THE DIGASTRIC MUSCLE IN HEAD AND NECK ANATOMY: A CADAVERIC STUDY WITH EMPHASIS ON VARIATIONS AND SURGICAL LANDMARKS

Authors

  • Dr V Sujatha Associate Professor, Konaseema Institute of Medical Sciences & Research Foundation, Amalapuram, Andhra Pradesh, India Author
  • Dr C Rathiga Assistant Professor, Prathima Relief Institute of Medical Sciences, Nagunur, Karimnagar- 505417, India Author
  • Dr Ganesan Murugaperumal MD Associate Professor, Department of Anatomy, Tagore Medical College & Hospital, Rathimangalam, Melakkottaiyur, Chennai- 600127 Author

DOI:

https://doi.org/10.48047/5n290b16

Keywords:

Digastric muscle, Anatomical variations, Surgical landmarks, Head and neck anatomy, Cadaveric study

Abstract

Since it has three parts, the digastric muscle is involved in neck movement and regularly marks a significant area for clinicians and surgeons. Because the facial artery and its branches are close to the parotid and submandibular glands, lymph nodes and major neck arteries, a proper grasp of its structure is necessary. The study analyzed the heads and necks of 40 bodies (25 from males and 15 from females) to understand how the digastric muscle varies in size and connectivity. We traced the anterior belly along the digastric fossa to the intermediate tendon and from the tendon we traced the posterior belly to the mastoid notch. To be certain of anatomical correctness, the jaw was closed while making the measurements. The anterior and posterior bellies revealed a modest association with overall neck length. Large differences in sex were found, as males featured longer anterior bellies and intermediate tendons, while females lacked both. By contrast, there was minimal change in the consumptions of the posterior belly between males and females. The presence of anatomical variability was demonstrated by two cases that had bilateral accessory anterior bellies. Recognizing all these variations limits the probability of these masses on imaging being misinterpreted as diseases in the region below the chin or jaw. As a result, doctors are now more likely to use the digastric muscle during reconstructive flaps for treatments of lip asymmetry and oral cancer defects. Accessory muscle slips present during surgery can make the procedure easier because the surgeon has extra tissue. By using this research, doctors can more accurately examine each muscle and emphasize the clinical and surgical value of the digastric muscle’s location. Learning about these features will help surgeons and radiologists treat and diagnose illnesses of the head and neck correctly.

Downloads

Download data is not yet available.

References

Standring S, Gray H. Gray's anatomy: the anatomical basis of clinical practice. 40th ed. Churchill Livingstone; 2008.

Tortora GJ, Derrickson B. Principles of anatomy and physiology. 12nd ed. Guanabara Koogan; 2010.

Widmalm SE, Lillie JH, Ash MM., Jr Anatomical and electromyographic studies of the digastric muscle. J Oral Rehabil. 1988;15:3–21.

Liquidato BM, Barros MD, Alves AL, Pereira CSB. Anatomical study of the digastric muscle: variations in the anterior belly. Int J Morphol. 2007;25:797–800.

Moore KL. Clinically oriented anatomy.3rd ed. Williams & Wilkins; 1992.

Diogo R, Wood B. Soft-tissue anatomy of the primates: phylogenetic analyses based on the muscles of the head, neck, pectoral region and upper limb, with notes on the evolution of these muscles. J Anat. 2011;219:273–359.

De-Ary-Pires B, Ary-Pires R, Pires-Neto MA. The human digastric muscle: patterns and variations with clinical and surgical correlations. Ann Anat. 2003;185:471–9.

Connell BF, Hosn W. Importance of the digastric muscle in cervical contouring: an update. AesthetSurg J. 2000;20:12–6.

Tan ST. Anterior belly of digastric muscle transfer: a useful technique in head and neck surgery. Head Neck. 2002;24:947–54.

Conley J, Baker DC, Selfe RW. Paralysis of the mandibular branch of the facial nerve.PlastReconstrSurg. 1982;70:569–77.

Ozgursoy OB, Kucuk B. Unique variation of digastric muscle: a confusing landmark for head and neck surgeons. ActaOtolaryngol. 2006;126:881–3.

Norton MR. Bilateral accessory digastric muscles. Br J Oral Maxillofac Surg. 1991;29:167–8.

Zdilla MJ, Pancake AR, Lambert HW. Morphometrics of the anterior belly and intermediate tendon of the digastric muscle: sexual dimorphism and implications for surgery. J Craniofac Surg. 2016;27:1321–6.

Macrae PR, Jones RD, Myall DJ, Melzer TR, Huckabee ML. Cross-sectional area of the anterior belly of the digastric muscle: comparison of MRI and ultrasound measures. Dysphagia. 2013;28:375–80.

Sargon MF, Onderoğlu S, Sürücü HS, Bayramoğlu A, Demiryürek DD, Oztürk H. Anatomic study of complex anomalies of the digastric muscle and review of the literature. Okajimas Folia AnatJpn. 1999;75:305–13.

Kalniev M, Krastev D, Krastev N, Vidinov K, Veltchev L, Apostolov A, Mileva M. A rare variation of the digastric muscle.Clujul Med. 2013;86:327–9.

Ozgur Z, Govsa F, Ozgur T. Bilateral quadrification of the anterior digastric muscles with variations of the median accessory digastric muscles. J Craniofac Surg. 2007;18:773–5.

Kyung DS, Lee JH, Lee YP, Kim DK, Choi IJ. Bilateral variations of the head of the digastric muscle in Korean: a case report. Anat Cell Biol. 2011;44:241–3.

Sarikcioglu L, Demir S, Oguz N, Sindel M. An anomalous digastric muscle with three accessory bellies and one fibrous band.SurgRadiol Anat. 1998;20:453–4.

Singh Z, Kaur G, Kaur A. A variant digastric muscle.Int J Anat Var. 2011;4:120–2.

Yamazaki Y, Shibata M, Ushiki T, Isokawa K, Sato N. Bilateral, asymmetric anomalies of the anterior bellies of digastric muscles. J Oral Sci. 2011;53:523–7.

Holibková A, Machálek L. A report on anomalies of digastric muscle.ActaUnivPalackiOlomucFac Med. 1999;142:57–9.

Peker T, Turgut HB, Anil A. Bilateral anomaly of anterior bellies of digastric muscles. SurgRadiol Anat. 2000;22:119–21.

Faltaous AA, Yetman RJ. The submental artery flap: an anatomic study. PlastReconstr Surg. 1996;97:56–60. discussion 61–2.

Connell BF, Shamoun JM. The significance of digastric muscle contouring for rejuvenation of the submental area of the face.PlastReconstr Surg. 1997;99:1586–90.

Kim SD, Loukas M. Anatomy and variations of digastric muscle. Anat Cell Biol. 2019;52:1–11.

Downloads

Published

2020-02-29

How to Cite

THE DIGASTRIC MUSCLE IN HEAD AND NECK ANATOMY: A CADAVERIC STUDY WITH EMPHASIS ON VARIATIONS AND SURGICAL LANDMARKS (V. Sujatha, C. Rathiga, & G. Murugaperumal MD , Trans.). (2020). Cuestiones De Fisioterapia, 49(1), 86-92. https://doi.org/10.48047/5n290b16