肩胛舌骨罕见变异及其胚胎学相关性- 1例报告

Prerna Chandra, Vivek Mishra, Shelja Sharma
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摘要

肩胛舌骨肌在根治性颈部清扫术中很重要,因为它是该手术的标志。因为肩胛舌骨肌将颈椎前后三角分割成更小的三角以及它与大的颈椎血管的特殊关系,所以肩胛舌骨肌解剖变异的存在是很重要的。腹部可无或重瓣;下腹部可能直接与锁骨相连上腹部有时与胸舌骨融合。肩胛舌骨肌的变异可能与胚胎发育的差异有关,这可能会影响肌肉的最终形态和功能。Anderson (Anderson, 1881)认为肩胛舌骨肌的上腹是真正的舌骨下肌,而下腹很可能与锁骨下肌具有共同的胚胎学。由于使用肩胛舌骨肌来实现喉肌和弓形声带的重建,因此了解肩胛舌骨肌可能的异常是很重要的。在本研究中,我们发现了一个有两个下腹部的病例。戈拉克布尔医科大学解剖科常规解剖40岁女性尸体时右侧肩胛舌骨上腹部异常。肩胛舌骨肌与颈部大血管密切相关;臂丛,所以这种肌肉的变化在临床上很重要。
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A rare variation of omohyoid and its embryological correlations- A case report
The omohyoid muscle is important in radical neck dissection, as it is a landmark for this operation. Because it divides the anterior and posterior cervical triangles into smaller triangles and its particular relationship to the large cervical vessels, the presence of an anatomical variation of the omohyoid muscle is important. Either belly may be absent or double; and the inferior belly may be attached directly to the clavicle and the superior is sometimes fused with sternohyoid. Variations in the omohyoid muscle might be linked to differences in embryological development, which could influence the muscle’s final form and function. Anderson (Anderson, 1881) theorized that the superior belly of the omohyoid muscle is a true infrahyoid muscle, whereas the inferior belly most likely shares a common embryology with the subclavius muscle. As omohyoid mucle is used to achieve the reconstruction of the laryngeal muscles and bowed vocal folds, the knowledge of the possible anomalies of the omohyoid muscle is important. In the present study, we have found a case with two inferior bellies & aberrant course of superior belly of omohyoid on right side of 40 years female cadaver embalmed with formalin during routine dissection at Department of Anatomy AIIMS Gorakhpur. Omohyoid muscle is closely related to large vessels of neck & brachial plexus, so variations in this muscle are clinically important.
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