Zhao Z, Li S, Xu J, Li Y, Huang W, Yang M, Mu L, Liu Y, Zhai H, Jin J, Li J, Li J, Fu X
Plastic Surgery Hospital of the Chinese Academy of Medical Sciences and Chinese Peking Union Medical College, Beijing, People's Republic of China.
Plast Reconstr Surg. 2000 Nov;106(6):1249-53. doi: 10.1097/00006534-200011000-00002.
The purpose of this study was to provide some guidelines with respect to the location of the facial vessels, display the potential inverted blood flow of the facial artery, and reemphasize the value of color Doppler ultrasound studies in flap planning. An anatomic study of the facial artery and vein was done using color Doppler ultrasonography in 12 adults. The artery and the vein were located together at the lower border of the mandible. Around the oral commissure and under the nasal ala, they were located apart from each other with variable distances. This divergence of the facial vein from the artery is important information in the planning of axial pattern flaps. Furthermore, the reverse flow was observed in 12 patients after the blood flow of the facial artery was stopped by applying pressure manually at the lower border of the mandible. Observation of the reversed flow confirms the possibility of safe elevation of a retrograde flow-arterialized flap based on the distal portion of the facial artery.
本研究的目的是提供一些关于面部血管位置的指导原则，显示面动脉潜在的反向血流，并再次强调彩色多普勒超声检查在皮瓣规划中的价值。使用彩色多普勒超声对12名成年人进行了面动脉和静脉的解剖学研究。动脉和静脉在下颌骨下缘处共同定位。在口角周围和鼻翼下方，它们彼此分开，距离不等。面静脉与动脉的这种分离是轴型皮瓣规划中的重要信息。此外，在下颌骨下缘手动施加压力使面动脉血流停止后，在12例患者中观察到了反向血流。对反向血流的观察证实了基于面动脉远端安全掀起逆行血流动脉化皮瓣的可能性。
