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Assessment – Nutrition-Focused Physical Exam to Detect Macronutrient Deficiencies
Published in Jennifer Doley, Mary J. Marian, Adult Malnutrition, 2023
The temporalis muscle is one of the muscles of mastication and is located along the side of the head occupying the temporal fossa. Clenching and unclenching the jaws or teeth contracts this muscle. Standing directly in front of the patient, the examiner should inspect the temporalis muscle for signs of hollowing, scooping, or concave depression. To palpate the temporalis, ask the patient to clench the teeth for muscle engagement. Using the index and middle fingers, palpate the muscle over the temporal bone in a scooping motion forward, backward, and diagonally. In well-nourished patients, there will be ample temporalis muscle and no apparent hollowing or scooping. In severely malnourished patients, inspection will reveal hollowing temples with concave depression. Palpation of the engaged temporalis muscle will feel firm and rigid on well-nourished patients and will feel flaccid and limp in malnourished patients. See Figures 6.2–6.4.
Temporal Region and Lateral Brow
Published in Ali Pirayesh, Dario Bertossi, Izolda Heydenrych, Aesthetic Facial Anatomy Essentials for Injections, 2020
Krishan Mohan Kapoor, Alberto Marchetti, Hervé Raspaldo, Shino Bay Aguilera, Natalia Manturova, Dario Bertossi
The temporalis muscle (Figure 2.14) is a large, fan- shaped masticatory muscle covering the lateral aspect of the cranium. At its origin, it is tightly adherent to the temporal line, while its tendinous portion passes beneath the zygomatic process to insert into the coronoid process of the mandible. It may be divided into anterior, middle, and posterior regions. As a masticatory muscle, it is capable of generating great contractile strength. The temporalis tendon extends from its insertion at the upper anterior border and inner surface of the coronoid process and mandibular ramus to approximately 45 mm superior to the zygomatic arch. When treating the temporalis muscle with botulinum toxin for headache or bruxism, injections need to be placed into the muscular portion of temporalis for maximal efficacy.
The Role of Trigger Points in the Management of Head, Neck, and Face Pain *
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
The temporalis muscle is a broad, fan-shaped muscle that fits on the side of the head in the “temple” (Figure 11.4). It is important for chewing your food, and can be a frequent source of headaches.
Reconstruction of necrotizing soft tissue infection in the auricle and temporal region: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Junpei Saito, Shoichi Ishikawa, Shigeru Ichioka
Generally, the auricular region reconstruction often involves the use of local skin flaps made from the adjacent skin, temporoparietal fascia, or mastoid facia [6–9]. Therefore, the temporalis flap was selected to salvage the auricle, which was partially separated from the temporal region as much as possible. The muscular flap is resistant to infection as the tissue with abundant blood flow and is thought to be advantageous in covering exposed tissues with poor blood flow [10]. Conversely, the disadvantage of this approach is that if a temporary reconstruction is performed using adjacent tissues in the extreme phase of infection, the tissue may indeed be infected or necrotic. In the present case, the temporalis muscle below the superficial and deep temporal fascia, the primary site of infection, was not necrotic due to infection based on the appearance, such as color tone, and findings, such as petechial hemorrhage. As infection and inflammation in the surrounding tissues have not been completely controlled by debridement, inflammation may spread to the periosteum because of the exposed temporalis muscle, resulting in partial cranial bone exposure.
The association between myofascial orofacial pain with and without referral and widespread pain
Published in Acta Odontologica Scandinavica, 2022
Anna Lövgren, Corine M. Visscher, Frank Lobbezoo, Negin Yekkalam, Simon Vallin, Anders Wänman, Birgitta Häggman-Henrikson
In accordance with the DC/TMD and following the International Classification of Orofacial Pain, ICOP [25], myofascial orofacial pain was considered present when the following criteria were fulfilled: self-reported pain within the last 30 days, pain modified by function, and pain confirmed to the masseter or temporal muscles by the examiner together with familiar pain confirmed during jaw movement or muscle palpation during the clinical examination. In a second step, pain referral was considered present in the case of concurrent referred pain outside the muscle border during a 5-second muscle palpation. Based upon these criteria, all individuals were categorized into three groups; no myofascial pain (controls), myofascial pain without referral or myofascial pain with referral, respectively.
Association of oral behaviours’ frequency with psychological profile, somatosensory amplification, presence of pain and self-reported pain intensity
Published in Acta Odontologica Scandinavica, 2022
Ema Vrbanović, Marko Zlendić, Iva Z. Alajbeg
The examination procedure for detecting pain included palpation of the masticatory muscles (masseter muscles and temporal muscles) and lateral pole/around the lateral pole of both temporomandibular joint condyles, as well as the measurement of mandibular movements and the registration of possible pain in the temporomandibular joints and/or surrounding muscles during these movements. The pain elicited during the clinical assessments had to be familiar to the persons’ principal complaint in order to meet the criteria for a TMD-pain diagnosis – either myalgia, arthralgia or both [20]. The diagnostic process followed the DC/TMD decision tree [21]. Also, the Characteristic Pain Intensity (CPI) was assessed using the Graded Chronic Pain Scale (GCPS) questionnaire as an integrated part of DC/TMD by computing the means of three items (current pain, worst pain, average pain) and multiplying them by 10 [21].