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Clinical anatomy of the maxillary sinus: application to sinus floor augmentation
Joe Iwanaga,Joe Iwanaga,Charlotte Wilson,Stefan Lachkar,Krzysztof A. Tomaszewski,Jerzy A. Walocha,R. Shane Tubbs 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.1
The anatomy of the maxillary sinus, especially its vascular anatomy, and its relationships with the teeth and alveolar processes have been well documented. The development of cone-beam computed tomography has resulted in dentists being more familiar with maxillary sinus floor augmentation procedures. This paper aims to revisit the classic anatomy of the maxillary sinus and review the newly published literature in order to help dentists diagnose in more detail and perform safer surgery of the maxillary sinus.
Stafne bone cavity: a rare cadaveric case report
Joe Iwanaga,Joe Iwanaga,T. L. Wong,Shogo Kikuta,R. Shane Tubbs 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.3
The Stafne bone cavity (SBC), also called the static bone cavity, salivary inclusion cyst, latent cyst, and lingual bone defect is an asymptomatic bony defect that is commonly located inferior to the mandibular canal and slightly above the inferior border of the mandible. It is rare to see the actual bony defect in the cadaver because of its relatively low incidence of 0.1% to 6.06%. We report a unilateral SBC found in a 76-year-old at death male Caucasian cadaver and involving the right mandible. The SBC was oval in shape with a smooth surface and measured 10.8×6.0 mm. The SBC was continuous with the right mylohyoid groove. Since actual photographs of the SBC are lacking in the literature, this report might provide additional insight for better understanding the SBC.
The sphenopalatine vein: anatomical study of a rarely described structure
Joe Iwanaga,Eric Pineda,Yusuke Miyamoto,Grzegorz Wysiadecki,Samir Anadkat,R. Shane Tubbs 대한해부학회 2023 Anatomy & Cell Biology Vol.56 No.2
Although in counterpart, the sphenopalatine artery (SPA), has been well described in the medical literature, thesphenopalatine vein (SPV) has received scant attention. Therefore, the present anatomical study was performed. Additionally, we discuss the variations, embryology, and clinical significance of the SPV. Adult cadaveric specimens underwent dissection of the SPV. In addition, some specimens were submitted for histological analysis of this structure. The SPV was found to drain from the sphenoidal sinus and nasal septum. Small tributaries traveled through the nasal septum with the posterior septal branches of the SPA and nasopalatine nerve. The SPA and SPV were found to travel through the sphenopalatine foramen and another tributary was found to perforate the medial plate of the pterygoid process and to connect to the pterygoid venous plexus which traveled lateral to the medial plate of the pterygoid process. The vein traveled through the posterior part of the lateral wall of the nasal cavity with the posterior lateral nasal branches of the SPA and the lateral superior posterior nasal branches of the maxillary nerve. To our knowledge, this is the first anatomical study on the SPV in humans. Data on the SPV provides an improved anatomical understanding of the vascular network of the nasal cavity. Developing a more complete picture of the nasal cavity and its venous supply might help surgeons and clinicians better manage clinical entities such as posterior epistaxis, cavernous sinus infections, and perform endoscopic surgery with fewer complications.
Localizing the nerve to the mylohyoid using the mylohyoid triangle
Joe Iwanaga,Hee-Jin Kim,Grzegorz Wysiadecki,Kyoichi Obata,Yosuke Harazono,Soichiro Ibaragi,R. Shane Tubbs 대한해부학회 2021 Anatomy & Cell Biology Vol.54 No.3
The nerve to the mylohyoid muscle has been well studied but there are no specific anatomical landmarks for identifying it. Therefore, we aimed to identify anatomical landmarks for localizing the nerve to the mylohyoid muscle in the submandibular region. Sixteen sides from eight embalmed Caucasian cadaveric heads were used in this study. The mean age at the time of death of the specimens was 80.3 years. The anterior and posterior bellies of the digastric muscle, submental artery, and mylohyoid muscle were dissected to verify their relationships with the nerve to the mylohyoid muscle. The nerve to the mylohyoid muscle was found medial to the submental artery, lateral to the anterior belly of the digastric muscle, and anterior to the posterior border of the mylohyoid muscle on all sides. Herein, we identified what we term the mylohyoid triangle. This anatomical region can help localize the nerve to the mylohyoid muscle.
Unusual muscle of the anterior neck: cadaveric findings with surgical applications
Joe Iwanaga,Yoko Tabira,Christian Fisahn,Fernando Alonso,Koichi Watanabe,Jingo Kusukawa,Rod J. Oskouian,R. Shane Tubbs,Koh-ichi Yamaki 대한해부학회 2017 Anatomy & Cell Biology Vol.50 No.3
The omohyoid muscle typically has an inferior belly originating from the superior border of the scapula, and then passes deep to the sternocleidomastoid muscle where its superior belly passes almost vertically upward next to the lateral border of sternohyoid to attach to the inferior border of the body of the hyoid bone lateral to the insertion of sternohyoid. Herein, we report an unusual variant of the omohyoid and sternohyoid muscles. As the omohyoid muscle is commonly used as a surgical landmark during neck dissections, knowledge of its variations such as the one described in the current report is important to surgeons.
Extended crossing fibers of the mentalis muscle attaching to the contralateral mandible
Joe Iwanaga,Mi-Sun Hur,Shogo Kikuta,Soichiro Ibaragi,R. Shane Tubbs 대한해부학회 2021 Anatomy & Cell Biology Vol.54 No.4
Fibers of the facial muscles occasionally extend, cross the midline, and connect to surrounding structures on the contralateral side, perhaps enabling the mouth to make more delicate movements and generate more facial expressions. This case report describes a variant in which the extended fibers of the mentalis crossed the midline and indicates the relationship of these fibers to the surrounding structures. Some of the deepest fibers of the mentalis descended inferomedially and crossed transversely just below the chin prominence to attach to the periosteum of the mandible on the contralateral side. The variation presented in this study shed light on the interactions of the mentalis with the surrounding muscles.
The clinical anatomy of the accessory submandibular gland: a comprehensive review
Andrea Yazbeck(Andrea Yazbeck ),Joe Iwanaga(Joe Iwanaga ),Jerzy A. Walocha(Jerzy A. Walocha ),Łukasz Olewnik(Łukasz Olewnik ),R. Shane Tubbs(R. Shane Tubbs ) 대한해부학회 2023 Anatomy & Cell Biology Vol.56 No.1
An accessory submandibular gland is a rare variation. As such, there is limited literature regarding the embryology, anatomy, variations, clinical imaging, and pathology of the accessory submandibular gland. In this article, we review the existing literature on the accessory submandibular gland from clinical and anatomical perspectives. The goal of this review is to provide comprehensive knowledge of this variation which can be useful for oral and maxillofacial/head and neck surgeons, radiologists, and anatomists. Within this review, the embryologic origin as well as the anatomy of the accessory submandibular gland is detailed. Several imaging modalities which can be used to visualize the accessory submandibular gland are outlined as well as its variations. Lastly, this review investigates several reported clinical considerations regarding the accessory submandibular gland including sialoliths, Wharton’s duct obstruction, and pleomorphic adenoma.
Jenilkumar Patel(Jenilkumar Patel ),Graham Dupont(Graham Dupont ),Joho Katsuta(Joho Katsuta ),Joe Iwanaga(Joe Iwanaga ),Łukasz Olewnik(Łukasz Olewnik ),R. Shane Tubbs(R. Shane Tubbs ) 대한해부학회 2023 Anatomy & Cell Biology Vol.56 No.1
Tibialis anterior (TA) muscle originates from the lateral surface of tibia and its tendon attaches to the medial cuneiform and base of the first metatarsal. The TA muscle is responsible for both dorsiflexion and inversion of the foot. We present a case of bilateral TA muscle variations that diverge slightly from the current classification systems of this muscle. Recognizing variations such as these may be important for anatomists, surgeons, podiatrists, and physicians. Following routine dissection, an accessory tendon of the TA muscle was found on both sides. Accessory tendons of the extensor hallucis longus and extensor hallucis brevis joined to form a common tendon on both sides. We believe that this unique case will help further the classification systems for the tendons of the TA and also be informative for clinical anatomists as well as physicians treating patients with pathology in this region.
An elongated dorsally curved xiphoid process
Stefan Lachkar,Joe Iwanaga,R. Shane Tubbs 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.1
The xiphoid process of the sternum lies in the epigastric region and functions to serve as an attachment point for vital muscles that aid in respiration. With the xiphoid process extending as the most inferior portion of the sternum, variable morphology is widely observed. During a routine dissection of a 44-year-old Caucasian male cadaver, we discovered a hookshaped, elongated xiphoid process that protruded dorsally. Potential clinical significance can arise leading to misdiagnosis of the hook-shaped xiphoid process as an epigastric mass during imaging. Though various variations of xiphoid process have been well documented, knowledge of a hook-shaped xiphoid process orientated dorsally remains scarce. Herein, this case study provides clinicians, surgeons, and radiologists a rare anomaly of the xiphoid process in order to further the knowledge of morphological variations of the xiphoid to prevent misdiagnosis and surgical complications.
Clinical anatomy of the nerve to the mylohyoid
Paul Choi,Joe Iwanaga,Graham Dupont,Rod J. Oskouian,R. Shane Tubbs 대한해부학회 2019 Anatomy & Cell Biology Vol.52 No.1
The nerve to the mylohyoid (NM) originates from the mandibular division of the trigeminal nerve. The NM provides motor control to the mylohyoid and the anterior belly of the digastric. Its sensory component, as a variation of this nerve, has scantly been described in the literature. We discuss the current clinical implications of the NM based on its anatomical variations of the with the hopes of benefiting patients who are undergoing invasive maxillofacial procedures.