Evidence map›Paper›PMID 34106326›Full record

ArticleSurgical and radiologic anatomy : SRA2021

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

Istemihan Coban, Kaan Yucel, Yelda Pinar

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Article in Surgical and radiologic anatomy : SRA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Istemihan CobanDepartment of Anatomy, Faculty of Medicine, Izmir Democracy University, Göztepe, Konak, Izmir, Turkey. istemihancoban@gmail.com.ORCID http://orcid.org/0000-0001-7104-2118
Kaan YucelDepartment of Anatomy, Faculty of Medicine, Izmir Democracy University, Göztepe, Konak, Izmir, Turkey.ORCID http://orcid.org/0000-0001-9606-8808
Yelda PinarDepartment of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID http://orcid.org/0000-0001-6026-3564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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.

methodsBilateral 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).

resultsThe 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.

conclusionWe 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.

Indexed as

MandibleMasseter MuscleAnatomy, RegionalCadaverFemaleHumansHypertrophyMaleAnatomyBotulinum toxinsMasseter muscleMotor entry pointsMyofascial pain syndromes

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.