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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.
Effects of Botulinum Toxin Injection on Reducing Myogenic Artifacts during Video-EEG Monitoring: A Longitudinal Study
Published in The Neurodiagnostic Journal, 2022
Babak Ghelichnia, Pargol Balali, Ghasem Farahmand, Mahdi Shafiee Sabet, Somaye Feizi, Bahareh Pourghaz, Melika Jameie, Abbas Tafakhori
A brief literature review revealed limited studies regarding BTX-A injection on EEG muscle contamination (Boytsova et al. 2016; Eisenschenk et al. 2002; Ekstein et al. 2010; Grant and Hermanowicz 2007). Detailed information on these studies is shown in Table 2, including the interval between the BTX-A injection and performing vEEG, BTX-A injection characteristics (number, side, dosage, anatomic location of the injection, etc.), and effects of BTX-A injection on reducing myogenic artifacts. The sample size of the studies varied from 1 to 19 individuals. The studies were mainly conducted among PwE, except for the study of Boytsova et al., in which they assessed young, healthy women (Boytsova et al. 2016). The interval between injections and performing vEEG varied from 3 to 26 days. Various doses were administered, either unilaterally or bilaterally, mostly in the frontotemporal region. None of these studies reported any complications, except for the study of Grant et al (Grant and Hermanowicz 2007), who reported bilateral temporalis muscle weakness and temporary difficulty chewing solid foods, which completely resolved during the follow-up. All these studies indicated the beneficial effects of BTX-A injection in reducing EEG artifacts (Boytsova et al. 2016; Eisenschenk et al. 2002; Ekstein et al. 2010; Grant and Hermanowicz 2007). Eisenschenk et al. suggested that even residual et al. and Eisenschenk et al. reported the resolution of EEG artifacts after three days and two weeks, respectively (Eisenschenk et al. 2002; Ekstein et al. 2010).
A randomized, double-blinded, placebo-controlled, parallel trial of vitamin D3 supplementation in adult patients with migraine
Published in Current Medical Research and Opinion, 2019
P. Gazerani, R. Fuglsang, J. G. Pedersen, J. Sørensen, J. L. Kjeldsen, H. Yassin, B. S. Nedergaard
PPT and temporal summation were assessed to record hypersensitivity and to determine whether these measures changed during the course of the study, i.e. following treatment. Both tests were performed on each side of the head on the temporal muscle, on both arms, at a point on the belly of the brachioradialis muscle, and on the right leg, at a point located on the belly of the tibialis anterior muscle 5 cm distal to the tibial tuberosity. PPT was performed on a point on the temporal muscle as determined as the most sensitive point for migraine sufferers22. This point is located 1.5 cm above the upper medial edge of the ear and 1 cm anterior from there. For temporal summation, a point on the hairless part of the temple was used. During both tests, the subject was lying comfortably on their side for test points on the head, and on their back for test points on the limbs.
Temporal augmentation with poly methyl methacrylate at the time of autologous cranioplasty
Published in British Journal of Neurosurgery, 2020
Justin R. Davanzo, Scott D. Simon
After obtaining informed consent for the surgical procedures, the patient was brought to the operating room and placed under general anesthesia. The previous craniectomy incision was opened. Once the correct plane was encountered, the scalp flap was carefully elevated off the brain. The temporalis muscle was identified in the temporal fossa and divided. Once the bone edges were appropriately exposed, the autologous cranioplasty was brought into the field. Titanium plates, burr hole covers and screws were used to plate the bone to the intact skull. Because the squamous portion of the temporal bone is often removed during a hemicraniectomy, we often place a small piece of curved titanium mesh in this region. While the bone is being plated, the poly methyl methacrylate is mixed by the surgical technician. The poly methyl methacrylate is allowed to set until it becomes somewhat moldable. Once it has reached this state, we form a small amount of this into a spherical shape. We then place the mixture into the region of the temporal fossa; and, mold it further until the fossa appears to be appropriately filled (Figure 1). Typically, a subgaleal Jackson-Pratt drain is left to decrease seroma formation. Once this is completed, we close the temporalis fascia over top of the implanted poly methyl methacrylate using absorbable suture material. In addition, when able, the temporalis muscle is resuspended in an effort to maintain it in an anatomical postion. Finally, the remainder of the cranioplasty incision is closed in the typical two layer fashion. A post-operative CT was performed as part of routine protocol (Figure 2). Follow up was performed within six weeks of the surgery and no complications were noted.