Login Register Cart 0
Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Cross-Sectional Study

The Role of the Lateral Pterygoid Muscle in Articular Disc Displacement: A Cross-sectional Magnetic Resonance Imaging Study

Author(s): Nasser Alqhtani*, Ahmad Ali Alshadwi, Adel Al-Zahrani, Rana Saud Alshagroud,, Ali Al Rafedah, Abdullatif Al Abdulsalam, Abdulrahman Almalki and Salah Sakka

Volume 18, Issue 7, 2022

Published on: 24 March, 2022

Article ID: e040122199875 Pages: 9

DOI: 10.2174/1573405618666220104113920

Price: $65

Abstract

Objective: The objective of the study is to determine the role of Lateral Pterygoid Muscle LPM in the articular disc displacement ADD, which is considered controversial due to the variations in the pattern of insertion of the Superior Lateral Pterygoid Muscle SPLM.

Background: It is well understood that the superior head of the lateral pterygoid muscle has only a single insertion pattern among individuals, in which the muscle is attached to the articular disc and capsule. However, recent findings in many studies have shown a noticeable variation in the insertion pattern of the upper LPM.

Methods: MRI examinations were collected at King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia. Scans of 61 patients (41 females, 20 males; mean age 33 years old) with symptoms of temporomandibular dysfunction were reviewed retrospectively. The direction of their articular disc displacement was evaluated through sagittal and coronal views in both open and closed mouth positions.

Results: There was no statistical significance found between the LPM attachment types and TMJ disc position. The chi-square test also showed no significant difference between the type of LPM attachment and the condylar location. Forty-five percent of the articular discs were located between the articular eminence and the glenoid fossa. The majority of the disc displacement was in the anterior direction.

Conclusion: There was no statistically significant association found between the type of LPM attachments and the direction of disc displacement.

Keywords: Lateral pterygoid muscle, temporomandibular joint, temporomandibular dysfunction, magnetic resonance imaging, articular disc displacement, electromyographic techniques.

Graphical Abstract

[1]
Naidoo LC, Naidoo LCD. Lateral pterygoid muscle and its relationship to the meniscus of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82(1): 4-9.
[http://dx.doi.org/10.1016/S1079-2104(96)80370-2] [PMID: 8843447]
[2]
Wilkinson T, Chan EKK. The anatomic relationship of the insertion of the superior lateral pterygoid muscle to the articular disc in the temporomandibular joint of human cadavers. Aust Dent J 1989; 34(4): 315-22.
[http://dx.doi.org/10.1111/j.1834-7819.1989.tb04639.x] [PMID: 2775018]
[3]
Matsunaga K, Usui A, Yamaguchi K, Akita K. An anatomical study of the muscles that attach to the articular disc of the temporomandibular joint. Clin Anat 2009; 22(8): 932-40.
[http://dx.doi.org/10.1002/ca.20865] [PMID: 19806671]
[4]
Widmalm SE, Lillie JH, Ash MM Jr. Anatomical and electromyographic studies of the lateral pterygoid muscle. J Oral Rehabil 1987; 14(5): 429-46.
[http://dx.doi.org/10.1111/j.1365-2842.1987.tb00738.x] [PMID: 3478452]
[5]
Carpentier P, Yung J-P, Marguelles-Bonnet R, Meunissier M. Insertions of the lateral pterygoid muscle: An anatomic study of the human temporomandibular joint. J Oral Maxillofac Surg 1988; 46(6): 477-82.
[http://dx.doi.org/10.1016/0278-2391(88)90417-X] [PMID: 3164053]
[6]
Naohara H. The macroscopic and microscopic study of the human lateral pterygoid muscle. Tsurumi Shigaku 1989; 15(1): 1-26.
[PMID: 2626786]
[7]
Schmolke C. The relationship between the temporomandibular joint capsule, articular disc and jaw muscles. J Anat 1994; 184(Pt 2): 335-45.
[8]
Naidoo LCD, Juniper RP. Morphometric analysis of the insertion of the upper head of the lateral pterygoid muscle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83(4): 441-6.
[http://dx.doi.org/10.1016/S1079-2104(97)90142-6] [PMID: 9127374]
[9]
Zhang L, Sun L, Ma X. A macroscopic and microscopic study of the relationship between the superior lateral pterygoid muscle and the disc of the temporomandibular joint. Chung Hua Kou Chiang Hsueh Tsa Chih 1998; 33(5): 267-9.
[PMID: 11774650]
[10]
Fujita S, Iizuka T, Dauber W. Variation of heads of lateral pterygoid muscle and morphology of articular disc of human temporomandibular joint-anatomical and histological analysis. J Oral Rehabil 2001; 28(6): 560-71.
[http://dx.doi.org/10.1046/j.1365-2842.2001.00691.x] [PMID: 11422683]
[11]
Usui A, Akita K, Yamaguchi K. An anatomic study of the divisions of the lateral pterygoid muscle based on the findings of the origins and insertions. Surg Radiol Anat 2008; 30(4): 327-33.
[http://dx.doi.org/10.1007/s00276-008-0329-2] [PMID: 18317664]
[12]
Coskun Akar G, Govsa F, Ozgur Z. Examination of the heads of the lateral pterygoid muscle on the temporomandibular joint. J Craniofac Surg 2009; 20(1): 219-23.
[http://dx.doi.org/10.1097/SCS.0b013e318191d04d] [PMID: 19165031]
[13]
Juniper RP. The superior pterygoid muscle? Br J Oral Surg 1981; 19(2): 121-8.
[http://dx.doi.org/10.1016/0007-117X(81)90037-8] [PMID: 6942877]
[14]
Juniper RP. Temporomandibular joint dysfunction: A theory based upon electromyographic studies of the lateral pterygoid muscle. Br J Oral Maxillofac Surg 1984; 22(1): 1-8.
[http://dx.doi.org/10.1016/0266-4356(84)90001-9] [PMID: 6582927]
[15]
Murray GM, Bhutada M, Peck CC, Phanachet I, Sae-Lee D, Whittle T. The human lateral pterygoid muscle. Arch Oral Biol 2007; 52(4): 377-80.
[http://dx.doi.org/10.1016/j.archoralbio.2006.10.002] [PMID: 17141177]
[16]
Bhutada MK, Phanachet I, Whittle T, Peck CC, Murray GM. Regional properties of the superior head of human lateral pterygoid muscle. Eur J Oral Sci 2008; 116(6): 518-24.
[http://dx.doi.org/10.1111/j.1600-0722.2008.00582.x] [PMID: 19049521]
[17]
Litko M, Szkutnik J, Berger M, Różyło-Kalinowska I. Correlation between the lateral pterygoid muscle attachment type and temporomandibular joint disc position in magnetic resonance imaging. Dentomaxillofac Radiol 2016; 45(8): 20160229.
[http://dx.doi.org/10.1259/dmfr.20160229]
[18]
Taskaya-Yilmaz N, Ceylan G, Incesu L, Muglali M. A possible etiology of the internal derangement of the temporomandibular joint based on the MRI observations of the lateral pterygoid muscle. Surg Radiol Anat 2005; 27(1): 19-24.
[http://dx.doi.org/10.1007/s00276-004-0267-6] [PMID: 15750717]
[19]
Loughner BA, Gremillion HA, Larkin LH, Mahan PE, Watson RE. Muscle attachment to the lateral aspect of the articular disk of the human temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82(2): 139-44.
[http://dx.doi.org/10.1016/S1079-2104(96)80216-2] [PMID: 8863302]
[20]
Omami G, Lurie A. Magnetic resonance imaging evaluation of discal attachment of superior head of lateral pterygoid muscle in individuals with symptomatic temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(5): 650-7.
[http://dx.doi.org/10.1016/j.oooo.2012.07.482] [PMID: 23021920]
[21]
Dergin G, Kilic C, Gozneli R, Yildirim D, Garip H, Moroglu S. Evaluating the correlation between the lateral pterygoid muscle attachment type and internal derangement of the temporomandibular joint with an emphasis on MR imaging findings. J Craniomaxillofac Surg 2012; 40(5): 459-63.
[http://dx.doi.org/10.1016/j.jcms.2011.08.002] [PMID: 21880502]
[22]
Eweka OM, Ogundana OM, Agbelusi GA. Temporomandibular pain dysfunction syndrome in patients attending Lagos University Teaching Hospital, Lagos, Nigeria. J West Afr Coll Surg 2016; 6(1): 70-87.
[PMID: 28344938]
[23]
Augusto VG, Perina KCB, Penha DSG, Dos Santos DCA, Oliveira VAS. Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortop Bras 2016; 24(6): 330-3.
[http://dx.doi.org/10.1590/1413-785220162406162873] [PMID: 28924361]
[24]
Manfredini D. Etiopathogenesis of disk displacement of the temporomandibular joint: A review of the mechanisms. Indian J Dent Res 2009; 20(2): 212-21.
[http://dx.doi.org/10.4103/0970-9290.51365] [PMID: 19553725]
[25]
Talmaceanu D, Lenghel LM, Bolog N, et al. Imaging modalities for temporomandibular joint disorders: An update. Clujul Med 2018; 91(3): 280-7.
[http://dx.doi.org/10.15386/cjmed-970] [PMID: 30093805]
[26]
Ryan J, Akhter R, Hassan N, Hilton G, Wickham J, Ibaragi S. Epidemiology of temporomandibular disorder in the general population: A systematic review. Adv Dent Oral Health 2019; 10(3): 555787.
[27]
Lai YC, Yap AU, Türp JC. Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review. J Oral Rehabil 2020; 47(2): 270-80.
[http://dx.doi.org/10.1111/joor.12899] [PMID: 31638281]
[28]
Di Paolo C, Costanzo GD, Panti F, et al. Epidemiological analysis on 2375 patients with TMJ disorders: Basic statistical aspects. Ann Stomatol (Roma) 2013; 4(1): 161-9.
[http://dx.doi.org/10.11138/ads/2013.4.1.161] [PMID: 23741538]
[29]
Bagis B, Ayaz EA, Turgut S, Durkan R, Özcan M. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: A retrospective study on 243 consecutive patients. Int J Med Sci 2012; 9(7): 539-44.
[http://dx.doi.org/10.7150/ijms.4474] [PMID: 22991492]
[30]
Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs 2001; 169(3): 187-92.
[http://dx.doi.org/10.1159/000047881] [PMID: 11455113]
[31]
Abubaker AO, Raslan WF, Sotereanos GC. Estrogen and progesterone receptors in temporomandibular joint discs of symptomatic and asymptomatic persons: A preliminary study. J Oral Maxillofac Surg 1993; 51(10): 1096-100.
[http://dx.doi.org/10.1016/S0278-2391(10)80448-3] [PMID: 7692023]
[32]
Ribeiro-Dasilva MC, Peres Line SR, Leme Godoy dos Santos MC, et al. Estrogen receptor-alpha polymorphisms and predisposition to TMJ disorder. J Pain 2009; 10(5): 527-33.
[http://dx.doi.org/10.1016/j.jpain.2008.11.012] [PMID: 19411060]
[33]
Lee DG, Kim TW, Kang SC, Kim ST. Estrogen receptor gene polymorphism and craniofacial morphology in female TMJ osteoarthritis patients. Int J Oral Maxillofac Surg 2006; 35(2): 165-9.
[http://dx.doi.org/10.1016/j.ijom.2005.06.009] [PMID: 16154319]
[34]
Sugisaki M, Komori E, Nakazawa M, Tanabe H, Kato S. Anatomical studies of the lateral pterygoid muscle by the superior approach and a review of the literature. Japanese J Oral Maxillofac Surg 1986; 32(5): 718-30.
[http://dx.doi.org/10.5794/jjoms.32.718]
[35]
Porter MR. The attachment of the lateral pterygoid muscle to the meniscus. J Prosthet Dent 1970; 24(5): 555-62.
[http://dx.doi.org/10.1016/0022-3913(70)90063-6] [PMID: 5273656]
[36]
Altruda Filho L, Alves N. Insertion of the superior head of the lateral pterigoid muscle in the human fetuses. Int J Morphol 2006; 24: 643-9.
[http://dx.doi.org/10.4067/S0717-95022006000500021]
[37]
Antonopoulou M, Iatrou I, Paraschos A, Anagnostopoulou S. Variations of the attachment of the superior head of human lateral pterygoid muscle. J Craniomaxillofac Surg 2013; 41(6): e91-7.
[http://dx.doi.org/10.1016/j.jcms.2012.11.021] [PMID: 23265808]
[38]
Liu ZJ, Yamagata K, Kuroe K, Suenaga S, Noikura T, Ito G. Morphological and positional assessments of TMJ components and lateral pterygoid muscle in relation to symptoms and occlusion of patients with temporomandibular disorders. J Oral Rehabil 2000; 27(10): 860-74.
[http://dx.doi.org/10.1046/j.1365-2842.2000.00622.x] [PMID: 11065021]
[39]
Sener S, Akgunlu F. Correlation between the condyle position and intra-extraarticular clinical findings of temporomandibular dysfunction. Eur J Dent 2011; 5(3): 354-60.
[http://dx.doi.org/10.1055/s-0039-1698905] [PMID: 21769281]
[40]
Gateno J, Anderson PB, Xia JJ, Horng JC, Teichgraeber JF, Liebschner MA. A comparative assessment of mandibular condylar position in patients with anterior disc displacement of the temporomandibular joint. J Oral Maxillofac Surg 2004; 62(1): 39-43.
[http://dx.doi.org/10.1016/j.joms.2003.05.006] [PMID: 14699547]

Rights & Permissions Print Cite
Article Metrics
23
1
© 2024 Bentham Science Publishers | Privacy Policy