The common representation of the auriculotemporal nerve is either that of a single posterior branch of the mandibular nerve or of two roots that envelope the middle meningeal artery. Our observation in the anatomy of the auriculotemporal nerve on 32 dissections (16 cadaveric heads) of the infratemporal fossa included: one specimen with four roots (3.1%), three specimens with three roots (9.4%), 12 specimens with two roots (37.5%), and 16 specimens with one root (50%). Furthermore, a connecting nerve branch was observed between auriculotemporal and inferior alveolar nerves in four specimens, and in another auriculotemporal nerve case, between the upper and lower roots. In the cadaver of a 70-year-old male, a four-rooted auriculotemporal nerve variation was found. These four branches lay to the posterior, combined at the posterosuperior of the maxillary and superficial temporal arteries and formed a ganglion-like knot. From this knot, four branches stemmed and ran to the temporomandibular joint, external acoustic meatus, zygoma, and parotid gland. The knot was larger and thicker than expected; thus, it was removed and stained with haematoxylin-eosin (H&E) and S100 for histological studies. This structure was not a true ganglion but a structure formed by fusion of nerve fibers.
The aim of this study was to investigate the incidence of the pterygospinous and pterygoalar bony bridges and the variations in these bony bridges among Anatolians. A total of 452 adult dry skulls (258 males and 194 females) of the Anatolian population were investigated for both the pterygospinous and the pterygoalar bony bridges. In 80 of the 452 dry skulls (37 male and 43 female), it was possible to inspect the cranial cavity. In these skulls, sellar and sphenopetrous bridges were also investigated. In addition to this, the mandibular nerve of 9 fixed cadavers was carefully dissected and the distribution of its branches was determined on both sides. Complete pterygospinous osseous bridges were found in 5.5% of the samples and complete pterygoalar bridges in 4.9%. In the dry skulls with removed calvaria, complete sellar osseous bridges were found on both sides in 34.2% of specimens, complete pterygospinous bridges in 8.8% and complete pterygoalar bridges in 7.5%. No complete sphenopetrous bridges were found. In the cadaveric study, nerve entrapment due to a pterygoalar ligament on the left side was found in one cadaver. Such variations should be kept in mind in clinical complaints such as mandibular neuralgia, especially during chewing.
In a routine dissection of the axillary fossa, a muscle originating from the coracoid process of the scapula and extending to the long head of triceps brachii muscle was observed. The mentioned muscle was adhering to both the triceps brachii muscle and the tendinous part of the latissimus dorsi muscle. This anatomical variation is referred to as axillary arch (Langer's muscle or axillopectoral muscle). The muscle mass was measured 9.6 cm in length and 1.4 cm in width. The accessory muscle can be a reason of an axillary mass and can exert pressure on the neighboring neurovascular bundle or lymph routes; thus, exposing a wide range of symptoms. Therefore, variations of this area should be kept in mind in surgical interventions.
Bilateral insertion abnormality of pectoralis minimus (sterno-costo-coracoidian muscle) muscle was examined. The variant muscle was lying under the pectoralis major muscle and was medial to the pectoralis minor muscle. This muscle started from the first costal cartilage to the manubrium sterni and ended in the upper surface of the shoulder joint on the right side. On the opposite side, it took origin from the second costal cartilage to the manubrium sterni and the second costochondral joint, afterwards became a tendinous structure and divided into two on the coracoid process. The thicker part ended on the upper surface of the articular capsule of the shoulder joint, the thinner part inserted on the lateral third of inferior part of clavicle and fascia of subclavius muscle.
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