ISSN 2146-8133
 

Original Research (Original Article) Open Access


Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries

Vrinda Hari Ankolekar, Anne D. Souza, Rohini Alva, Antony Sylvan D. Souza, Mamatha Hosapatna.

Cited by (1)

Abstract
Objectives: The digastric muscle is an important landmark in head and neck surgeries. Important neurovascular structures such as the spinal accessory and hypoglossal nerves (HNs), internal jugular vein (IJV) and internal carotid artery lie deep to the posterior belly of digastric (PBD); the study relating to it deserves special mention in anatomical literature. Therefore, the present study aims to describe the PBD in relation to the essential anatomical landmarks.
Materials and Methods: This study was carried out using 10 cadavers preserved in 10% formalin. The midpoint of IJV in the neck was identified as the point between the angle of the mandible and midclavicular point. The anatomical landmarks considered for measuring the parameters were tip of the mastoid process (TMP), loop of HN, midpoint of IJV, bifurcation of common carotid artery (CCA) and the midpoint of PBD. Various parameters were measured using the digital calipers.
Results: The length of PBD was 3.77 ± 1.08 cm on right and 3.15 ± 0.05 cm on left side indicating slightly longer belly on the right. The extended length did not vary much on both the sides, which were 6.7 ± 1.23 cm on right and 6.7 ± 0.75 cm. The HN crossed PBD 2.72 ± 0.8 cm anterior to the TMP on right side, while on left side it was situated 2.1 ± 0.57 cm anterior to TMP. The distance between the midpoint of PBD and of IJV was 6.58 ± 0.99 cm on right side, whereas it was 6.1 ± 0.96 cm on left side. The distance between the midpoint PBD and bifurcation of CCA was 3.04 ± 0.61 cm on right and 2.78 ± 0.74 cm on left side.
Conclusion: As the PBD muscle is an important surgical landmark, the present study adds to the existing knowledge about it. The present study has also included few newer landmarks, which were not given importance in the previous studies.

Key words: Carotid arteries, hypoglossal nerve, internal jugular vein, posterior belly of digastric muscle


 
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REFERENCES
1. Ziólkowski M, Marek J, Klak A. The human digastric muscle in the fetal period. Folia Morphol (Warsz) 1984;43:243-9.
2. Larsson SG, Lufkin RB. Anomalies of digastric muscles: CT and MR demonstration. J Comput Assist Tomogr 1987;11:422-5. [DOI via Crossref]   
3. Bergmann RA, Afifi AK, Miyauchi R. Muscular system: Alphabetical listing of muscles: D. Available from: http://www.anatomyatlases.org/AnatomicVariants/MuscularSystem/Text/D/06Digastricus.shtml. [Last accessed on May 06 2014].
4. Mehta V, Gupta V, Arora J, Yadav Y, Suri RK, Rath G, et al. Bilateral bipartite origin of the posterior belly of digastric muscle: A clinico-anatomical appraisal. Int J Exp Clin Anat 2011;5:44-7. [DOI via Crossref]   
5. Türp JC, Arima T, Minagi S. Is the posterior belly of the digastric muscle palpable? A qualitative systematic review of the literature. Clin Anat 2005;18:318-22. [DOI via Crossref]    [Pubmed]   
6. Saha S, Pal S, Sengupta M, Chowdhury K, Saha VP, Mondal L. Identification of facial nerve during parotidectomy: A combined anatomical & surgical study. Indian J Otolaryngol Head Neck Surg 2014;66:63-8. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
7. Shin DS, Bae HG, Shim JJ, Yoon SM, Kim RS, Chang JC. Morphometric study of hypoglossal nerve and facial nerve on the submandibular region in Korean. J Korean Neurosurg Soc 2012;51:253-61. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
8. Suen JY, Stern SJ. Cancer of neck. In: Myers EN, Suen JY, editors. Cancer of Head and Neck. WB Saunders Co, Philadelphia, 1996;462-84.
9. Liquidato BM, Barros MD, Alves AL, Pereira CS. Anatomical study of the digastric muscle: Variations in the anterior belly. Int J Morphol 2007;25:797-800. [DOI via Crossref]   
10. Hinsley ML, Hartig GK. Anatomic relationship between the spinal accessory nerve and internal jugular vein in the upper neck. Otolaryngol Head Neck Surg 2010;143:239-41. [DOI via Crossref]    [Pubmed]   
11. Asaoka K, Sawamura Y, Nagashima M, Fukushima T. Surgical anatomy for direct hypoglossal-facial nerve side-to-end "anastomosis". J Neurosurg 1999;91:268-75. [DOI via Crossref]    [Pubmed]   
12. Vacher C, Dauge MC. Morphometric study of the cervical course of the hypoglossal nerve and its application to hypoglossal facial anastomosis. Surg Radiol Anat 2004;26:86-90. [DOI via Crossref]    [Pubmed]   
13. Martins RS, Socolovsky M, Siqueira MG, Campero A. Hemihypoglossal-facial neurorrhaphy after mastoid dissection of the facial nerve: Results in 24 patients and comparison with the classic technique. Neurosurgery 2008;63:310-6. [DOI via Crossref]    [Pubmed]   

This Article Cited By the following articles

Morphometrics of the Anterior Belly and Intermediate Tendon of the Digastric Muscle
Journal of Craniofacial Surgery 2016; 27(5): 1321.

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How to Cite this Article
Pubmed Style

Ankolekar VH, Souza AD, Alva R, Souza ASD, Hosapatna M. Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Arch Clin Exp Surg. 2015; 4(2): 79-82. doi:10.5455/aces.20140702071204


Web Style

Ankolekar VH, Souza AD, Alva R, Souza ASD, Hosapatna M. Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. http://www.acesjournal.org/?mno=160943 [Access: January 19, 2018]. doi:10.5455/aces.20140702071204


AMA (American Medical Association) Style

Ankolekar VH, Souza AD, Alva R, Souza ASD, Hosapatna M. Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Arch Clin Exp Surg. 2015; 4(2): 79-82. doi:10.5455/aces.20140702071204



Vancouver/ICMJE Style

Ankolekar VH, Souza AD, Alva R, Souza ASD, Hosapatna M. Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Arch Clin Exp Surg. (2015), [cited January 19, 2018]; 4(2): 79-82. doi:10.5455/aces.20140702071204



Harvard Style

Ankolekar, V. H., Souza, A. D., Alva, R., Souza, A. S. D. & Hosapatna, M. (2015) Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Arch Clin Exp Surg, 4 (2), 79-82. doi:10.5455/aces.20140702071204



Turabian Style

Ankolekar, Vrinda Hari, Anne D. Souza, Rohini Alva, Antony Sylvan D. Souza, and Mamatha Hosapatna. 2015. Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 79-82. doi:10.5455/aces.20140702071204



Chicago Style

Ankolekar, Vrinda Hari, Anne D. Souza, Rohini Alva, Antony Sylvan D. Souza, and Mamatha Hosapatna. "Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 79-82. doi:10.5455/aces.20140702071204



MLA (The Modern Language Association) Style

Ankolekar, Vrinda Hari, Anne D. Souza, Rohini Alva, Antony Sylvan D. Souza, and Mamatha Hosapatna. "Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries." Archives of Clinical and Experimental Surgery (ACES) 4.2 (2015), 79-82. Print. doi:10.5455/aces.20140702071204



APA (American Psychological Association) Style

Ankolekar, V. H., Souza, A. D., Alva, R., Souza, A. S. D. & Hosapatna, M. (2015) Posterior belly of the digastric muscle: An important landmark for various head and neck surgeries. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 79-82. doi:10.5455/aces.20140702071204





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