Presence and Anatomofunctional Relations of the Discomaleolar Ligament. A Literature Review

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Carlos Salamanca; Fernando J. Dias & Ramón Fuentes


The Discomaleolar Ligament is a structure that is not described in the classic texts of anatomy despite being described for the first time by Rees, Pinto and later by various authors as a ligamentous structure of fibroelastic tissue that connects the neck and the anterior process of the malleus through the petrotympanic cleft to the mid-superior part of the capsule of the temporomandibular joint (TMJ), the articular disc and the sphenomandibular ligament. Several studies have reported the clinical implications of the discomaleolar ligament and the relationship between temporomandibular disorders and symptoms associated with the middle ear. The aim of this study was to conduct a review of studies that describe the discomaleolar ligament and determine if an anatomically and functionally independent structure and its relation to the middle ear is considered. A search was performed of scientific literature identified articles where the anatomical structures associated with the temporomandibular joint and the middle ear were identified, 24 articles were selected according to the selection criteria. The results obtained in the studies selected in this review suggest the existence of a lamina or fibrous fascicle that connects the TMJ disc with the malleolus of the middle ear, which would validate the presence and relationship between the discomaleolar ligament and middle ear disorders.

KEY WORDS: Discomaleolar ligament; TMJ anatomy; Middle ear.

How to cite this article

SALAMANCA, C.; DIAS, F. J. & FUENTES, R. Presence and anatomofunctional relations of the discomaleolar ligament. A literature review. Int. J. Morphol., 36(4):1356-1360, 2018.