超声波引导下口内注射治疗颞肌腱炎的解剖学考虑。

IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY
Clinical Anatomy Pub Date : 2023-12-25 DOI:10.1002/ca.24130
Soo-Bin Kim, Hyungkyu Bae, Kang-Woo Lee, Kyung-Seok Hu, Shinichi Abe, Hee-Jin Kim
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引用次数: 0

摘要

颞肌腱炎的特点是急性炎症,通常由机械应力引起,如与下颌开合和咬牙有关的重复性下颌运动。颞肌腱炎的治疗通常包括注射局部麻醉剂或皮质类固醇。然而,颞肌腱所附着的冠状突位于颧弓深处,其复杂的解剖结构给精确注射带来了挑战。在这项研究中,我们旨在通过使用口内超声波成像(US)来识别颞肌腱和冠状突周围的解剖结构,从而为安全有效地治疗颞肌腱炎制定指导方针。我们使用口内超声波探头对 58 名没有颞下颌关节疾病的志愿者进行了超声波检查。操作过程是将传感器置于上颌第二磨牙咬合面下方。测量在超声波图像中点(MP)观察到的冠状突前缘的水平距离,以及冠状突和颞肌距离口腔黏膜的深度。冠突前缘在所有 US 图像中均可观察到,并在 MP 处分为三种观察模式:A 型(MP 前方,56.2%)、B 型(MP 处,16.1%)和 C 型(MP 后方,27.7%)。颞肌距离口腔粘膜的平均深度为 3.12 ± 0.68 毫米。上颌第二磨牙是观察冠突前缘的口内标志。使用口内 US 获得的新定位信息有助于确定治疗颞肌腱炎最安全有效的注射部位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anatomical consideration of ultrasonography-guided intraoral injection for temporal tendinitis

Temporal tendinitis is characterized by acute inflammation often resulting from mechanical stress, such as repetitive jaw movements associated with jaw opening and closing and teeth clenching. Treatment for temporal tendinitis typically involves the administration of local anesthetic or corticosteroid injections. However, the complex anatomical structure of the coronoid process, to which the temporalis tendon attaches, located deep within the zygomatic arch, poses challenges for accurate injections. In this study, we aimed to establish guidelines for the safe and effective treatment of temporal tendinitis by using intraoral ultrasonography (US) to identify the anatomical structures surrounding the temporalis tendon and coronoid process. US was performed using an intraoral transducer on 58 volunteers without temporomandibular joint disease. The procedure involved placing the transducer below the occlusal plane of the maxillary second molar. Measurements were taken for the horizontal distance from the anterior border of the coronoid process, observed at the midpoint (MP) of the US images, and the depth of the coronoid process and temporalis muscle from the oral mucosa. The anterior border of the coronoid process was visualized on all US images and classified into three observed patterns at the MP: type A (anterior to the MP, 56.2%), type B (at the MP, 16.1%), and type C (posterior to the MP, 27.7%). The temporalis muscle was located at a mean depth of 3.12 ± 0.68 mm from the oral mucosa. The maxillary second molar is an intraoral landmark for visualizing the anterior border of the coronoid process. The new location information obtained using intraoral US could help identify the safest and most effective injection sites for the treatment of temporal tendinitis.

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来源期刊
Clinical Anatomy
Clinical Anatomy 医学-解剖学与形态学
CiteScore
5.50
自引率
12.50%
发文量
154
审稿时长
3 months
期刊介绍: Clinical Anatomy is the Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. The goal of Clinical Anatomy is to provide a medium for the exchange of current information between anatomists and clinicians. This journal embraces anatomy in all its aspects as applied to medical practice. Furthermore, the journal assists physicians and other health care providers in keeping abreast of new methodologies for patient management and informs educators of new developments in clinical anatomy and teaching techniques. Clinical Anatomy publishes original and review articles of scientific, clinical, and educational interest. Papers covering the application of anatomic principles to the solution of clinical problems and/or the application of clinical observations to expand anatomic knowledge are welcomed.
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