-颌面部血管的应用解剖-颌面部血管的应用解剖

CHINESEJOURNALOFCLINICALANATOMYVOL.28NO.62010,,,,,,421001【】。①3、、、、②3、、、、。、、。、、、、、、、、、、、、、、。。【】【】R323.1【】A【】1001-165X(2010)06-606-05Appliedanatomyofmaxillofacialregion'sbloodvesselWANGAi-ping,PENGTian-hong,ZHOUXiao-bing,etal.DepartmentofAnatomy,Medicalschoolofuniversityofsouthchina,Hengyang421001,China【Abstract】ObjectiveToprovidethereferenceofappliedanatomyforflapdesignofmaxillofacialregion,byadoptingmacromicrodissectionandbloodvesselcastskill.Methods①Antisepsisfixationandbywayofcommoncarotidarteryfillingemulsionstuffingdealtwith3specimensofhealthyadultcephal-neckregion.Dissectionwasperformedbitbybitfromthesurfacetothedeep,forobservingandrecordingtheorigindiameter,courses,branches,distributionofmaxillofacialregion'sbloodvessels;②Threefreshhealthyadultcephal-neckregion'sspecimenwerefilledwithredperchloroethylenestuffingthroughthecommoncarotidartery.Afterthecorrosion,theorigin,courses,branches,distributionandanastomosisofmaxillofacialregion'sbloodvesselswereexplored.ResultsMaxillofacialregion'sbloodsupplywasmainlyfromthebranchesoffacialartery,ophthalmicandmaxillaryartery,andsuperficialtemporalartery,whilethatofcheek,lips,noseandchinareawerefromthebranchesoffacialartery,thatofeyeball,extraocularmuscles,lacrimalglandanddorsumandpalpebraewerefromthebranchesofophthalmicartery,thatofteeth,gingiva,cheek,mandibularjoint,nasalcavity,palateandmusclesofmasticationwerefromthebranchesofmaxillaryartery,andthatofparotidgland,orbicularisoculi,softtissueoftemporalandbranchoffacialnervewerefromthebranchesofsuperficialtemporalartery,respectively.ConclusionsItisabeneficialreferencefortheapproachofplasticoperationinmaxillofacialregion,byinvestigatingsystematicanatomicfeaturesofmaxillofacialregion'sbloodsupply.【Keywords】Bloodvesselofmaxillofacialregion;Appliedanatomy【】2010-07-08【】09C8362009FJ3129【】1978-Tel:(0734)[e-mail]【】E-mail:[e-mail]。、。[1~6]、、、、。13、、、、、。3、、、··606··2010286、。Spss17.0±。22.1、、。2.1.1、。、、、、、。、、。、。(1)、。1.8±0.6mm、、、、、、。、。100%。(2)2/31.3±0.3mm1/3。3～5。、、。96.8%。(3)。1.2±0.4mm。、。75%。(4)1.0±0.3mm、、。83.3%。(5)42。31112～50.6±0.2mm、、。91.67%。(6)4110.9±0.2mm。、、。2~5、、、、。91.67%。(7)631-。0.6±0.2mm、。-66.67%。(8)1.2±0.2mm。1～3、50%。2.1.251。。、、、。、、。、、。(1)0.8±0.3mm2、。58.33%。(2)。1.0±0.2mm607··CHINESEJOURNALOFCLINICALANATOMYVOL.28NO.620102。、。100%。(3)。1.3±0.3mm1~5、、。100%。2.1.3。、、、、、、。。、。、、、1.0±0.2mm3～5。、、、、、、。100%。2.1.4。、、、、。。、、。(1)、、、。1.8±0.5mm、、、、。100%。(2)。1.1±0.2mm、、。100%1~3。2.2(1)、、、。(2)、、、、、、、、、、、、4、5。3、、、。、。。。、、、(1)。①②③④。。、4cm×6cm~15cm×6cm[7]、、、、。、。2、。、、608··20102861①②③④⑤⑥⑦⑧⑨⑩2①②③④⑤⑥⑦⑧3①②③④⑤⑥Fig.1Bloodvesselsonthemaxillofacialregion(anterioraspect)①facialartery②inferiorlabialartery③transversefacialartery④nasalseptumbranchofsuperiorlipartery⑤loweredgealarartery⑥alarartery⑦lateralnasalartery⑧dorsumartery⑨epicanthalartery⑩infraorbitalarteryFig.2Bloodvesselsonthemaxillofacialregion(leftlateralaspect)①facialartery②lowerlipartery③nasalseptumbranchofsuperiorlipartery④lateralnasalartery⑤trochlearartery⑥supraorbitalartery⑦superficialtemporalartery⑧zygomaticorbitalarteryFig.3Bloodvesselsonthemaxillofacialregionrightlateralaspect①facialartery②masseterbranchoffacialartery③superficialtemporalartery④zygomaticorbitalartery⑤transversefacialartery⑥superiorlipartery4①②③④⑤⑥⑦⑧⑨5①②③④⑤⑥Fig.4Vascularcastofheadspecimensanterioraspects①facialartery②lowerlipartery③superiorlipartery④loweralarartery⑤lateralnasalartery⑥epicanthalartery⑦infraorbitalartery⑧trochlearartery⑨supraorbitalarteryFig.5Vascularcastofheadspecimensrightlateralaspects①facialartery②superiorlipartery③epicanthalartery④transversefacialartery⑤zygomaticorbitalartery⑥superficialtemporalartery[8]。100%、、、、、。3。。。[9~12]。4、609··CHINESEJOURNALOFCLINICALANATOMYVOL.28NO.62010605[5]IshiharaT,IgataT,MasuguchiS,etal.Submentalperforatorflap:locationandnumberofsubmentalperforatingvessels[J].ScandJPlastReconstrSurgHandSurg,2008,42(3):127-131.[6],,,.3D[J].,2008,26(01):8-10.[7],,,.[J].,2006,24(02):236-239.[8],,ChristopherRG,etal.-[J].,2006243:259-262.[9]ReesMJ,TaylorGI.Asimplifiedleadoxidecadaverinjectiontechnique[J].PlastReconstrSurg,1986,77(1):141-145.[10]GendenEM,BuchbinderD,UrkenML.Thesubmentalislandflapforpalatalreconstruction:anoveltechnique[J].JOralMaxillofacSurg,2004,62(3):387-390.[11],,,.[J].,2001,36(3):199-201.[12],,,.[J].,2007,42(10):629-630.[13]ScheflanM,DinnerMI.Thetransverseabdominalislandflap:partI.Indications,contraindications,results,andcomplications[J].AnnPlastSurg,1983,10(1):24-35.[14]ScheflanM,DinnerMI.Thetransverseabdominalislandflap:PartII.Surgicaltechnique[J].AnnPlastSurg,1983,10(2):120-129.[15]HartrampfCR,ScheflanM,BlackPW.Breastreconstructionwithatransverseabdominalislandflap[J].PlastReconstrSurg,1982,69(2):216-225.。。、、、、。、[13]。、、。。①、②③④、⑤、、。。【】[1].[J].1999172182-183.[2]MartinDPascalJFBaudetJetal.ThesubmentalislandflapAnewdonorsite:anatomyandclinicalapplicationsasafreeofpedicledflap[J].PlastReconstrSurg1993925867.[3].[J].1996143225.[4]FelicianoBlanco-DfivilaGuadalupeArrendondoOscarDeLaGarzaetal.Anatomicalstudyofthebloodsupplytotheskininrhytidectomy[J].AesthPla