Surgical importance of distance from mandibular condyle to carotid canal and foramen spinosum: an anatomical study

Sangeetha Arumugam; Nandha Kumar Subbiah

doi:10.18203/2320-6012.ijrms20195547

Authors

Sangeetha Arumugam Department of Anatomy, Katuri Medical College and Hospital, Guntur, Andhra Pradesh, India
Nandha Kumar Subbiah Department of Anatomy, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20195547

Keywords:

Carotid canal, Foramen spinosum, Internal carotid artery, Middle meningeal artery, Temperomandibular joint

Abstract

Background: The objective of this study was to compare the distance from mandibular condyle to internal carotid artery and middle meningeal artery.

Methods: In this study 20 skulls obtained from the Department of Anatomy were utilized for the study. The following two parameters were measured using Vernier Caliper (digital). 1. Distance from Mandibular condyle to carotid canal 2. Distance from medial margin of Mandibular condyle to Foramen spinosum. All the measurements were taken thrice to minimize errors. Photograph of the skull base showing the measurements done was captured.

Results: A total of 40 sides, 20 right and 20 left sides were studied. The mean distance between medial margin of mandibular condyle to carotid canal was 11.2 mm±0.6 on right side and 11.6mm±0.8 on left side. The mean distance from the medial margin of mandibular condyle to Foramen spinosum (middle meningeal artery) was 9.3 mm±1.1 on right side and 9.8mm±0.9 on left side.

Conclusions: The distance between mandibular condyle to Middle meningeal artery is less compared to the distance between Mandibular condyle to carotid artery. The current study concludes that MMA is comparatively at high risk for damage compared to internal carotid artery.

Metrics

Metrics Loading ...

References

Sue B. External skull. In: Standring S, eds. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 41st ed. Philadelphia: Elsevier Limited; 2016: 416-428.

Bergman RA, Tubbs RS, Shoja MM, Loukas M, editors. Bergman's comprehensive encyclopedia of human anatomic variation. John Wiley and Sons; 2016;1:21.

Lang J. Skull Base and Related Structures: In: Lang J, eds. Atlas of Clinical Anatomy. London: Schattauer.; 1999:179-184.

Alonso F, Bernard S, Irwin PA, Tubbs RI, Iwanaga J, Loukas M, et al. The relationship between the carotid canal and mandibular condyle: an anatomical study with application to surgical approaches to the skull base via the infratemporal fossa. Anat. 2016;10(3):193-9.

Cuccia AM, Caradonna C, Caradonna D, Anastasi G, Milardi D, Favaloro A, et al. The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications. Imag Sci Dentistr. 2013;43(1):37-44.

Bejjani GK, Sullivan B, Salas-Lopez E, Abello J, Wright DC, Jurjus A, et al. Surgical anatomy of the infratemporal fossa: the styloid diaphragm revisited. Neurosurg. 1998;43(4):842-52.

Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint: an autopsy study. Intern J Oral Surg. 1985;14(2):169-75.

Westesson PL, Eriksson L, Liedberg J. The risk of damage to facial nerve, superficial temporal vessels, disk, and articular surfaces during arthroscopic examination of the temporomandibular joint. Oral Surg, Oral Med, Oral Pathol. 1986;62(2):124-7.

Moses JJ, Topper DC. Arteriovenous fistula: an unusual complication associated with arthroscopic temporomandibular joint surgery. J Oral Maxillofacial Surg. 1990;48(11):1220-2.

Braimah R, Taiwo A, Ibikunle A, Oladejo T, Adeyemi M, Adejobi F, et al. Clinical experience in managing temporomandibular joint ankylosis: five-year appraisal in a Nigerian subpopulation. J Korean Associat Oral Maxillofacial Surg. 2018;44(3):112-9.

Chuong R, Piper MA. Sinus bradycardia related to temporomandibular joint surgery. Oral Surg, Oral Med, Oral Pathol. 1991;71(4):423-5.

Vrionis FD, Cano WG, Heilman CB. Microsurgical anatomy of the infratemporal fossa as viewed laterally and superiorly. Neurosurg. 1996;39(4):777-87.

Cheynet F, Chossegros C, Blanc JL, Gola R, Lachard J. Complications of temporo-mandibular arthroscopy. Report of 100 arthroscopies. Revue de Stomatologie Chirurgie Maxillo-faciale. 1992;93(4):252-7.

Carroll A, Smith K, Jakubowski JT. Extradural haematoma following temporomandibular joint arthrocentesis and lavage. British J Neurosurg. 2000;14(2):152-4.

Murphy MA, Silvester KC, Chan TY. Extradural haematoma after temporomandibular joint arthroscopy: A case report. Intern J Oral Maxillofacial Surg. 1993;22(6):332-5.

Zakaria A, Salma A, Jinane K, Naouar I, Nadia MH. Temporomandibular Joint Ankylosis: An Epidemiological Study in Marrakesh. Am J Med Sci and Med. 2018; 6(2):37-40.

Vranis NM, Mundinger GS, Bellamy JL, Schultz BD, Banda A, Yang R, et al. Extracapsular mandibular condyle fractures are associated with severe blunt internal carotid artery injury: analysis of 605 patients. Plast Reconstruct Surg. 2015;136(4):811-21.

Talebzadeh N, Rosenstein TP, Pogrel MA. Anatomy of the structures medial to the temporomandibular joint. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endodontol. 1999;88(6):674-8.

Sharma V, Bhatia PS, Kumar M, Pawar M. Extradural hematoma following temporomandibular joint interposition arthroplasty. Anesth Essays Res. 2017;11(2):522.