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Origin of the human-specific flexor Carpi Radialis Brevis muscle: A rare embryological case study 人类特有的桡侧腕屈肌的起源:一个罕见的胚胎学案例研究。
Q3 Medicine Pub Date : 2025-10-22 DOI: 10.1016/j.morpho.2025.101079
S. Durand
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引用次数: 0
Tridimensional analysis of the normal upper airways in non-dentofacial deformity patients 非牙面畸形患者正常上气道的三维分析
Q3 Medicine Pub Date : 2025-10-21 DOI: 10.1016/j.morpho.2025.101078
S.M. Costa, B.C. Ribeiro, P.F. Bertelli Trivellato, C.E. Sverzut, A.E. Trivellato

Objectives

To establish normative three-dimensional airway measurements in patients without dentofacial deformities (DDFs) or obstructive sleep apnea (OSA), and to identify anatomical and epidemiological factors associated with airway volume.

Methods

This retrospective cross-sectional study analyzed 200 CT scans from patients aged 18–80 years, with no diagnosis of DDF, OSA, or craniofacial syndromes. Scans were processed using artificial intelligence software (NEMOFAB) for automatic segmentation and volumetric analysis. Variables assessed included age, sex, neck circumference, and craniofacial linear distances (Menton–Hyoid, Menton–3rd Vertebrae, PNS–Hyoid, Soft Palate–Hyoid). Airway volume and Minimum Axial Area (MAA) were measured and compared using ANOVA.

Results

The mean airway volume was 24,724.8 mm3. Younger individuals exhibited greater airway volumes, especially among males. Patients with a neck circumference < 40 cm had a 28.04% reduction in airway volume. Longer PNS–Hyoid, SPH, and M3 V distances were positively associated with increased airway volume, while Menton–Hyoid showed minimal impact. A low MAA (< 110 mm2) correlated with a significant volume decrease. Key predictors identified were age, neck circumference, PNS–Hyoid, SPH, and M3 V distances.

Conclusions

In patients without DDF or OSA, airway volume is significantly influenced by demographic and anatomical variables. These normative data provide a baseline for comparison in orthognathic surgical planning and respiratory risk assessment.

Clinical Relevance

Understanding normal airway morphology and its anatomical determinants enhances screening for patients at risk of airway compromise and may guide individualized treatment strategies in oral and maxillofacial surgery.
目的建立无牙面畸形(ddf)或阻塞性睡眠呼吸暂停(OSA)患者气道三维测量标准,并探讨与气道容积相关的解剖学和流行病学因素。方法本回顾性横断面研究分析了200例18-80岁患者的CT扫描,未诊断为DDF、OSA或颅面综合征。扫描使用人工智能软件(NEMOFAB)进行自动分割和体积分析。评估的变量包括年龄、性别、颈围和颅面直线距离(门通舌骨、门通第三椎骨、pns -舌骨、软腭舌骨)。测量气道容积和最小轴向面积(MAA),并用方差分析进行比较。结果平均气道容积为24724.8 mm3。年轻个体表现出更大的气道容积,尤其是在男性中。颈围为40 cm的患者气道体积减少28.04%。较长的pns -舌骨、SPH和M3 - V距离与气道容积增加呈正相关,而门通-舌骨的影响最小。低MAA (< 110 mm2)与体积显著减小相关。确定的关键预测因素是年龄、颈围、pns -舌骨、SPH和M3 - V距离。结论在无DDF或OSA的患者中,气道容积受人口统计学和解剖学变量的显著影响。这些规范性数据为正颌手术计划和呼吸风险评估的比较提供了基线。了解正常气道形态及其解剖学决定因素可提高对气道受损风险患者的筛查,并可指导口腔颌面外科个体化治疗策略。
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引用次数: 0
CT evaluation of the internal acoustic canal and safe drilling triangle morphometry in relation to temporal pneumatization and age for gender determination and hearing preservation in surgery 内声道和安全钻孔三角形形态测量术在手术中与颞部气化和年龄的关系的CT评价,用于性别确定和听力保护。
Q3 Medicine Pub Date : 2025-10-14 DOI: 10.1016/j.morpho.2025.101076
H. Admış , G. Açar , A. Emine Çiçekcibaşı , D. Aydoğdu

Background

We evaluated internal acoustic canal (IAC) and safe drilling triangle (SDT) morphometry to ascertain sexual dimorphism of the petrous portion (PP), using discriminant function analysis (DFA). We also aimed to elucidate the influence of temporal pneumatization (TP), biological sex, age, and laterality on these parameters.

Methods

We measured the dimensions of the IAC, the vertical (IAOvd) and horizontal (IAOhd) diameters of the internal acoustic opening (IAO), lateral angle (LA), medial bending angle (MBA), IAC angle, dimensions and volume of the SDT, and SD angle in 208 CT images. TP was classified into 3 types: conchal, middle, and full. Laterality, sex, and age group differences were determined using paired and independent t tests, and one-way Anova test, respectively.

Results

All linear parameters were higher on left side, while angular parameters except IAC angle were larger on right side. Right IAOvd and LA also achieved the highest overall accuracy rates of 72.1%–69.7% in univariate DFA. Right IAOvd and LA also had the highest AUC (0.765 and 0.764). In multivariate DFA, the combination of IAOvd, LA, and MBA enables sex estimation with an accuracy of 75%. As the PP became more pneumatized, all parameters increased significantly, while they declined with advancing age.

Conclusion

The IAOvd, LA, and MBA can be applied in practice when alternative dimorphic indicators are unavailable for biological sex estimation in a contemporary Turkish population. The fact of verifying TP, sex, and age differences in SDT dimensions indicates the need for greater attention to preoperative CT assessment during surgical procedures.
背景:我们使用判别函数分析(DFA)评估了内声管(IAC)和安全钻孔三角形(SDT)形态测定法,以确定岩石部分(PP)的性别二态性。我们还旨在阐明颞部气化(TP)、生理性别、年龄和侧侧性对这些参数的影响。方法:在208张CT图像中测量IAC的尺寸、内声道开口(IAO)的垂直(IAOvd)和水平(IAOhd)直径、侧角(LA)、内侧弯曲角(MBA)、IAC角、SDT的尺寸和体积、SD角。TP分为三种类型:鼻甲型、中等型和完全型。横向性、性别和年龄组差异分别采用配对和独立t检验和单因素方差分析来确定。结果:左侧各线性参数均较高,右侧除IAC角外各角度参数均较高。右IAOvd和LA在单变量DFA中也达到了最高的总体准确率,为72.1% ~ 69.7%。右IAOvd和LA的AUC也最高,分别为0.765和0.764。在多元DFA中,IAOvd、LA和MBA的组合使性别估计的准确率达到75%。随着PP充气程度的增加,各参数均显著增加,但随年龄的增长而下降。结论:IAOvd, LA和MBA可以应用于实践中,当替代二态指标不可用于当代土耳其人群的生物性别估计。验证TP、性别和年龄在SDT维度上的差异表明,在手术过程中需要更加重视术前CT评估。
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引用次数: 0
Comparative neuroprotective efficacy of N-acetylcysteine and naringin in lead-induced neurotoxicity: Restoration of BDNF, neurotransmitters, and cognitive function n -乙酰半胱氨酸和柚皮苷在铅诱导的神经毒性中的神经保护作用比较:BDNF、神经递质和认知功能的恢复
Q3 Medicine Pub Date : 2025-10-03 DOI: 10.1016/j.morpho.2025.101075
Havila Hasini Sreevaram , Animireddy Kishore , Senthilkumar Sivanesan , Madhupriya Prabhakaran , Balaji Karunakaran , Sankaran Ponnusamy Kasirajan , Ashok Kumar Jyothi , Yuvaraj Maria Francis

Background

Exposure to lead acetate is reported to induce neurotoxicity associated with cognitive dysfunction, neurotransmitter dysfunction, oxidative stress, neuroinflammation, and neuronal damage in the hippocampus. Flavonoids and other natural compounds possessing antioxidant and neuroprotective properties can be of therapeutic interest. In the current study, naringin's protective property as a flavonoid was compared with that of N-acetylcysteine (NAC) against lead-induced neurotoxicity in rats.

Methods

Adult rats were randomly distributed into control, lead acetate-treated, lead + NAC-treated, lead + low-dose naringin, and lead + high-dose naringin groups, each group containing 6 animals. The Novel Object Recognition (NOR) test was used for the evaluation of cognitive function. Biochemical analysis of hippocampal glutamate, acetylcholine, Brain-Derived Neurotrophic Factor (BDNF), Nuclear factor erythroid 2-related factor 2 (Nrf2), pro-inflammatory markers (IL-6, GFAP), and serum lead levels was done. Histopathological analysis of hippocampal sections by crystal violet staining was done.

Results

Exposure to lead acetate-induced severe neurotoxicity in the guise of compromised recognition memory, reduced glutamate and acetylcholine content, reduced BDNF and Nrf2 expression, increased IL-6 and GFAP content, and severe hippocampal neuronal damage. NAC treatment effectively reversed cognitive function, neurotransmitter content, neurotrophic factors, and diminished neuroinflammation. Dose-dependent neuroprotection was afforded by naringin, where the high-dose group had better recovery in all the parameters than the low-dose group. Interestingly, high-dose naringin was similar to or even larger than that of NAC's neuroprotection, normalization of hippocampal histoarchitecture, enhancement of antioxidant defense, and decrease in pro-inflammatory markers and serum lead levels.

Conclusion

Lead acetate causes profound neurotoxicity on cognition, neurotransmission, oxidative stress, and inflammation. Naringin, especially at high doses, exhibits highly potent neuroprotective effects, such as NAC, preventing lead-induced cognitive dysfunction and hippocampal pathology by displaying antioxidant, anti-inflammatory, and neurotrophic effects. The results propose naringin as a potential natural drug candidate for preventing and/or treating lead-induced neurotoxicity.
据报道,暴露于醋酸铅可诱导与认知功能障碍、神经递质功能障碍、氧化应激、神经炎症和海马神经元损伤相关的神经毒性。类黄酮和其他具有抗氧化和神经保护特性的天然化合物可用于治疗。本研究比较了柚皮苷作为类黄酮与n -乙酰半胱氨酸(NAC)对铅致大鼠神经毒性的保护作用。方法将成年大鼠随机分为对照组、醋酸铅处理组、铅+ nac处理组、铅+低剂量柚皮苷组和铅+高剂量柚皮苷组,每组6只。新目标识别(NOR)测试用于评估认知功能。生化分析海马谷氨酸、乙酰胆碱、脑源性神经营养因子(BDNF)、核因子-红细胞2相关因子2 (Nrf2)、促炎标志物(IL-6、GFAP)和血清铅水平。结晶紫染色对海马切片进行组织病理学分析。结果暴露于醋酸铅诱导了严重的神经毒性,表现为识别记忆受损,谷氨酸和乙酰胆碱含量降低,BDNF和Nrf2表达降低,IL-6和GFAP含量升高,海马神经元严重损伤。NAC治疗有效地逆转了认知功能、神经递质含量、神经营养因子,并减轻了神经炎症。柚皮苷具有剂量依赖性的神经保护作用,高剂量组在各项指标上的恢复优于低剂量组。有趣的是,高剂量柚皮苷的神经保护作用与NAC相似,甚至大于NAC对海马组织结构的正常化,抗氧化防御的增强,促炎标志物和血清铅水平的降低。结论醋酸铅对认知、神经传递、氧化应激和炎症具有较强的神经毒性。柚皮苷,特别是在高剂量时,表现出高度有效的神经保护作用,如NAC,通过显示抗氧化、抗炎和神经营养作用,预防铅诱导的认知功能障碍和海马病理。结果表明柚皮苷是预防和/或治疗铅致神经毒性的潜在天然候选药物。
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引用次数: 0
Temporomandibular joint disorder: Etiologies and treatments (part 2) 颞下颌关节紊乱:病因和治疗(第二部分)
Q3 Medicine Pub Date : 2025-09-15 DOI: 10.1016/j.morpho.2025.101074
S. Nieves Del Rio , J. Iwanaga , R. Shane Tubbs , M. Loukas
Temporomandibular joint (TMJ) disorders (TMDs) are complex conditions affecting the joint and associated musculoskeletal structures, causing pain and functional impairment. This review explores the anatomical basis, etiological factors, and therapeutic strategies for TMD, emphasizing the interplay between TMJ anatomy, pathophysiology, and treatment outcomes. Myogenous and arthrogenous TMDs present distinct anatomical challenges, requiring targeted interventions. Key findings highlight the efficacy of conservative therapies, including behavioral interventions, physical therapies, and occlusal splints, as first-line treatments, followed by low-level laser therapy (LLLT), transcutaneous electrical nerve stimulation (TENS), and dry needling for myofascial pain. Botulinum toxin-A (BoNT-A) (De la Torre Canales G et al., 2024 [1]) is effective for persistent myogenous TMD but reserved for cases unresponsive to first-line treatments. Emerging therapies, such as platelet-rich plasma (PRP) and 3D-printed implants, show promise for refractory cases. This review aims to advance the understanding of TMD from an anatomical perspective, providing evidence-based insights for clinicians and researchers. Part 1 of this series, “Temporomandibular Disorder: The Anatomy of Pain”, details TMJ anatomy and pain pathways, forming the foundation for this analysis.
颞下颌关节(TMJ)疾病(TMDs)是影响关节和相关肌肉骨骼结构的复杂疾病,可引起疼痛和功能障碍。本文综述了颞下颌关节病的解剖学基础、病因及治疗策略,强调了颞下颌关节解剖、病理生理和治疗结果之间的相互作用。肌源性和关节源性tmd存在不同的解剖学挑战,需要有针对性的干预。主要研究结果强调了保守治疗的有效性,包括行为干预、物理治疗和咬合夹板作为一线治疗,其次是低水平激光治疗(LLLT)、经皮神经电刺激(TENS)和干针治疗肌筋膜疼痛。肉毒毒素- a (BoNT-A) (De la Torre Canales等人,2024 b[1])对持续性肌源性TMD有效,但只适用于对一线治疗无反应的病例。新兴疗法,如富血小板血浆(PRP)和3d打印植入物,显示出对难治性病例的希望。本文旨在从解剖学角度加深对TMD的理解,为临床医生和研究人员提供基于证据的见解。本系列的第1部分“颞下颌紊乱:疼痛的解剖”详细介绍了颞下颌关节解剖和疼痛通路,为本分析奠定了基础。
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引用次数: 0
Temporomandibular joint disorder: Anatomy of pain (part 1) 颞下颌关节紊乱:疼痛解剖(第一部分)
Q3 Medicine Pub Date : 2025-09-15 DOI: 10.1016/j.morpho.2025.101060
S. Nieves del Rio , O. Omosebi , V. Krishna , D. Nahabedian , J. Iwanaga , R.S. Tubbs , M. Loukas
The temporomandibular joint (TMJ) is a complex synovial articulation connecting the mandible to the temporal bone, facilitating essential functions like chewing and speaking through rotational and translational movements. Temporomandibular disorders (TMDs) cause significant pain and dysfunction, often involving myogenous, arthrogenous, or multifactorial etiologies. This review elucidates TMJ anatomy, embryology, and pain pathways, with a focus on central pain mechanisms underlying TMD. Key anatomical components include the mandibular condyle, articular disc, and masticatory muscles, innervated by the mandibular nerve (V3) and vascularized by the maxillary artery. Pain in TMD involves peripheral and central sensitization, modulated by the spinal trigeminal nucleus, thalamus, and somatosensory cortex. This work aims to guide clinicians in evidence-based TMD diagnosis and management, emphasizing multidisciplinary approaches and future research into molecular pain pathways.
颞下颌关节(TMJ)是连接下颌骨和颞骨的复杂滑膜关节,通过旋转和平移运动促进咀嚼和说话等基本功能。颞下颌紊乱(TMDs)引起明显的疼痛和功能障碍,通常涉及肌源性、关节源性或多因素病因。本文综述了颞下颌关节的解剖学、胚胎学和疼痛通路,重点讨论了颞下颌关节病的中枢疼痛机制。主要解剖成分包括下颌髁、关节盘和咀嚼肌,由下颌神经(V3)支配,由上颌动脉血管化。TMD的疼痛涉及外周和中枢致敏,由三叉神经脊髓核、丘脑和体感觉皮层调节。本研究旨在指导临床医生基于证据的TMD诊断和管理,强调多学科方法和分子疼痛途径的未来研究。
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引用次数: 0
Looped inferior gluteal nerve – a novel variation 环状臀下神经-一种新的变异
Q3 Medicine Pub Date : 2025-08-30 DOI: 10.1016/j.morpho.2025.101073
S. Nayak, S. Rao, K.G. Mohandas Rao, S.D. Shetty, S. Marpalli, S.B. Nayak
Variations of inferior gluteal nerve are very rare. Knowledge of its variations is of importance in plastic surgery and orthopedic surgery procedures of hip. We report a unique variation of inferior gluteal nerve. During the dissection of left gluteal region of a male cadaver aged approximately 70 years, we observed inferior gluteal nerve with two roots. The superior root pierced the piriformis muscle, and the inferior root emerged out through the greater sciatic foramen, below the piriformis. The two roots joined to form a loop superficial to the piriformis muscle. The loop gave four branches. Two among these branches supplied the gluteus maximus muscle, third one joined the tibial nerve and the fourth one divided into two branches which communicated with the common fibular nerve and the posterior cutaneous nerve of the thigh. In a case like this, the entrapment of the superior root in piriformis may lead to weakness of gluteus maximus muscle.
臀下神经的变异是非常罕见的。了解其变化在髋关节整形外科和矫形外科手术过程中是重要的。我们报告一个独特的变异臀下神经。在对一具70岁左右男性尸体左臀区进行解剖时,我们观察到具有双根的臀下神经。上根穿过梨状肌,下根穿过梨状肌下方的坐骨大孔。这两个根在梨状肌表面连接形成一个环。这个循环有四个分支。其中两个分支支配臀大肌,第三个分支与胫神经相连,第四个分支分成两个分支与腓骨总神经和大腿后皮神经相连。在这种情况下,梨状肌上根的压迫可能导致臀大肌无力。
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引用次数: 0
Effect of experimentally induced sepsis on the kidney and renal artery of adult male albino rats and the role of Boswellia serrata extract 实验性脓毒症对成年雄性白化大鼠肾脏和肾动脉的影响及锯齿乳香提取物的作用
Q3 Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.morpho.2025.101065
M.A. Al-Gholam , N.M. Issa , A.S.A. Alafify

Background

Sepsis can be cured with effective antibiotics against susceptible organisms if treatment is provided early and promptly. As a result of antibiotic resistance and chemotherapeutic agents’ side effects, the use of these medications is restricted. Thus, the search for novel therapeutic targets and studies on the pathogenesis of sepsis has increased. In this study, we aimed to examine the treatment effects of Boswellia serrata extract (BSE) pre- or pre and post-treatment after sepsis induction.

Material and methods

adult male albino rats were assigned into 5 groups: control, BSE, septic, septic pre-treated, or septic pre and post-treated by BSE. Sepsis induction was performed by modified cecal slurry and 500 mg/kg/oral of BSE was administered.

Results

It was found that the elevated serum urea and creatinine in the septic group were ameliorated by pre- or pre and post-treatment with BSE. Parallel histopathological examinations revealed that BSE ameliorated the pathological changes of the kidney and renal artery including shrinkage of capillary tufts, widening of Bowman's space, focal tubular dilatation and appearance of casts inside the tubules, desquamation of endothelium, thickening of tunica media decreasing the diameter of the lumen of the renal artery compared to the septic group. Periodic acid Schiff staining increased while collagen fibers decreased in BSE-treated groups (P < 0.001). Additionally, Cluster of Differentiation 15 (CD15) and the paired box (PAX) expression were downregulated (P < 0.001) and E-cadherin expression was improved in the BSE-treated groups (P < 0.001).

Conclusion

These data indicate that BSE minimizes the lesions of sepsis-induced kidney injury and could be useful in improving the pathological alterations of parenchymal organs associated with sepsis.
如果及早和及时提供治疗,对易感生物有效的抗生素可以治愈败血症。由于抗生素耐药性和化疗药物的副作用,这些药物的使用受到限制。因此,寻找新的治疗靶点和对脓毒症发病机制的研究已经增加。在本研究中,我们旨在研究Boswellia serrata extract (BSE)在脓毒症诱导前后的治疗效果。材料与方法将成年雄性白化大鼠分为5组:对照组、BSE组、脓毒症组、脓毒症预处理组、脓毒症前后处理组。改良盲肠浆液诱导脓毒症,给予BSE 500 mg/kg/口服。结果脓毒症患者的血清尿素和肌酐升高情况在疯牛病治疗前或前后均有改善。平行组织病理学检查显示,与脓毒症组相比,BSE改善了肾脏和肾动脉的病理改变,包括毛细血管丛缩小,鲍曼间隙变宽,局灶性小管扩张,小管内出现铸型,内皮脱屑,中膜增厚,肾动脉管腔直径减小。bse处理组周期性酸性席夫染色增加,胶原纤维减少(P < 0.001)。此外,bse处理组CD15和PAX表达下调(P < 0.001), E-cadherin表达提高(P < 0.001)。结论疯牛病可使脓毒症所致肾损伤的损害最小化,并可改善脓毒症相关肾实质器官的病理改变。
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引用次数: 0
Comparative evaluation of The Eustachian tube in Iraqi individuals with cleft lip and palate and those without: A CBCT analysis 伊拉克唇腭裂患者与非唇腭裂患者咽鼓管的比较评价:CBCT分析
Q3 Medicine Pub Date : 2025-08-21 DOI: 10.1016/j.morpho.2025.101063
N.A. Hassan , M.A.H. Mahdi , M.J. Abbas

Purpose

To contrast Iraqi patients with unilateral cleft lip and palate (UCLP) with healthy controls and pinpoint any variations in the structural characteristics of the Eustachian tube (ET).

Methods

The CBCT used to scan a total of 100 participants, ranging in age from 13 to 40. Of those, 19 men and 31 women had ULCP, while 23 men and 27 women did not. The axial view was used to assess the auditory tube angle (ATA), ET diameter (ETD), and ET length (ETL). A P-value less than 0.05 was selected as the significant measure in the statistical analysis using SPSS version 25.

Results

The study highlighted that patients with ULCP had considerably lower ETL (26.04 mm), a narrower ETD (2.38 mm), and a bigger ATA (144.47°) compared to the control group (29.46 mm, 2.79 mm, and 133.09°, respectively). In addition, the ET variables showed a strong and statistically significant association between the study groups (r = 0.897 [ETL], 0.976 [ETD], and 0.964 [ATA], P < 0.05).

Conclusion

Patients with UCLP and controls showed substantial differences in the ET's dimensions and ATA. The study appreciated the use of CBCT to examine the ET's structural properties.
目的对伊拉克单侧唇腭裂(UCLP)患者与健康对照者进行对比,查明耳咽管(ET)结构特征的变化。方法采用CBCT对100名年龄在13 ~ 40岁之间的受试者进行扫描。其中,19名男性和31名女性患有ULCP, 23名男性和27名女性没有。轴向观评估听筒角度(ATA)、听筒直径(ETD)和听筒长度(ETL)。采用SPSS 25版进行统计分析,选取p值< 0.05为显著性测度。结果与对照组(分别为29.46 mm、2.79 mm和133.09°)相比,ULCP患者的ETL (26.04 mm)明显降低,ETD (2.38 mm)更窄,ATA(144.47°)更大。此外,ET变量在各研究组之间表现出较强且具有统计学意义的相关性(r = 0.897 [ETL], 0.976 [ETD], 0.964 [ATA], P < 0.05)。结论UCLP患者与对照组在ET尺寸和ATA方面存在显著差异。该研究赞赏使用CBCT检查ET的结构特性。
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引用次数: 0
Prenatal superficial musculoaponeurotic system anlage 产前浅肌腱神经系统图像
Q3 Medicine Pub Date : 2025-08-20 DOI: 10.1016/j.morpho.2025.101062
T. Sandulescu, J.F. Koeser, E.A. Naumova, W.H. Arnold

Introduction

The superficial musculoaponeurotic system (SMAS) is an acronym describing a facial subcutaneous anchored three-dimensional (3D) fibro-adipose-muscular tissue network connected to mimic muscles. SMAS transfers, distributes and reinforces mimic facial muscles contractions to the skin determining mimic expression and facial fold formation. The aim of this study was the histomorphological analysis of prenatal SMAS (pre-SMAS) development in analogy to the adult SMAS typology.

Method

Histological serial sections (n = 7300 of 31 embryos and fetuses) of different staining obtained from the historic Carnegie Collection, Washington D.C. and from the Historical Histological Collection, University Witten/Herdecke were analyzed. All specimens head and neck area were investigated microscopically regarding facial mimic muscles genesis, pre-SMAS development and chronological changes.

Results

Three pre-SMAS Types were described. Pre-SMAS Type I consisting of mesenchymal SMAS with low vascularity and minimal structural changes covered Regio Frontalis and Regio Occipitalis. Pre-SMAS Type II consisting of mesenchymal SMAS with low vascularity and minimal structural changes covered Regio Periocularis, Regio Preparotidea and Regio Nasalis. Pre-SMAS Type III consisting of SMAS with muscular integration and connective tissue remodeling covered Regio Parotidea, Regio Perioralis, and Regio Cervicalis. There were no morphological similarities between adult SMAS architecture compared to pre-SMAS anlage in Regio Preparotidea, Regio Frontalis, Regio Occipitalis, Regio Periocularis, Regio Cervical and Regio Nasalis. Regio parotidea pre-SMAS showed analogies in connective tissue architecture to adult type I SMAS. Regio Perioralis pre-SMAS showed isolated muscle fibers, which were aligned perpendicular to the skin level. Subcutaneous facial adipose tissue was undetectable up to the 22nd week of gestation.

Conclusions

Pre-SMAS anlage metamorphosis seems not to emerge synchronously with mimic muscle development, but its changes and tissue differentiation are closely related to mimic muscle activity. Therefore following ontogenetic hypothesis was proposed: the development of pre-SMAS anlage follows the law “form follows functional activity”.
浅表肌腱神经系统(SMAS)是一个首字母缩略词,描述了面部皮下锚定的三维(3D)纤维-脂肪-肌肉组织网络,连接到模拟肌肉。SMAS转移,分布和加强模拟面部肌肉收缩到皮肤决定模拟表情和面部褶皱的形成。本研究的目的是对产前SMAS(前SMAS)发育的组织形态学分析,以类比成人SMAS的类型。方法对来自华盛顿特区历史悠久的Carnegie Collection和Witten/Herdecke大学历史组织学Collection的不同染色的31个胚胎和胎儿的组织学序列切片(n = 7300)进行分析。在显微镜下研究了所有标本头部和颈部的面部模拟肌肉的发生、sma前的发育和时间变化。结果描述了3种前smas类型。前SMAS I型由间充质SMAS组成,血管密度低,结构变化最小,覆盖额部和枕部。Pre-SMAS II型由间充质SMAS组成,血管密度低,结构变化最小,覆盖眼周区、预备区和鼻区。Pre-SMAS III型包括具有肌肉整合和结缔组织重塑的SMAS,覆盖腮腺区、口周区和颈区。成人的SMAS结构在预备区、额区、枕区、眼周区、颈区和鼻区与前SMAS区没有形态学上的相似性。腮腺区前SMAS结缔组织结构与成人I型SMAS相似。口周肌区smas前显示孤立的肌纤维,它们垂直于皮肤水平排列。直到妊娠22周,皮下面部脂肪组织都检测不到。结论spre - smas组织变形与模拟肌肉发育不同步,但其变化和组织分化与模拟肌肉活动密切相关。因此,提出了以下的个体发生假说:前smas样本的发展遵循“形式追随功能活动”的规律。
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Morphologie
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