“Deep masseteric triangular area to define masseter neurovascular bundle: A cadaveric study”

dc.contributor.authorCoban I.
dc.contributor.authorYaprak F.
dc.contributor.authorPinar Y.
dc.date.accessioned2024-08-31T07:42:28Z
dc.date.available2024-08-31T07:42:28Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction: Facial reanimation procedures are used in the treatment of the disorder that impairs mimetic function and jeopardizes physical and psychological health, and one of the most important instruments of these techniques is the masseteric neurovascular bundle (NVB) and proper identification at the mandibular notch level. In the current study, a triangular area (deep masseteric triangle, DMT) on the lateral surface of the masseter muscle that was identified to help reliable determination of the masseteric NVB at the mandibular notch level. Material and methods: 40 parotideomasseteric region dissections were performed in 10 female and 10 male donated cadavers. Structures lateral to the masseter muscle were removed. The edge length of the masseter muscle on the zygomatic arch side was measured. After the edges of the DMT were measured, the masseteric NVB was found by dissection and its distance (depth) from the skin line was measured. Results: The mean lengths of the superior, posterior, and anterior margins were 17.3 (±4.5) mm, 25.9 (±6.2) mm, and 26.3 (±6.5) mm, respectively. The total length of the upper edge of the masseteric muscle attached to the zygomatic arch averaged 52.7 (±5.2) mm. The masseteric neurovascular bundle was detected at a depth of approximately 17 mm from the skin of the parotideamasseteric region. Discussion: The visualization of the DMT can be used as an important landmark for access to branch-free part of the masseteric nerve. Moreover, an specific approach for masseteric NVB localization can be established by drawing a line between the mandibular angle and the midpoint of the upper edge of the DMT. This technique can greatly improve the accuracy of both masseteric nerve harvesting and masseteric nerve block procedures. © 2024 Elsevier Masson SASen_US
dc.identifier.doi10.1016/j.jormas.2024.101984
dc.identifier.issn2468-7855
dc.identifier.scopus2-s2.0-85200885009en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.jormas.2024.101984
dc.identifier.urihttps://hdl.handle.net/11454/103892
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Masson s.r.l.en_US
dc.relation.ispartofJournal of Stomatology, Oral and Maxillofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectAnatomyen_US
dc.subjectFacial nerveen_US
dc.subjectMasseteren_US
dc.subjectMasseteric nerveen_US
dc.subjectNerve transferen_US
dc.subjectParotideomasseteric regionen_US
dc.title“Deep masseteric triangular area to define masseter neurovascular bundle: A cadaveric study”en_US
dc.typeArticleen_US

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