physician. 2015;91(6):378-386. Copyright © 2015 American Academy of Family Physicians.) More online he temporomandibular joint (TMJ) emotional, and cognitive triggers. Factors at http://www. is formed by the mandibular con- consistently associated with TMD include aafp.org/afp. dyle inserting into the mandibular other pain conditions (e.g., chronic head- CME This clinical content fossa of the temporal bone. Muscles aches), fibromyalgia, autoimmune disor- conforms to AAFP criteria Tof mastication are primarily responsible for ders, sleep apnea, and psychiatric illness.1,3 for continuing medical education (CME). -
Morfofunctional Structure of the Skull
N.L. Svintsytska V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 Ministry of Public Health of Ukraine Public Institution «Central Methodological Office for Higher Medical Education of MPH of Ukraine» Higher State Educational Establishment of Ukraine «Ukranian Medical Stomatological Academy» N.L. Svintsytska, V.H. Hryn Morfofunctional structure of the skull Study guide Poltava 2016 2 LBC 28.706 UDC 611.714/716 S 24 «Recommended by the Ministry of Health of Ukraine as textbook for English- speaking students of higher educational institutions of the MPH of Ukraine» (minutes of the meeting of the Commission for the organization of training and methodical literature for the persons enrolled in higher medical (pharmaceutical) educational establishments of postgraduate education MPH of Ukraine, from 02.06.2016 №2). Letter of the MPH of Ukraine of 11.07.2016 № 08.01-30/17321 Composed by: N.L. Svintsytska, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor V.H. Hryn, Associate Professor at the Department of Human Anatomy of Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», PhD in Medicine, Associate Professor This textbook is intended for undergraduate, postgraduate students and continuing education of health care professionals in a variety of clinical disciplines (medicine, pediatrics, dentistry) as it includes the basic concepts of human anatomy of the skull in adults and newborns. Rewiewed by: O.M. Slobodian, Head of the Department of Anatomy, Topographic Anatomy and Operative Surgery of Higher State Educational Establishment of Ukraine «Bukovinian State Medical University», Doctor of Medical Sciences, Professor M.V. -
Diagnosing and Treating Trigeminal Neuralgia in General Dentistry
general practice feature Chasing Pain Diagnosing and Treating Trigeminal Neuralgia in General Dentistry by Steven Olmos, DDS, DABCP, DABCDSM, DABDSM, DAAPM, FAAOP, FAACP, FICCMO, FADI, FIAO As dentists, we know quite a bit about tooth and gum pain, but when it comes to chronic facial pain and neuropathic pain, our dental school education leaves us unprepared. The objective of this article is to explain the differences between men and women with chronic orofacial pain and the relationship to proper functional breathing, using a case study as demonstration. 34 JANUARY 2016 // dentaltown.com general practice feature the United States, nearly half research published in Chest 2015 demonstrates that of all adults lived with chronic respiratory-effort-related arousal may be the most pain in 2011. Of 353,000 adults likely cause (nasal obstruction or mouth breath- 11 aged 18 years or older who were ing). Rising C02 (hypercapnia) in a patient with a surveyed by Gallup-Health- sleep-breathing disorder (including mouth breath- ways, 47 percent reported having at least one of ing) specifically stimulates the superficial masseter three types of chronic pain: neck or back pain, muscles to contract.12 knee or leg pain, or recurring pain.2 Identifying the structural area of obstruction A study published in The Journal of the Amer- (Four Points of Obstruction; Fig. 1) of the air- ican Dental Association October 2015 stated: way will insure the most effective treatment for a “One in six patients visiting a general dentist had sleep-breathing disorder and effectively reduce the experienced orofacial pain during the last year. -
MRI-Based Assessment of Masticatory Muscle Changes in TMD Patients After Whiplash Injury
Journal of Clinical Medicine Article MRI-Based Assessment of Masticatory Muscle Changes in TMD Patients after Whiplash Injury Yeon-Hee Lee 1,* , Kyung Mi Lee 2 and Q-Schick Auh 1 1 Department of Orofacial Pain and Oral Medicine, Kyung Hee University Dental Hospital, #613 Hoegi-dong, Dongdaemun-gu, Seoul 02447, Korea; [email protected] 2 Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, #26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Korea; [email protected] * Correspondence: [email protected]; Tel.: +82-2-958-9409; Fax: +82-2-968-0588 Abstract: Objective: to investigate the change in volume and signal in the masticatory muscles and temporomandibular joint (TMJ) of patients with temporomandibular disorder (TMD) after whiplash injury, based on magnetic resonance imaging (MRI), and to correlate them with other clinical parameters. Methods: ninety patients (64 women, 26 men; mean age: 39.36 ± 15.40 years), including 45 patients with symptoms of TMD after whiplash injury (wTMD), and 45 age- and sex- matched controls with TMD due to idiopathic causes (iTMD) were included. TMD was diagnosed using the study diagnostic criteria for TMD Axis I, and MRI findings of the TMJ and masticatory muscles were investigated. To evaluate the severity of TMD pain and muscle tenderness, we used a visual analog scale (VAS), palpation index (PI), and neck PI. Results: TMD indexes, including VAS, PI, and neck PI were significantly higher in the wTMD group. In the wTMD group, muscle tenderness was highest in the masseter muscle (71.1%), and muscle tenderness in the temporalis (60.0%), lateral pterygoid muscle (LPM) (22.2%), and medial pterygoid muscle (15.6%) was significantly more frequent than that in the iTMD group (all p < 0.05). -
A Description of the Geological Context, Discrete Traits, and Linear Morphometrics of the Middle Pleistocene Hominin from Dali, Shaanxi Province, China
AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 150:141–157 (2013) A Description of the Geological Context, Discrete Traits, and Linear Morphometrics of the Middle Pleistocene Hominin from Dali, Shaanxi Province, China Xinzhi Wu1 and Sheela Athreya2* 1Laboratory for Human Evolution, Institute of Vertebrate Paleontology and Paleoanthropology, Chinese Academy of Sciences, Beijing 100044, China 2Department of Anthropology, Texas A&M University, College Station, TX 77843 KEY WORDS Homo heidelbergensis; Homo erectus; Asia ABSTRACT In 1978, a nearly complete hominin Afro/European Middle Pleistocene Homo and align it fossil cranium was recovered from loess deposits at the with Asian H. erectus.Atthesametime,itdisplaysa site of Dali in Shaanxi Province, northwestern China. more derived morphology of the supraorbital torus and It was subsequently briefly described in both English supratoral sulcus and a thinner tympanic plate than and Chinese publications. Here we present a compre- H. erectus, a relatively long upper (lambda-inion) occi- hensive univariate and nonmetric description of the pital plane with a clear separation of inion and opis- specimen and provide comparisons with key Middle thocranion, and an absolute and relative increase in Pleistocene Homo erectus and non-erectus hominins brain size, all of which align it with African and Euro- from Eurasia and Africa. In both respects we find pean Middle Pleistocene Homo. Finally, traits such as affinities with Chinese H. erectus as well as African the form of the frontal keel and the relatively short, and European Middle Pleistocene hominins typically broad midface align Dali specifically with other referred to as Homo heidelbergensis.Specifically,the Chinese specimens from the Middle Pleistocene Dali specimen possesses a low cranial height, relatively and Late Pleistocene, including H. -
Introduction to the Skeletal System and the Axial Skeleton 155
chapter Introduction to the 7 Skeletal System and the Axial Skeleton CHAPTER OVERVIEW OBJECTIVES 7.1 Introduction to the Skeletal System ……………… 153 1. Describe the gross anatomy and structure of a long 7.2 Bone Structure ………………………………………… 154 bone 7.3 Bone Histology ………………………………………… 155 2. Describe and compare the underlying histology of spongy and compact bone. 7.4 The Human Skeleton: Axial and Appendicular Divisions …………………………………………………… 156 3. List the five general shapes of bones. 7.5 Bone Classification and Markings ………………… 157 4. Describe and compare the different kinds of bone markings visible on the skeleton. 7.6 Axial Skeleton …………………………………………… 159 7.6a Cranium 5. Identify the components of the axial skeleton: cranial, 7.6b Facial facial, hyoid, vertebra, ribs and sternum. 7.6c Hyoid Bone 7.6d Vertebral Column 7.6e Thoracic Cage 7.1 Introduction to the Skeletal System The skeletal system serves to support the body’s soft tissues and to protect the body’s soft internal organs. Another important function that the bones have is to store materials such as calcium, phosphorus and lipids. Additionally, blood cells are synthesized in the red bone marrow to be released into the bloodstream. Bones serve as levers for the muscular system, working with them to produce movement and maintain posture. The human body contains 2 major kinds of bone tissue: compact and spongy. Compact bone (dense bone) is found on the outer surface of bones and serves as a place to absorb most of the stress on the bones. Spongy bone (cancellous tissue) is found on the inside of the compact bone layer. -
Macewen'striangle
European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 07, Issue 5, 2020 MacEwen’sTriangle- A Review Dr. Bhaskaran Sathyapriya, Professor, Department of Anatomy, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Chennai Chandrakala B1, Govindarajan Sumathy2, Syed FazilHasan 3, Priyadharshini.M3, Srilakshmi.B 3,Bhaskaran Sathyapriya* 1. Senior Lecturer, Department of Anatomy, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Chennai. 2. Professor and Head, Department of Anatomy, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Chennai. 3. Graduate student, Sree Balaji Dental College and Hospital, Bharath Institute of Higher Education and Research *Professor, Department of Anatomy, Sree Balaji Dental College & Hospital, Bharath Institute of Higher Education & Research, Chennai. Abstract In the temporal bone, between the posterior wall of the external acoustic meatus and the posterior root of the zygomatic process is the area called the suprameatal triangle, suprameatal pit, mastoid fossa, foveolasuprameatica, or Mac Ewen's triangle, through which an instrument may be pushed into the mastoid antrum..In the adult, the antrum lies approximately 1.5 to 2 cm deep to the suprameatal triangle. This is an important landmark when performing a cortical mastoidectomy. The triangle lies deep to the cymba conchae.The sex determination of unknown human skulls can be evaluated by using the measurement of the area formed by the xerographic projection of 3craniometric points related to the mastoid process: the porion, asterion, and mastoidale points. Keywords: MacEwen's triangle,mastoidectomy,suprameatal spine,Mastoid antrum ,sex determination,zygomatic process,mastoid process. Introduction MacEwen's triangle is a very important surgical landmark for the mastoid antrum or the largest mastoid air cell.[9] It is also known as Suprameatal triangle or Mastoid fossa.[4] The suprameataltrigone plays a big role in the aspect of clinics. -
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. -
Topographical Anatomy and Morphometry of the Temporal Bone of the Macaque
Folia Morphol. Vol. 68, No. 1, pp. 13–22 Copyright © 2009 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl Topographical anatomy and morphometry of the temporal bone of the macaque J. Wysocki 1Clinic of Otolaryngology and Rehabilitation, II Medical Faculty, Warsaw Medical University, Poland, Kajetany, Nadarzyn, Poland 2Laboratory of Clinical Anatomy of the Head and Neck, Institute of Physiology and Pathology of Hearing, Poland, Kajetany, Nadarzyn, Poland [Received 7 July 2008; Accepted 10 October 2008] Based on the dissections of 24 bones of 12 macaques (Macaca mulatta), a systematic anatomical description was made and measurements of the cho- sen size parameters of the temporal bone as well as the skull were taken. Although there is a small mastoid process, the general arrangement of the macaque’s temporal bone structures is very close to that which is observed in humans. The main differences are a different model of pneumatisation and the presence of subarcuate fossa, which possesses considerable dimensions. The main air space in the middle ear is the mesotympanum, but there are also additional air cells: the epitympanic recess containing the head of malleus and body of incus, the mastoid cavity, and several air spaces on the floor of the tympanic cavity. The vicinity of the carotid canal is also very well pneuma- tised and the walls of the canal are very thin. The semicircular canals are relatively small, very regular in shape, and characterized by almost the same dimensions. The bony walls of the labyrinth are relatively thin.