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[面神经颅外段血供的应用解剖学研究]

[Applied anatomic study on blood supply for extracranial segment of facial nerve].

作者信息

Liao Jin-min, Wang Xing-hai, Li Zhong-hua

机构信息

Anatomy Department, First Military Medical University, Guangzhou, Guangdong, P. R. China 510515.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2004 Mar;18(2):131-4.

Abstract

OBJECTIVE

To explore the arterial origin and the distribution of the extracranial branches of the facial nerve.

METHODS

Red latex or red chlorinated polyvinyl chloride was injected into the arteries of 15 fresh adult head specimens by both common carotid artery catheterization. The arterial origin and distribution of the extracranial branches of the facial nerve were observed.

RESULTS

The nutrient arteries of the extracranial branches of the facial nerve originated from stylomastoid artery of the posterior auricular artery, the facial nervous branch of superficial temporal artery, transverse facial artery, superior and inferior facial nervous branches of external carotid artery and the posterior and anterior facial nervous branches of external carotid artery. The outer diameters of them were (0.8 +/- 0.2) mm, (0.9 +/- 0.4) mm, (1.9 +/- 0.3) mm, (1.0 +/- 0.2) mm, (1.1 +/- 0.4) mm, (1.0 +/- 0.2) mm and (1.1 +/- 0.6) mm respectively. The sub-branches of the attendant artery of the facial nerve anastomosed each other in addition to supplying their own nerve, and a rich vascular network was formed between the facial nerve and adjacent tissue.

CONCLUSION

The study on blood supply of the extracranial segment of the facial nerve can provide anatomic basis for avoiding injury of the nutrient arteries of the facial nerve during operation of the parotidean and masseteric region clinically.

摘要

目的

探讨面神经颅外分支的动脉来源及分布。

方法

对15例新鲜成人头部标本经颈总动脉插管,向动脉内注入红色乳胶或红色聚氯乙烯。观察面神经颅外分支的动脉来源及分布。

结果

面神经颅外分支的营养动脉分别来自耳后动脉的茎乳动脉、颞浅动脉的面神经支、面横动脉、颈外动脉的上下面神经支及颈外动脉的前后面神经支。其外径分别为(0.8±0.2)mm、(0.9±0.4)mm、(1.9±0.3)mm、(1.0±0.2)mm、(1.1±0.4)mm、(1.0±0.2)mm和(1.1±0.6)mm。面神经伴行动脉的分支除供应自身神经外,相互吻合,在面神经与相邻组织之间形成丰富的血管网。

结论

对面神经颅外段血供的研究可为临床腮腺咬肌区手术中避免损伤面神经营养动脉提供解剖学依据。

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