Sihler's staining of the anterior belly of digastric muscle for botulinum toxin injection.

Autor: Choi YJ; Department of Anatomy, School of Medicine, Konkuk University, Chungju, Korea., Hu HW; Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea., Kim SB; Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea., Lee JH; Department of Anatomy and Acupoint, College of Korean Medicine, Gachon University, Seongnam, Korea., Kim ST; Department of Orofacial Pain & Oral Medicine, Yonsei University College of Dentistry, Seoul, Korea., Kim HJ; Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea. hjk776@yuhs.ac.; Department of Electric & Electronical Engineering, College of Engineering, Yonsei University Seoul, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea. hjk776@yuhs.ac.
Jazyk: angličtina
Zdroj: Surgical and radiologic anatomy : SRA [Surg Radiol Anat] 2024 Sep; Vol. 46 (9), pp. 1543-1548. Date of Electronic Publication: 2024 Jul 16.
DOI: 10.1007/s00276-024-03440-8
Abstrakt: Purpose: The anterior belly of the digastric muscle (ABDM) is the target of botulinum toxin injection; however, anatomical considerations related to the injection point are absent. This study used Sihler's staining to analyze the intramuscular nerve distribution of ABDM to identify the most effective botulinum toxin injection points.
Methods: We used 12 specimens from 6 embalmed cadavers in this study. The specimens were manually dissected to preserve the mylohyoid nerve and subjected to Sihler's staining. From the gnathion to and hyoid bone, the ABDM was divided into three equal parts, distinguishing the anterior, middle, and posterior thirds.
Results: Only a branch of the mylohyoid nerve entered the ABDM, and its entry point was located in the middle-third region in all cases. The nerve endings were concentrated in the middle third (100%), followed by the anterior third (58.3%) and were not observed in the posterior third.
Conclusion: The landmarks used in this study (gnathion and hyoid bone) are easily palpable on the skin surface, allowing clinicians to target the most effective injection site (middle third of ABDM). These results provide scientific and anatomic evidence for injection points, and will aid in the management of ABDM injection procedures in clinical practice.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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