Volumetric assessment of lateral pterygoid muscle in unilateral chewing: a stereologic study

Autor: Huseyin Balcioglu, Umit Karacayli, Þ Sinan Yuruker, Hakan S. Tuna, Yiğit Uyanıkgil
Rok vydání: 2009
Předmět:
Zdroj: The Journal of craniofacial surgery. 20(5)
ISSN: 1536-3732
Popis: Unilateral chewing habit is common in dentate popula- tions. It may initiate a hypertrophy process in the lateral pterygoid muscles compared with the nonused sides. We hypothesized that the lateral pterygoid muscles of the affected sides would be larger in volume than those of the nonaffected sides in subjects with unilateral chewing habit. Because analysis of medical images in accordance with the rules of modern stereology enables precise unbiased esti- mates of muscle volume, and magnetic resonance imaging (MRI) is a criterion standard as an imaging modality for the analysis of muscles because of its excellent soft-tissue resolution, we estimated lateral pterygoid muscle volume both at right and left sides using stereologic techniques (Cavalieri principle) by means of MRI. The MRI-estimated volumes of both the inferior and the superior heads of the lateral pterygoid muscle at the chewing side were significantly greater than the opposite side when compared. This finding may assist in the interpretation of lateral pterygoid muscle and tempo- romandibular jointYrelated problems in maxillofacial surgery clin- ics. This investigation has also demonstrated that systematically sampled MRI slices through the lateral pterygoid muscle can be used to obtain unbiased estimates.
Databáze: OpenAIRE