咬肌各层对面侧区骨性结构的影响

赵宇琦 蒋金锐 陈劲燃 王泽川 周厚恩 许雯娣 雍刘军

解剖学报 ›› 2025, Vol. 56 ›› Issue (2) : 208-213.

PDF(5662 KB)
欢迎访问《解剖学报》官方网站!今天是 English
PDF(5662 KB)
解剖学报 ›› 2025, Vol. 56 ›› Issue (2) : 208-213. DOI: 10.16098/j.issn.0529-1356.2025.02.011

咬肌各层对面侧区骨性结构的影响

  • 赵宇琦1 蒋金锐1 陈劲燃1 王泽川1 周厚恩1 许雯娣1 雍刘军2* 
作者信息 +

Effect of different layers of masseter on the bony structure of facial lateral area

  • ZHAO  Yu-qi1  JIANG  Jin-rui1  CHEN  Jin-ran1  WANG  Ze-chuan1  ZHOU  Hou-en1  XU  Wen-di1  YONG  Liu-jun2*
Author information +
文章历史 +

摘要

目的 通过成人面侧区大体解剖,观测浅、中、深层咬肌与相关骨性结构的形态,探讨咬肌各层对面侧区骨性结构的影响。 方法 对12具成人尸体的双侧咬肌进行暴露,分离浅、中、深层咬肌,分别测量肌长、肌腱长度、肌腹长度;剥离咬肌后测量总厚度,暴露下颌骨、颧弓,测量下颌角角度、颧弓厚度、颧弓宽度,观察咬肌粗隆,并对其之间的相关关系进行统计学分析。 结果 颧弓厚度与浅、中、深层咬肌肌长及浅、中层肌腹长度成正相关(r浅层肌长=0.624、r中层肌长=0.787、r深层肌长=0.423、r 浅层肌腹长度=0.493、r中层肌腹长度=0.548),颧弓宽度与浅、中层咬肌肌长、中层肌腹长度成正相关(r浅层肌长=0.527、r中层肌长=0.521、r中层肌腹长度=0.437),下颌角角度仅与中层肌腹长度成负相关(r=-0.422),浅、中层咬肌粗隆不受相关层次咬肌影响;深层咬肌粗隆与深层肌长、深层肌腱长度成负相关(r深层肌长=-0543、r深层肌腱长度=-0.443)。 结论 在国人咬肌层次中,浅、中层咬肌对面侧区骨性结构的影响最大,其对面侧区结构的重塑具有指导意义。

Abstract

Objective  To observe the morphology of the superficial, middle, and deep layers of the masseter muscle and related bony structures in the lateral facial region of adults through gross anatomy, and to probe into the effects of these muscle layers on the bony structures of the lateral facial region.   Methods  The bilateral masseter muscles of 12 adult cadavers were exposed, and the superficial, middle, and deep layers were separated and measured for muscle length, tendon length, and muscle belly length. After the masseter muscles were stripped, the total thickness was measured, and the mandible and zygomatic arch were exposed to measure the angle of the mandibular angle, thickness of the zygomatic arch, and width of the zygomatic arch. Observations were made of the masseter tuberosities, and statistical analysis was conducted on their interrelations.   Results  The zygomatic arch thickness was positively correlated with the length of superficial, middle and deep masseter muscles and the length of superficial and middle masseter belly (rsuperficial masseter length=0.624, rmiddle masseter length=0.787, rdeep masseter length=0.423, rsuperficial masseter belly length=0.493, rmiddle masseter belly length=0.548). The width of the zygomatic arch was positively correlated with the lengths of the superficial and middle muscle layers and the middle muscle belly length (rsuperficial masseter length=0.527, rmiddle masseter length=0.521, rmiddle masseter belly length=0.437). The angle of the mandibular angle was only negatively correlated with the middle muscle belly length (r=-0.422). The tuberosities of the superficial and middle masseter muscles were not affected by the corresponding muscle layers; However, the tuberosity of the deep masseter was negatively correlated with the length of the deep muscle and the length of the deep tendon(r deep masseter length=-0.543,r deep masseter tendon length=-0.443).   Conclusion  In the masseter muscle layers of Chinese individuals, the superficial and middle layers have the most significant impact on the bony structures structures of the lateral facial region. These findings are of guiding significance for the remodeling of structures in the lateral facial region. 
 

关键词

咬肌分层 / 下颌角 / 颧弓 / 咬肌粗隆 / 应用解剖学 / 成人

Key words

Masseter muscle stratification / Mandibular angle / Zygomatic arch / Masseter tuberosity / Applied anatomy / Adult

引用本文

导出引用
赵宇琦 蒋金锐 陈劲燃 王泽川 周厚恩 许雯娣 雍刘军. 咬肌各层对面侧区骨性结构的影响[J]. 解剖学报. 2025, 56(2): 208-213 https://doi.org/10.16098/j.issn.0529-1356.2025.02.011
ZHAO Yu-qi JIANG Jin-rui CHEN Jin-ran WANG Ze-chuan ZHOU Hou-en XU Wen-di YONG Liu-jun. Effect of different layers of masseter on the bony structure of facial lateral area[J]. Acta Anatomica Sinica. 2025, 56(2): 208-213 https://doi.org/10.16098/j.issn.0529-1356.2025.02.011
中图分类号: R323.1   

参考文献

 [1] Azaroual  MF, Fikri M, Abouqal R, et al. Relationship between dimensions of muscles of mastication (masseter and lateral pterygoid) and skeletal dimensions: study of 40 cases[J]. Int Orthod,2014,12(1):111-124.
 [2] Nilesh  K, Dharamsi R, Patil P, et al. Management of unilateral idiopathic masseter muscle hypertrophy with botulinum toxin type A[J]. BMJ Case Rep,2021,14(1):e239056.
 [3] Buvinic  S, Balanta-Melo J, Kupczik K, et al. Muscle-bone crosstalk in the masticatory system: from biomechanical to molecular interactions[J]. Front Endocrinol (Lausanne),2021,11:606947.
 [4] Widmer  CG, English AW, Morris-Wiman J. Developmental and functional considerations of masseter muscle partitioning[J]. Arch Oral Biol,2007,52(4):305-308.
 [5] Yamada T, Sugiyama G, Mori Y. Masticatory muscle function affects the pathological conditions of dentofacial deformities[J]. Jpn Dent Sci Rev,2020,56(1):56-61.
 [6] Gaudy  JF, Zouaoui A, Bravetti P, et al. Functional organization of the human masseter muscle[J]. Surg Radiol Anat,2000,22(3-4):181-190.
 [7] Chen  R, Yang ShB. Research progress on the anatomy and clinical application of masseter muscle [J]. Chinese Journal of Clinical Anatomy,2024,42(1):115-117. (in Chinese) 
陈仁,杨胜波. 咬肌的解剖与临床应用研究进展[J]. 中国临床解剖学杂志,2024,42(1):115-117.
 [8] Liu J, Zhang YR, Zhang Y, et al. Myoarchitecture and biological characteristics of masseter muscle and temporal muscle[J]. Journal of Practical Stomatology,2002, 18(4):294-297.(in Chinese) 
刘静,张跃蓉,张永,等. 人咬肌和颞肌的肌构筑及生物学特性[J]. 实用口腔医学杂志,2002, 18(4):294-297.
 [9] Lee  HJ, Jung SJ, Kim ST, et al. Ultrasonographic considerations for safe and efficient botulinum neurotoxin injection in masseteric hypertrophy[J]. Toxins (Basel),2021,13(1):28.
 [10] Isola  G, Anastasi GP, Matarese G, et al. Functional and molecular outcomes of the human masticatory muscles [J]. Oral Dis,2018,24(8):1428-1441.
 [11] Yamada T, Sugiyama G, Mori Y. Masticatory muscle function affects the pathological conditions of dentofacial deformities[J]. Jpn Dent Sci Rev,2020,56(1):56-61.
 [12] Mizuno S, Matsunaga S, Kasahara N, et al. Effect of the correction of bilateral differences in masseter muscle functional pressure on the mandible of growing rats[J]. J Funct Biomater,2023,14(8):435.
 [13] Luo JCh, Gui L,Zhu JM. Relationship between masseter muscle and facial morphology [J]. Chinese Journal of Medical Aesthetics and Cosmetology,2007,13(4):204-206.(in Chinese) 
罗金超,归来,朱敬民. 咬肌与颅面形态的关系[J]. 中华医学美学美容杂志,2007,13(4):204-206.
 [14] Osterlund C, Thornell LE, Eriksson PO. Differences in fibre type composition between human masseter and biceps muscles in young and adults reveal unique masseter fibre type growth pattern[J]. Anat Rec (Hoboken),2011,294(7):1158-1169.
 [15] Jia XF, Huang JL. Adaptive change of masseter muscle after the ostectomy of mandibular angle in rabbits[J]. Chinese Journal of Plastic Surgery,2006,22(6):415-418.(in Chinese) 
贾学峰,黄金龙. 兔下颌角截骨后咬肌适应性变化[J]. 中华整形外科杂志,2006,22(6):415-418.
 [16] Ravosa MJ, Ning J, Costley DB, et al. Masticatory biomechanics and masseter fiber-type plasticity[J]. J Musculoskelet Neuronal Interact,2010,10(1):46-55.
 [17] Goto TK, Langenbach GE, Hannam AG. Length changes in the human masseter muscle after jaw movement[J]. Anat Rec,2001,262(3):293-300.
 [18] Smith AL, Grosse IR. The biomechanics of zygomatic arch shape[J]. Anat Rec (Hoboken),2016,299(12):1734-1752.
 [19] Chen KN, Shao ZhR, Fan H, et al. Anatomy for osteotomy of mandibular angle hypertrophy[J]. Acta Anatomica Sinica,2018, 49(5):660-665.(in Chinese) 
陈卡娜,邵正仁,范华,等. 下颌角肥大整形术相关解剖[J]. 解剖学报,2018,49(5):660-665.
 [20] Huang Y, Yang L, Lin Y, et al. Relationship between masticatory muscle size and bone regeneration after mandibular angle osteotomy[J]. J Craniofac Surg,2021,32(8):2784-2787.
 [21] Dutra EH, Yadav S. The effects on the mandibular condyle of Botox injection into the masseter are not transient [J]. Am J Orthod Dentofacial Orthop,2019,156(2):193-202.
 [22] Park  C, Park K, Kim J. Growth effects of botulinum toxin type A injected unilaterally into the masseter muscle of developing rats[J]. J Zhejiang Univ Sci B,2015,16(1):46-51.
 [23] Piao ZhG, Zou R, Liao T, et al. Early intervention of botulinum toxin type A on mandibular development [J]. Journal of Oral Science Research,2017,33(8):837-840. (in Chinese) 
朴正国,邹瑞,廖婷,等. A型肉毒素对下颌骨发育的早期干预实验研究[J]. 口腔医学研究,2017,33(8): 837-840.
 [24] Kim  DH, Hong HS, Won SY, et al. Intramuscular nerve distribution of the masseter muscle as a basis for botulinum toxin injection[J]. J Craniofac Surg,2010,21(2):588-591.
 [25] Rathod NN, John RS. Botulinum toxin injection for masseteric hypertrophy using 6 point injection technique -a case report. Proposal of a clinical technique to quantify prognosis. Proposal of a clinical technique to quantify prognosis[J]. Clin Cosmet Investig Dent,2023,15:45-49.


PDF(5662 KB)

Accesses

Citation

Detail

段落导航
相关文章

/