보툴리눔 톡신 주사를 위한 깨물근 얕은층의 임상해부학적 고찰
Clinical anatomic consideration of the superficial layer of the masseter muscle for botulinum toxin injection
이형진, 김희진,
소속 상세정보
이형진 ( Lee Hyung-Jin ) - 연세대학교 치과대학 구강생물학교실 해부 및 발생생물학과
김희진 ( Kim Hee-Jin ) - 연세대학교 치과대학 구강생물학교실 해부 및 발생생물학과
KMID : 0362720170550050045
Abstract
In clinical dentistry, botulinum toxin is generally used to treat the square jaw, bruxism, and temporomandibular joint diseases. Recently, this procedure has been expanded and applied for cosmetic purposes, and it is becoming a key task to be aware of the precise anatomical structure of the target muscles to be cautious during treatment and how to prevent side effects. Therefore, the purpose of this study is to observe the anatomical structure of the superficial layer of masseter muscle and to provide a most effective botulinum toxin injection method through clinical anatomical consideration. It was observed that the muscle belly of superficial part of the superficial layer was originated from the deep to the aponeurosis of masseter muscle and descend, then changed gradually into the tendon structure attaching to the inferior border of the mandible. In this study, we named this structure deep inferior tendon. This structure was observed in all specimens. We conclude that the use of superficial layer and deep layer injection should be considered to prevent paradoxical masseteric bulging in consideration of the deep inferior tendon of superficial part of superficial layer of masseter muscle.
키워드
Masseter muscle; tendinous structure; botulinum neurotoxin type A injection; masseteric bulging
원문 및 링크아웃 정보
등재저널 정보