Document Detail


Anatomical localization of submandibular gland for botulinum toxin injection.
MedLine Citation:
PMID:  20221760     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to document the anatomical landmarks of the submandibular gland (SMG) for a botulinum toxin injection. Thirty-four SMGs from 20 cadavers were examined. The mean length of a reference line between the angle of the mandible and the gnathion was 94.8 ± 5.9 mm, the proximal and distal point of the SMG from the angle of the mandible was 10.6% (11.5 ± 3.5 mm) and 41.8% (40.9 ± 5.2 mm), respectively. The facial artery came out of the SMG at 11.6% (14.6 ± 3.4 mm) and the position of the intersection of the facial artery with the inferior border of the mandible was located at 24.4% (28.0 ± 5.5 mm) from the angle of the mandible. The shape of the SMG was generally triangular or irregular round on the anatomical position. The mean superior-inferior diameter, anterior-posterior diameter and medial-lateral diameter of the gland was 28.8 ± 4.1, 30.0 ± 6.1 and 15.1 ± 3.5 mm, respectively. The safety zone for the injection was 20-35% from the mandible angle on the inferior view and 1.5 cm below the inferior line of the mandible on the lateral view. In addition, the needle should be inserted to a depth of 2.0 cm from the skin surface on the inferior view. These results may assist in determining a accurate localization of injection sites for the SMG, particularly for injections without ultrasound guidance.
Authors:
J H Lee; B N Lee; S O Kwon; R H Chung; S H Han
Publication Detail:
Type:  Journal Article     Date:  2010-03-11
Journal Detail:
Title:  Surgical and radiologic anatomy : SRA     Volume:  32     ISSN:  1279-8517     ISO Abbreviation:  Surg Radiol Anat     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-26     Completed Date:  2011-03-18     Revised Date:  2011-08-10    
Medline Journal Info:
Nlm Unique ID:  8608029     Medline TA:  Surg Radiol Anat     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  945-9     Citation Subset:  IM    
Affiliation:
Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea, Seoul, 137-701, Korea.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Botulinum Toxins / administration & dosage*
Female
Humans
Injections
Male
Middle Aged
Sialorrhea / therapy
Submandibular Gland / anatomy & histology*
Chemical
Reg. No./Substance:
EC 3.4.24.69/Botulinum Toxins
Comments/Corrections
Comment In:
Surg Radiol Anat. 2011 Jul;33(5):465-6   [PMID:  21212950 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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