BILAMINAR ZONE: ANATOMICAL ASPECTS, IRRIGATION, AND INNERVATION
Selma Siéssere; Mathias Vitti; Luiz Gustavo de Sousa; Marisa Semprini; Simone Cecílio Hallak Regalo
J. Morphol. Sci., vol.21, n4, p.0, 2004
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Abstract
The temporomandibular joint, a synovial joint of great importance in dentistry, consists of articular surfaces, ligaments, and the articular disk. The posterior region of the disk or bilaminar zone consists of upper layer that is attached to the posterior wall of the mandibular fossa (anterior rim of the petrotympanic fissure) and a lower layer that is attached to the posterior region of the mandibular head and forms the posterior limit of the disk. Lesions in this regions caused by distention, trauma or pressure can lead to luxation of the disk and temporomandibular disorders that may or may not be accompanied by degenerative alterations. In this work, we examined the anatomy of the bilaminar zone, as well as its irrigation and innervation. Five human heads fixed in 10% formalin underwent medial sagittal sectioning followed by dissecting. The bilaminar zone was irrigated by the superficial temporal artery and the anterior tympanic and deep auricular arteries. Innervation of this region was by the sensorial terminations of the auriculotemporal nerve. These findings indicated that the bilaminar zone was located in a highly innervated and vascularized area in the posterior region of the disk.
Keywords
Articular disk, auriculotemporal nerve, retrodiskal pad, temporomandibular joint, vascularization