The role of anatomical study of the volume of the pterygomandibular space using silicone injection as a predictor of safe anesthesia in the lower jaw

Darawsheh HM, Panin AM, Pavlov AV, et al. . The role of anatomical study of the volume of the pterygomandibular space using silicone injection as a predictor of safe anesthesia in the lower jaw. Russian Journal of Operative Surgery and Clinical Anatomy. 2024;8(1):42‑46. (In Russ.)
https://doi.org/10.17116/operhirurg2024801142

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)

Использование инфографики авторами научных работ

Close metadata

BACKGROUND

Anesthesia of the structures innervated by the mandibular nerve is necessary to provide adequate pain relief during dental and local surgical interventions. Local anesthesia on the lower jaw is difficult to carry out, this is due to anatomical variations in the structure of the facial skeleton, so studying the anatomical features of the pterygomandibular space is an urgent task.

OBJECTIVE

Study of the anatomical features of the pterygomandibular space.

MATERIAL AND METHODS

The material for the study was 46 heads of adult corpses. We determined the volume of the pterygomandibular space using silicone injection depending on the cranial indices.

CONCLUSIONS

According to the results of the correlation analysis, statistically significant positive correlations of the cranial index with the width of the pterygomandibular space on the right, as well as the length and width on the left, were revealed. Statistically significant positive correlations of the cranial index with the width of the pterygomandibular space on the right, as well as the length and width on the left, were revealed.

Keywords:

pterygomandibular space

inferior alveolar nerve

anesthesia

variability of mandibular anatomy

Authors:

Darawsheh H.M.

First Moscow State Medical University (Sechenov University);
Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-1899-1282

Panin A.M.

Yevdokimov Moscow State University of Medicine and Dentistry

SPIN RSCI: 3849-7825
ORCID: 0000-0001-6073-1591

Pavlov A.V.

Pavlov State Medical University

ORCID: 0000-0002-8224-824X

Tiunova N.V.

Lobachevsky State University

ORCID: 0000-0001-9881-6574

Kanukoeva E.Yu.

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0009-0009-3630-4747

Heigetyan A.V.

Rostov State Medical University

ORCID: 0000-0002-8222-4854

Polovikov I.P.

First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-3129-9397

Bakhmet A.A.

First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-1785-602X

Leonov D.S.

First Moscow State Medical University (Sechenov University)

ORCID: 0009-0008-6855-2860

Zadorozhny A.V.

Rostov State Medical University

ORCID: 0000-0001-9552-8542

Received:

14.12.2023

Accepted:

25.12.2023

Close metadata

References:

Daraushe KhM, Vasil’ev YuL, Kashtanov AD, Lyakisheva AA, Lezhnev DA, Panin AM. X-ray anatomical provement of the right trajectory choice during mandible regional anaesthesia. Operativnaya khirurgiya i klinicheskaya anatomiya (Pirogovskii nauchnyi zhurnal). 2022;6(2):5-12. (In Russ., In Engl.). https://doi.org/10.17116/operhirurg202260215
https://doi.org/10.37988/1811-153X_2020_4_37 https://doi.org/10.37988/1811-153x_2020_4_37
Ushnitsky ID, Chakhov AA, Vinokurov MM, Yurkevich AV, Savvina IL, Nikitin YaG. Modern concept of pain syndrome and dental anxiety pathophysiology and prevention. Stomatologiya. 2018;97(6):67-71. (In Russ.). https://doi.org/10.17116/stomat20189706167
Kashtanov AD, Daraushe KhM, Vasil’ev YuL. Overview of various devices for mandibular anesthesia. Rossiiskaya stomatologiya. 2021;14(3):14-20. (In Russ.). https://doi.org/10.17116/rosstomat20211403114
Daraushe HM, Vasil’ev YuL. Issledovanie krylovidno-nizhnechelyustnogo prostranstva s tochki zreniya celevogo punkta provodnikovogo obezbolivaniya na nizhnej chelyusti. Odnoralovskie morfologicheskie chteniya: materialy Vserossijskoj nauchnoj konferencii s mezhdunarodnym uchastiem, Voronezh, 02 dekabrya 2022 goda. FGBOU VO «Voronezhskij gosudarstvennyj medicinskij universitet im. N.N. Burdenko» Minzdrava Rossii; Nauchnoe medicinskoe obshchestvo anatomov, gistologov i embriologov Rossii. Voronezh: Nauchnaya kniga; 2022. (In Russ.).
Smirnov VG, Yanushevich OO, Mitronin AV, Mitronin VA. Klinicheskaya anatomiya krylovidno-chelyustnogo i mezhkrylovidnogo prostranstv. Cathedra-Kafedra. Stomatologicheskoe obrazovanie. 2016;55:36-38. (In Russ.). https://cathedra-mag.ru/wp-content/uploads/2016/10/Cathedra_55_2016.pdf
Darawsheh HM, Makarova NI, Dydykina IS, Lezhnev DA, Dobrokhotova MO, Saleeva GT, Saleev NR, Saleev RA, Dydykin SS, Vasil’ev YL. Investigation of the variability of the pterygomandibular space from the point of view of the target point of the inferior alveolar nerve block. Ann Anat. 2023;252:152197. https://doi.org/10.1016/j.aanat.2023.152197
Takasugi Y, Furuya H, Moriya K, Okamoto Y. Clinical evaluation of inferior alveolar nerve block by injection into the pterygomandibular space anterior to the mandibular foramen. Anesthesia Progress. 2000;47(4):125. PMCID: PMC2149033.
Smirnov VG, Yanushevich OO, Mitronin AV, Kurumova DE, Mitronin VA. The intraorganic architecture of musculoskeletal structures in maxillofacial area of children according to x-ray diagnostics data. Endodontiya Today. 2013;11(1):57-60. (In Russ.).
Smirnov VG, Yanushevich OO, Mitronin AV, Kurumova DE, Mitronin VA. Deep facial area; age-related and individual patterns in the structure of musculoskeletal structures. Endodontiya Today. 2013;4:7-10. (In Russ.).
Aggarwal V, Singla M, Miglani S, Kohli S, Singh S, Aggarwal V et al. Comparative evaluation of 1.8 mL and 3.6 mL of 2% lidocaine with 1: 200,000 epinephrine for inferior alveolar nerve block in patients with irreversible pulpitis: a prospective, randomized single-blind study. J Endodont. 2012;38(6):753-756. https://doi.org/10.1016/j.joen.2012.02.003
Silva SA, Horliana AC, Pannuti CM, Braz-Silva PH, Bispo CGC, Buscariolo IA, Rocha RG, Tortamano IP. Comparative evaluation of anesthetic efficacy of 1.8 mL and 3.6 mL of articaine in irreversible pulpitis of the mandibular molar: A randomized clinical trial. PloS One. 2019;14(7):e0219536. https://doi.org/10.1371/journal.pone.0219536
Gow-Gates GA, Watson JE. The Gow-Gates mandibular block: further understanding. Anesthesia Progress. 1977;24(6):183.