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Czasopismo

2006 | 65 | 2 |

Tytuł artykułu

A study of the discomalleolar ligament in the adult human

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The discomalleolar ligament (Pinto’s ligament) is not described in the anatomy textbooks but was demonstrated by Pinto and others. This is a ligamentous structure connecting the malleus in the tympanic cavity and the articular disc and capsule of the temporomandibular joint. This anatomical relationship between the middle ear and the temporomandibular joint is supposed to be one of the explanations for the aural symptoms associated with temporomandibular joint dysfunction. The objectives of our study were to determine: (1) the frequency of occurrence and morphology of the discomalleolar ligament, (2) its attachments, (3) the morphology of Pinto’s ligament in endoscopic visualisation, and (4) whether tension applied to the discomalleolar ligament could elicit movement of the malleus. Fourteen adult human temporomandibular joint and tympanic cavity specimens were examined with the use of an endoscope and then by gross dissection with the superior approach and with the use of the operating microscope. Endoscopic visualisation showed in four cases a band of tissue in the upper temporomandibular joint compartment, known as Pinto’s ligament. The dissections exposed a discomalleolar ligament in 11 specimens. We were able to identify two main types of this ligament on the basis of its shape. The discomalleolar ligament was either triangular in shape, as in the first group of seven specimens, or longitudinal in shape, as in the second group of four specimens. We observed that tension applied to the discomalleolar ligament resulted in movement of the malleus in three specimens.

Wydawca

-

Czasopismo

Rocznik

Tom

65

Numer

2

Opis fizyczny

p.121-125,fig.,ref.

Twórcy

autor
  • The Medical University of Warsaw, Chalubinskiego 5, 02-004 Warsaw, Poland

Bibliografia

  • 1. Alkofide EA, Clark E, el-Bermani W, Kronman JH, Mehta N (1997) The incidence and nature of fibrous continuity between the sphenomandibular ligament and the anterior malleolar ligament of the middle ear. J Orofac Pain, 11: 7–14.
  • 2. Ash CM, Pinto OF (1991) The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont, 4: 51–57.
  • 3. Bell Welden E (1985) Clinical management of temporomandibular disorders. Year Book Med Publ Chicago.
  • 4. Bochenek A, Reicher M (1997) Anatomia człowieka. 11th Ed. Wydawnictwo Lekarskie PZWL, Warszawa.
  • 5. Brookes GB, Maw AR, Coleman MJ (1980) “Costen’s syndrome” — correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, otalgia and other aural symptoms. Clin Otolaryngol, 5: 23–36.
  • 6. Burch JG (1966) The cranial attachment of the sphenomandibular (tympanomandibular) Anat Rec, 156: 433–438.
  • 7. Coleman RD (1970) Temporomandibular joint: relation of the retrodiskal zone to Meckel’s cartilage and lateral pterygoid muscle. J Dent Res, 158: 13–22.
  • 8. Furstman L (1963) The early development of the human temporomandibular joint. Am J Orthodont, 19: 672–682.
  • 9. Ioannides CA, Hoogland GA (1983) The disco-malleolar ligament: a possible cause of subjective hearing loss in patients with temporomandibular joint dysfunction. J Maxillofac Surg, 11: 227–230.
  • 10. Komori E, Sugisaki M, Tanabe H, Katoh S (1986) The discomalleolar ligament in the adult human. J Craniomandibular Pract, 4: 299–305.
  • 11. Loughner BA, Larkin LH, Mahan PE (1989) Discomalleolar and anterior malleolar ligament: possible causes of middle ear damage during temporomandibular joint surgery. Oral Surg Oral Med Oral Pathol, 68: 14–22.
  • 12. Morgan DH, House LR, Hall WP, Vamvas SJ (1982) Diseases of the temporomandibular apparatus. A multidisciplinary approach. Mosby Company St. Louis Toronto.
  • 13. Morgan DH, Goode RL, Christiansen RL, Tiner LW (1995) The TMJ-ear connection. Cranio, 13: 42–43.
  • 14. Nuelle GD (1996) The temporomandibular joint: anatomy and treatment. In: McGinty J ed. Operative arthroscopy. Lippincott — Raven Publishers, Philadelphia.
  • 15. Ögütcen-Toller M (1995) The morphogenesis of the human discomalleolar and sphenomandibular ligaments. J Craniomaxillofac Surg, 23: 42–46.
  • 16. Pinto OF (1962) A new structure related to the temporomandibular joint and middle ear. J Prosthet Dent, 12: 95–103.
  • 17. Rees LA (1954) The structure and function of the mandibular joint. Br Dent J, 96: 125–133.
  • 18. Smeele LE (1988) Ontogeny of relationship of human middle ear and temporomandibular (squamomandi bular) joint. I. Morphology and ontogeny in man. Acta Anat, 131: 338–341.
  • 19. Standring S (2005) Gray’s anatomy. The anatomical basis of clinical practice. 39th Ed. Elsevier, Edinburgh.
  • 20. Tarro AW (1993) TMJ arthroscopy: A diagnostic and surgical atlas. J.B. Lippincott Company, Philadelphia.
  • 21. Vazquez JFR, Velasco JRM, Collado JJ (1992) Development of human sphenomandibular ligament. Anat Rec, 233: 453–460.
  • 22. Vazquez JFR, Velasco JRM, Collado JJ (1993) Relationships between the temporomandibular joint and the middle ear in human fetuses. J Dent Res, 72: 62–66.

Typ dokumentu

Bibliografia

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