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Mesa-Jimenez, JaAuthor

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August 1, 2016
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CADAVERIC VALIDATION OF DRY NEEDLE PLACEMENT IN THE LATERAL PTERYGOID MUSCLE

Publicated to:Journal Of Manipulative And Physiological Therapeutics. 38 (2): 145-150 - 2015-02-01 38(2), DOI: 10.1016/j.jmpt.2014.11.004

Authors: Mesa-Jimenez, Juan A; Sanchez-Gutierrez, Jesus; de-la-Hoz-Aizpurua, Jose L; Femandez-de-las-Penas, Cesar

Affiliations

Hosp Clin San Carlos, Dept Maxillofacial Surg, Madrid, Spain - Author
Univ Rey Juan Carlos, Catedra Invest & Docencia Fisioterapia Terapia Ma, Alcorcon, Spain - Author
Univ Rey Juan Carlos, Dept Phys Therapy, Alcorcon, Spain - Author
Univ San Pablo CEU, Dept Phys Therapy, Madrid, Spain - Author
Univ San Pablo CEU, Madrid, Spain - Author
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Abstract

ObjectiveThe aim of this anatomical study was to determine if a needle is able to reach the lateral pterygoid muscle during the application of dry needling technique.MethodsA dry needling approach using 2 needles of 50 to 60 mm in length, one inserted over the zygomatic process posterior at the obituary arch (for the superior head) and other inserted below the zygomatic process between the mandibular condyle and the coronoid process (for the inferior head), was proposed. A progressive dissection into 3 stages was conducted into 2 heads of fresh male cadavers. First, dry needling of the lateral pterygoid muscle was applied on the cadaver. Second, a block dissection containing the lateral pterygoid was harvested. Finally, the ramus of the mandible was sectioned by osteotomy to visualize the lateral pterygoid muscle with the needle placements.ResultsWith the needles inserted into the cadaver, the block dissection revealed that the superior needle reached the superior (sphenoid) head of the lateral pterygoid muscle and the inferior needle reached the inferior (pterygoid) head of the muscle. At the final stage of the dissection, when the ramus of the mandible was sectioned by osteotomy, it was revealed that the superior needle entered into the belly of the superior head of the lateral pterygoid muscle.ConclusionsThis anatomical study supports that dry needling technique for the lateral pterygoid muscle can be properly conducted with the proposed approach.

Keywords

Acupuncture therapyAgedAnatomic landmarksAnatomic variationCadaverDissectionDry needlingHumansMaleNeedlesPterygoid musclesSampling studiesTemporomandibular jointTemporomandibular joint dysfunction syndromeTemporomandibular-joint

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Manipulative And Physiological Therapeutics due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Chiropractics.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 2.37, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-05, the following number of citations:

  • WoS: 12
  • Scopus: 11
  • Europe PMC: 9

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 68.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 70 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 10.1.
  • The number of mentions on the social network Facebook: 2 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 14 (Altmetric).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (MESA JIMENEZ, JUAN ANDRES) .