Biomechanics of the Orofacial Motor System: Influence of Speaker-Specific Characteristics on Speech Production Pascal Perrier, Ralf Winkler
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Diagnosis of Zygomaticus Muscle Paralysis Using Needle
Case Report Ann Rehabil Med 2013;37(3):433-437 pISSN: 2234-0645 • eISSN: 2234-0653 http://dx.doi.org/10.5535/arm.2013.37.3.433 Annals of Rehabilitation Medicine Diagnosis of Zygomaticus Muscle Paralysis Using Needle Electromyography With Ultrasonography Seung Han Yoo, MD, Hee Kyu Kwon, MD, Sang Heon Lee, MD, Seok Jun Lee, MD, Kang Wook Ha, MD, Hyeong Suk Yun, MD Department of Rehabilitation Medicine, Korea University College of Medicine, Seoul, Korea A 22-year-old woman visited our clinic with a history of radiofrequency volumetric reduction for bilateral masseter muscles at a local medical clinic. Six days after the radiofrequency procedure, she noticed a facial asymmetry during smiling. Physical examination revealed immobility of the mouth drawing upward and laterally on the left. Routine nerve conduction studies and needle electromyography (EMG) in facial muscles did not suggest electrodiagnostic abnormalities. We assumed that the cause of facial asymmetry could be due to an injury of zygomaticus muscles, however, since defining the muscles through surface anatomy was difficult and it was not possible to identify the muscles with conventional electromyographic methods. Sono-guided needle EMG for zygomaticus muscle revealed spontaneous activities at rest and small amplitude motor unit potentials with reduced recruitment patterns on volition. Sono-guided needle EMG may be an optimal approach in focal facial nerve branch injury for the specific localization of the injury lesion. Keywords Ultrasonography-guided, Zygomaticus, Needle electromyography INTRODUCTION are performed in only the three or four muscles [2]. Also, anatomic variation and tiny muscle size pose difficulties Facial palsy is a common form of neuropathy due to to electrodiagnostic tests in the target muscles. -
T1 – Trunk – Bisexual
T1 – Trunk, Bisexual 3B – B30 Torso - # 02 Page 1 of 2 T1 – Trunk, Bisexual 1. Frontal region 48. Frontal bone 2. Orbital region 49. Temporalis muscle 3. Temporal region 50. Ball of the eye (ocular bulb) 4. Nasal region 51. Zygomatic bone (cheekbone) 5. Infraorbital region 52. External carotid artery 6. Infratemporal region 53. Posterior belly of digastric muscle 7. Oral region 54. tongue 8. Parotideomasseteric region 55. Mental muscle 9. Buccal region 56. Anterior belly of digastric muscle 10. Chin region 57. Hyoid bone 11. Sternocleidomastoideus muscle 58. Thyroid cartilage 12. Right internal jugular vein 59. Cricothyroid muscle 13. Right common carotid artery 60. Thyroid gland 14. Superior thyroid artery 61. Inferior thyroid vein 15. Inferior belly of omohyoid muscle 62. Scalenus anterior muscle 16. Right subclavian artery 63. Trachea (windpipe) 17. Clavicle 64. Left subclavian vein 18. Right subclavian vein 65. Left brachiocephalic vein 19. Right brachiocephalic vein 66. Superior vena cava 20. Pectoralis major muscle 67. Ascending aorta 21. Pectoralis minor muscle 68. Bifurcation of trachea 22. Right superior lobar bronchus 69. Bronchus of left inferior lobe 23. Right inferior lobar bronchus 70. Thoracic part of aorta 24. ?Serratus anterior muscle 71. Esophagus (gullet) 25. Right lung 72. External intercostal muscles 26. Diaphragm 73. Foramen of vena cava 27. 7th rib 74. Abdominal part of esophagus 28. Costal part of diaphragm 75. Spleen 29. Diaphragm, lumber part 76. Hilum of spleen 30. Right suprarenal gland 77. Celiac trunk 31. Inferior vena cava 78. Left kidney 32. Renal pyramid 79. Left renal artery and vein 33. Renal pelvis 80. -
Electromyographic Analysis of the Orbicularis Oris Muscle in Oralized Deaf Individuals
Braz Dent J (2005) 16(3): 237-242 Electromyography in deaf individuals ISSN 0103-6440237 Electromyographic Analysis of the Orbicularis Oris Muscle in Oralized Deaf Individuals Simone Cecílio Hallak REGALO1 Mathias VITTI1 Maria Tereza Bagaiolo MORAES2 Marisa SEMPRINI1 Cláudia Maria de FELÍCIO2 Maria da Glória Chiarello de MATTOS3 Jaime Eduardo Cecílio HALLAK4 Carla Moreto SANTOS3 1Department of Morphology, Stomatology and Physiology, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil 2Department of Speech Pathology and Audiology, University of Ribeirão Preto (UNAERP), Ribeirão Preto, SP, Brazil 3Department of Dental Materials and Prosthodontics, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil 4Department of Neuropsychiatry and Psychological Medicine, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil; Neuroscience and Psychiatry Unit, University of Manchester, Manchester, UK Electromyography has been used to evaluate the performance of the peribuccal musculature in mastication, swallowing and speech, and is an important tool for analysis of physiopathological changes affecting this musculature. Many investigations have been conducted in patients with auditory and speech deficiencies, but none has evaluated the musculature responsible for the speech. This study compared the electromyographic measurements of the superior and inferior fascicles of the orbicularis oris muscle in patients with profound bilateral neurosensorial hearing deficiency (deafness) and healthy volunteers. Electromyographic analysis was performed on recordings from 20 volunteers (mean age of 18.5 years) matched for gender and age. Subjects were assigned to two groups, as follows: a group formed by 10 individuals with profound bilateral neurosensorial hearing deficiency (deaf individuals) and a second group formed by 10 healthy individuals (hearers). -
ODONTOGENTIC INFECTIONS Infection Spread Determinants
ODONTOGENTIC INFECTIONS The Host The Organism The Environment In a state of homeostasis, there is Peter A. Vellis, D.D.S. a balance between the three. PROGRESSION OF ODONTOGENIC Infection Spread Determinants INFECTIONS • Location, location , location 1. Source 2. Bone density 3. Muscle attachment 4. Fascial planes “The Path of Least Resistance” Odontogentic Infections Progression of Odontogenic Infections • Common occurrences • Periapical due primarily to caries • Periodontal and periodontal • Soft tissue involvement disease. – Determined by perforation of the cortical bone in relation to the muscle attachments • Odontogentic infections • Cellulitis‐ acute, painful, diffuse borders can extend to potential • fascial spaces. Abscess‐ chronic, localized pain, fluctuant, well circumscribed. INFECTIONS Severity of the Infection Classic signs and symptoms: • Dolor- Pain Complete Tumor- Swelling History Calor- Warmth – Chief Complaint Rubor- Redness – Onset Loss of function – Duration Trismus – Symptoms Difficulty in breathing, swallowing, chewing Severity of the Infection Physical Examination • Vital Signs • How the patient – Temperature‐ feels‐ Malaise systemic involvement >101 F • Previous treatment – Blood Pressure‐ mild • Self treatment elevation • Past Medical – Pulse‐ >100 History – Increased Respiratory • Review of Systems Rate‐ normal 14‐16 – Lymphadenopathy Fascial Planes/Spaces Fascial Planes/Spaces • Potential spaces for • Primary spaces infectious spread – Canine between loose – Buccal connective tissue – Submandibular – Submental -
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. -
Anatomy of the Face] 2018-2019
By Dr. Hassna B. Jawad [ANATOMY OF THE FACE] 2018-2019 Objective : At the end of this lecture you should be able to : 1. Identify the extent of the face. 2. Enlist the layers of the face and recognize their importance 3. Recognize the groups of the muscles of facial expression its origin ,insertion and function 4. Test the muscle of facial expression clinically 5. Discuss some clinical notes regarding the face Extends from lower border of mandible to the hair line (forehead is common for face and scalp) and laterally to the ear auricle Layers Of the Face 1.SKIN The face has elastic and vascular skin. The skin of the face has large number of sweat and sebaceous glands. The sebaceous glands keep the face greasy by their secretion and sweat glands help modulate the body temperature *Applied Anatomy :Face is also the common site for acne as a result of presence of large number of sebaceous glands in this region. 2. SUPERFICIAL FASIA It includes muscles of facial expression, vessels and nerves and varying amount of fat. The fat is absent in the eyelids but is well grown in cheeks creating buccal pad of fat, which gives rounded contour to cheeks. 3. DEEP FASCIA The deep fascia is absent in the region of face with the exception of over the parotid gland and masseter muscle that are covered by parotidomasseteric fascia. The absence of deep fascia in the face is important for the facial expression. The majority of them originate from bones of the skull and are added into the skin. -
SŁOWNIK ANATOMICZNY (ANGIELSKO–Łacinsłownik Anatomiczny (Angielsko-Łacińsko-Polski)´ SKO–POLSKI)
ANATOMY WORDS (ENGLISH–LATIN–POLISH) SŁOWNIK ANATOMICZNY (ANGIELSKO–ŁACINSłownik anatomiczny (angielsko-łacińsko-polski)´ SKO–POLSKI) English – Je˛zyk angielski Latin – Łacina Polish – Je˛zyk polski Arteries – Te˛tnice accessory obturator artery arteria obturatoria accessoria tętnica zasłonowa dodatkowa acetabular branch ramus acetabularis gałąź panewkowa anterior basal segmental artery arteria segmentalis basalis anterior pulmonis tętnica segmentowa podstawna przednia (dextri et sinistri) płuca (prawego i lewego) anterior cecal artery arteria caecalis anterior tętnica kątnicza przednia anterior cerebral artery arteria cerebri anterior tętnica przednia mózgu anterior choroidal artery arteria choroidea anterior tętnica naczyniówkowa przednia anterior ciliary arteries arteriae ciliares anteriores tętnice rzęskowe przednie anterior circumflex humeral artery arteria circumflexa humeri anterior tętnica okalająca ramię przednia anterior communicating artery arteria communicans anterior tętnica łącząca przednia anterior conjunctival artery arteria conjunctivalis anterior tętnica spojówkowa przednia anterior ethmoidal artery arteria ethmoidalis anterior tętnica sitowa przednia anterior inferior cerebellar artery arteria anterior inferior cerebelli tętnica dolna przednia móżdżku anterior interosseous artery arteria interossea anterior tętnica międzykostna przednia anterior labial branches of deep external rami labiales anteriores arteriae pudendae gałęzie wargowe przednie tętnicy sromowej pudendal artery externae profundae zewnętrznej głębokiej -
Understanding the Perioral Anatomy
2.0 ANCC CE Contact Hours Understanding the Perioral Anatomy Tracey A. Hotta , RN, BScN, CPSN, CANS gently infl ate and cause lip eversion. Injection into Rejuvenation of the perioral region can be very challenging the lateral upper lip border should be done to avoid because of the many factors that affect the appearance the fade-away lip. The client may also require injec- of this area, such as repeated muscle movement caus- tions into the vermillion border to further highlight ing radial lip lines, loss of the maxillary and mandibular or defi ne the lip. The injections may be performed bony support, and decrease and descent of the adipose by linear threading (needle or cannula) or serial tissue causing the formation of “jowls.” Environmental puncture, depending on the preferred technique of issues must also be addressed, such as smoking, sun the provider. damage, and poor dental health. When assessing a client Group 2—Atrophic lips ( Figure 2 ): These clients have for perioral rejuvenation, it is critical that the provider un- atrophic lips, which may be due to aging or genetics, derstands the perioral anatomy so that high-risk areas may and are seeking augmentation to make them look be identifi ed and precautions are taken to prevent serious more youthful. After an assessment and counseling adverse events from occurring. as to the limitations that may be achieved, a treat- ment plan is established. The treatment would begin he lips function to provide the ability to eat, speak, with injection into the wet–dry junction to achieve and express emotion and, as a sensory organ, to desired volume; additional injections may be per- T symbolize sensuality and sexuality. -
Anatomy of the Ageing Lip
AESTHETIC FOCUS Anatomy of the ageing lip With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. In the first of our two-part special focus on lipsDr Foutsizoglou provides a comprehensive guide to function and anatomy. BY SOTIRIOS FOUTSIZOGLOU he lips are pliable, mobile, muscular folds that encircle the opening of the oral cavity. They contain the orbicularis oris and superior and inferior labial vessels and nerves. The lips are covered externally by skin and internally by mucous membrane. A sagittal cut through the lip can reveal the layers of soft tissue that form this relatively simple anatomical structure. That is, from Tsuperficial to deep: skin, superficial fat compartment, orbicularis oris muscle, deep fat compartment and mucosa. The lips are used for grasping food, sucking liquids, clearing food from the oral vestibule, forming speech, osculation, and controlling the size of the oral aperture. Functions of the lips as part of the tactile senses. Lips are very sensitive to touch, warmth and cold. Food intake Lips serve to close the mouth airtight shut, Erogenous zone to hold food and drink inside. Because of their high number of nerve endings, the lips are an erogenous zone. Mastication The lips therefore play a crucial role in Lips help to hold food between upper and osculation and other acts of intimacy. lower teeth during chewing. Facial expressions Figure 1: Anatomical landmarks of the lip. Deglutition The lips form an integral part of facial Lips push food into the oral cavity proper expression e.g. -
Kinesiology of the Head and Spine
Oatis_CH20_389-411.qxd 4/18/07 3:10 PM Page 389 PART Kinesiology of the Head III and Spine Vertebral body Inferior articular process of superior vertebra Superior articular process of inferior vertebra Spinous process UNIT 4: MUSCULOSKELETAL FUNCTIONS WITHIN THE HEAD Chapter 20: Mechanics and Pathomechanics of the Muscles of the Face and Eyes Chapter 21: Mechanics and Pathomechanics of Vocalization Chapter 22: Mechanics and Pathomechanics of Swallowing Chapter 23: Structure and Function of the Articular Structures of the TMJ Chapter 24: Mechanics and Pathomechanics of the Muscles of the TMJ Chapter 25: Analysis of the Forces on the TMJ during Activity UNIT 5: SPINE UNIT Chapter 26: Structure and Function of the Bones and Joints of the Cervical Spine Chapter 27: Mechanics and Pathomechanics of the Cervical Musculature Chapter 28: Analysis of the Forces on the Cervical Spine during Activity Chapter 29: Structure and Function of the Bones and Joints of the Thoracic Spine Chapter 30: Mechanics and Pathomechanics of the Muscles of the Thoracic Spine Chapter 31: Loads Sustained by the Thoracic Spine Chapter 32: Structure and Function of the Bones and Joints of the Lumbar Spine Chapter 33: Mechanics and Pathomechanics of Muscles Acting on the Lumbar Spine Chapter 34: Analysis of the Forces on the Lumbar Spine during Activity Chapter 35: Structure and Function of the Bones and Joints of the Pelvis Chapter 36: Mechanics and Pathomechanics of Muscle Activity in the Pelvis Chapter 37: Analysis of the Forces on the Pelvis during Activity 389 Oatis_CH20_389-411.qxd 4/18/07 3:10 PM Page 390 PARTUNIT 4V MUSCULOSKELETAL FUNCTIONS WITHIN THE HEAD he preceding three units examine the structure, function, and dysfunction of the upper extremity, which is part of the appendicular skeleton. -
T2 – Trunk, Bisexual
T2 – Trunk, Bisexual 3B – B40 Torso #04 Page 1 of 2 T2 – Trunk, Bisexual a. Deltoideus muscle 48. Vastus lateralis muscle b. Gluteus maximus muscle 49. Rectus femoris muscle 1. Sternocleidomastoideus muscle 50. Vastus medialis muscle 2. Superior belly of omohyoid muscle 51. Hyoid bone 3. Constrictor pharyngis inferior muscle 52. Left internal jugular vein 4. Sternohyoideus muscle 53. Left common carotid artery 5. Right external jugular vein 54. Thyroid cartilage 6. Scalenus medius muscle 55. Cricothyroid muscle 7. Trapezius muscle 56. Thyroid gland 8. Levator scapulae muscle 57. Trachea 9. Inferior belly of omohyoid muscle 58. Inferior thyroid vein 10. Brachial plexus 59. Clavicle 11. Scalenus anterior muscle 60. Left subclavian vein 12. Deltoideus muscle 61. Superior vena cava 13. Pectoralis major muscle 62. Ascending aorta 14. Internal intercostal muscles 63. Bronchus of left superior lobe 15. Rib 64. Bifurcation of trachea 16. Right superior lobar bronchus 65. Left principal bronchus 17. Right inferior lobar bronchus 66. Esophagus 18. Long head of biceps brachii muscle 67. Descending aorta 19. Short (medial) head of biceps brachii muscle 68. Bronchus of left inferior lobe 20. Long head of triceps brachii muscle 69. Cardiac impression of lung 21. Serratus anterior muscle 70. Diaphragm 22. Tendinous centre (phrenic centre) 71. Abdominal part of esophagus 23. Foramen of vena cava 72. Spleen 24. Costal part of diaphragm 73. Celiac trunk 25. Diaphragm, lumbar part 74. Hilum of spleen 26. Right suprarenal gland 75. Superior mesenteric artery 27. Inferior vena cava 76. Left kidney 28. Renal pyramid 77. Left renal vein 29. Renal calyx 78. -
Clinical Anatomic Considerations of the Zygomaticus Minor Muscle Based on the Morphology and Insertion Pattern
The Doctor's 기획특집 성형임상 Clinical anatomic considerations of the zygomaticus minor muscle based on the morphology and insertion pattern Da-Yae Choi, BSDH1*, Jung-Suk Kim, DDS, MS1*, Kwan-Hyun Youn, PhD1, Mi-Sun Hur, PhD2, Jisoo Kim, MD3, Kyung-Seok Hu, DDS, PhD1, Hee-Jin Kim, DDS, PhD1 Introduction books and illustrations. The Zmi is described critical anatomic information required to elu- as inserting into the LLSAN4, blending with cidate the functional aspects related to human The zygomaticus minor muscle (Zmi) arises the orbicularis oris muscle (OOr) just lateral facial animation. from the lateral surface of the zygomatic bone to the alar of the nose5, or being nonexistent6. immediately behind the zygomaticomaxillary There is thus some confusion in the literature Materials and Methods suture, and passes downward and medially as to the actual anatomy of the Zmi. into the muscular substance of the upper lip. Some articles provide diverse descriptions of Materials Acting together, the levator labii superioris the morphology and insertion pattern of Zmi. Fifty-four embalmed adult hemifaces (48 bi- muscle, levator labii superioris alaque nasi Youn et al. reported a detailed description of lateral and 6 unilateral; 31 males, 23 females; (LLSAN), and Zmi raise the corner of the the Zmi that differed from those in general age range, 45–48 years; mean age, 67.4 years) mouth and upper lip, and expose the maxillary textbooks with regard to its origin. They re- from 30 cadavers were used in this study. teeth when expressing a smile1. ported that the Zmi and zygomaticus major Specimens with an impaired midface were ex- The Zmi is also involved with the formation of muscle (Zmj) look very similar, and could cluded.