Topographic anatomical localization of the motor nerve entry points (MEPs) of the masseter muscle.

Purpose: The masseteric nerve, which is a branch of the mandibular nerve, passes lateral to the mandibular notch and then spreads in the muscle to achieve motor innervation. The muscle entry points of these motor branches are the target points of minimally invasive interventions preferred in the tre...

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Publicado en:Surgical & Radiologic Anatomy Vol. 43; no. 11; pp. 1859 - 1866
Autores principales: Coban, Istemihan, Yucel, Kaan, Pinar, Yelda
Formato: Journal Article
Publicado: Springer Nature Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2021
      vid: 43
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00276-021-02780-z
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        atl: Topographic anatomical localization of the motor nerve entry points (MEPs) of the masseter muscle.
      aug:
        au:
          Coban, Istemihan
          Yucel, Kaan
          Pinar, Yelda
        affil: Department of Anatomy, Faculty of Medicine, Izmir Democracy University, Göztepe, Konak, Izmir, Turkey
      sug:
      ab: Purpose: The masseteric nerve, which is a branch of the mandibular nerve, passes lateral to the mandibular notch and then spreads in the muscle to achieve motor innervation. The muscle entry points of these motor branches are the target points of minimally invasive interventions preferred in the treatment of masseter hypertrophy. The aim of this study was to reveal the areas where the motor entry points are concentrated in the muscle by dividing the muscle into topographic regions using reliable anatomic landmarks. Methods: Bilateral 20 masseter muscles (40 in total) belonging to 20 formalin-fixed cadavers (10 female and 10 male) were examined. The distribution of the nerve in the muscle and its motor entry points were demonstrated and marked on the muscle surface. The masseter muscle was divided into six areas by lines passing through reliable anatomical landmarks (Areas 1–6). Results: The total number of MEPs was 231.The mean distance of the MEPs from the Line-1 was 27.4 ± 11 mm, and the same distance from the Line-6 was 30.32 ± 7.2 mm. Most of the MEPs (123/231) were located in Area-4. Area-6 was the second (82/231) and Area-5 (19/231) was the third. Conclusion: We suggest that interventions in Area-4 (especially in the middle part) may have less complications as a result of less relationship with surrounding anatomical structures and more effective with high MEP number.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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