Proximity of the middle meningeal artery and maxillary artery to the mandibular head and mandibular neck as revealed by three-dimensional time-of-flight magnetic resonance angiography
| Autor: | Daphne Schönegg, Raphael Ferrari, Thomas Gander, Julian Ebner, Martin Lanzer, Michael Blumer |
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| Přispěvatelé: | University of Zurich, Gander, Thomas |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Middle meningeal artery
610 Medicine & health Mandible Maxillary Artery Lateral pterygoid muscle Magnetic resonance angiography Condyle 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Humans medicine.diagnostic_test business.industry 3504 Oral Surgery Mandibular notch Mandibular Condyle Maxillary artery 030206 dentistry Anatomy Meningeal Arteries 2746 Surgery medicine.anatomical_structure 2733 Otorhinolaryngology Otorhinolaryngology Oral and maxillofacial surgery Surgery 10069 Clinic of Cranio-Maxillofacial Surgery Oral Surgery business Cadaveric spasm Magnetic Resonance Angiography 030217 neurology & neurosurgery |
| Popis: | Purpose The close topographic relationship between vascular and osseous structures in the condylar and subcondylar region and marked variability in the arterial course has been revealed by both imaging and cadaveric studies. This study aimed to verify the previously published information in a large sample and to determine a safe surgical region. Methods We analyzed the three-dimensional time-of-flight magnetic resonance angiography images of 300 individuals. Results The mean distance between the middle meningeal artery and the apex of the condyle or the most medial point of the condyle was 18.8 mm (range: 11.2–25.9 mm) or 14.5 mm (range: 8.8–22.9 mm) respectively. The course of the maxillary artery relative to the lateral pterygoid muscle was medial in 45.7% of cases and lateral in 54.3%. An asymmetric course was evident in 66 patients (22%). The mean distance between the maxillary artery and condylar process at the deepest point of the mandibular notch was 6.2 mm in sides exhibiting a medial course (range: 3.7–9.8 mm) and 6.6 mm in sides exhibiting a lateral course (range: 3.9–10.4 mm). The distances were significantly influenced by age, gender, and the course of the maxillary artery. Conclusion Our study emphasizes the marked inter- and intra-individual variability of the maxillary and middle meningeal arterial courses. We confirmed the proximity of the arteries to the condylar process. Extensive surgical experience and thorough preparation for each individual case are essential to prevent iatrogenic vascular injury. |
| Databáze: | OpenAIRE |
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