Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint

Tinnitus and a Linked Stomatognathic System

“…134,135,136,137,138,139,140141,142,143,144 DML and AML are responsible for such bone communication and connection; they are attached to the oscicular chain (malleus) and may create a biomechanical connection between the middle ear and the mandible. 145,146,147,148 These findings is corroborated in 23 human temporal bone specimens ( Figure 13) that consistently show these ligamental structures.…”

Histological characteristics of ligaments between middle ear and temporomandibular joint

“…8,12,14 Such a relationship of the ligaments with adjacent anatomic structures set a hypothesis about possible damage to the middle Ligaments between middle ear and temporomandibular joint ear ossicles and the tympanic membrane. 12,19 That hypothesis was based on the fact that mallear movement would be responsible for such a dilemma that might be caused by invasive TMJ surgery or Anterior displacement of the AD. 19,22 Another hypothesis for this phenomenon was role of extreme distraction of mandibular ramus that incorporated in stretching of AML by intense traction of SML.…”

“…3,6,14,16,17 The DML is a free ligament, lying between the malleus and the TMJ, 5,8,12,18 which was shown to have a total structural difference from the AML. 19 These ligaments were exposed to various traction and stretching tests in the cadaveric studies to discover whether they were responsible for mallear mobility by experimental simulation of discal or condylar translation. 6,9,[17][18][19] A number of researches supposed that these ligaments were comprised of collagenous fibres 9,12 whereas the others supported that only fibro-elastic fibres could transmit traction forces of TMJ and cause mobility of the mallear ossicle.…”

“…19 These ligaments were exposed to various traction and stretching tests in the cadaveric studies to discover whether they were responsible for mallear mobility by experimental simulation of discal or condylar translation. 6,9,[17][18][19] A number of researches supposed that these ligaments were comprised of collagenous fibres 9,12 whereas the others supported that only fibro-elastic fibres could transmit traction forces of TMJ and cause mobility of the mallear ossicle. 6,8 For that reason, we conducted a histological study on the ligaments between the AD and the malleus to clarify the weight of histological properties on mobility of the mallear ossicle in the middle ear.…”

Anatomical study of the human discomallear ligament using cone beam computed tomography imaging and morphological observations

“…The DML and anterior ligament of the malleus (AML) run through the petrotympanic fissure to enter the TMJ cavity and are attached to the posterior region of the TMJ disc. Then the AML runs from the petrotympanic fissure to the Sphenomandibular ligament (SML) (Burch, 1970;Toledo-Filho et al, 1985;Komori et al, 1986;Sencimen et al, 2008). The attachments of the SML, AML and DML to the malleus are differ (Toledo-Filho et al, 1984; Rodríguez-Vázquez et al, 1998; Abe et al, 1997;Ramírez, 2007).…”