What is a superior labial frenulum? An anatomical and histological study.

anatomy breastfeeding cadaver dentistry diastema frenotomy frenulectomy labial frenum lip tie maxillary labial frenulum mucosal fold

Journal

Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128

Informations de publication

Date de publication:
Jan 2023
Historique:
revised: 02 11 2022
received: 02 09 2022
accepted: 02 11 2022
pubmed: 8 11 2022
medline: 15 12 2022
entrez: 7 11 2022
Statut: ppublish

Résumé

Anatomy of the superior labial frenulum (SLF), at first glance, seems to be well established. However, existing studies on the SLF lack description of the incisivus labii superioris (ILS), which cannot be ignored when discussing the SLF. We believe that thorough understanding of the SLF necessitates the anatomical knowledge of the ILS. This study aimed to elucidate the anatomical relationship between the orbicularis oris (OO), ILS, and SLF. A total of 20 formalin fixed human cadaveric specimens were used for gross anatomical and/or histological observation. For histological observation, all specimens were stained with Masson-trichrome. The SLF was a mucosal fold between the gingival mucosa and alveolar mucosa with connective tissue deep to it. The connective tissue attached to the alveolar bone in the junction between the right and left ILS. Skeletal muscle fibers other than orbicularis oris was found in one specimen, which were considered the ILS. During a frenulectomy, removal of the connective tissue bundle is required to prevent recurrence of the high SLF insertion.

Identifiants

pubmed: 36336971
doi: 10.1002/ca.23973
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

161-169

Informations de copyright

© 2022 American Association of Clinical Anatomists and British Association of Clinical Anatomists.

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Auteurs

Joe Iwanaga (J)

Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Dental and Oral Medical Center, Kurume University School of Medicine, Fukuoka, Japan.
Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Fukuoka, Japan.

Puhan He (P)

Department of Oral Maxillofacial Surgery, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.

Keiko Fukino (K)

Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Mi-Sun Hur (MS)

Department of Anatomy, Daegu Catholic University School of Medicine, Daegu, South Korea.

Hee-Jin Kim (HJ)

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, South Korea.

Aya Han (A)

Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Fukuoka, Japan.
Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine, Fukuoka, Japan.

Koichi Watanabe (K)

Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Fukuoka, Japan.

Soichiro Ibaragi (S)

Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Norio Kitagawa (N)

Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

R Shane Tubbs (RS)

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Department of Anatomical Sciences, St. George's University, Grenada, West Indies.
Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, Louisiana, USA.
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.
University of Queensland, Brisbane, Australia.

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