Ozgur Zuhal, Govsa Figen, Ozgur Tomris
Department of Anatomy, Faculty of Medicine, Ege University, Izmir, Turkey.
J Craniofac Surg. 2008 Jul;19(4):1159-66. doi: 10.1097/SCS.0b013e3180690252.
The neck region has a great vital value; its variations and known micrometric values are accepted as important orientation points during intervention. Micrometric values of the front branches of the external carotid artery and their relations to the surrounding structures and metric data pertaining to origin locations of the superior thyroid (STA), lingual (LA), and facial (FA) arteries were evaluated in 40 samples. As regards the evaluation of the branching types of the external carotid artery, the cases where the STA, LA, and FA originated as separate branches were 90%, linguofacial trunk cases were 7.5%, and thyrolingual trunk cases were 2.5%. The diameters of the STA, LA, and FA at their origins were observed to be 3.53 +/- 1.17, 3.06 +/- 0.65, and 3.35 +/- 0.68 mm, respectively. The distances from the origin of the STA to the carotid bifurcation of 3.29 +/- 4.27 mm, origin of the STA to that of the LA of 10.45 +/- 5.16 mm, and origin of the STA to that of the FA of 18.20 +/- 8.81 mm were found. The current findings may have serious implications for radiologic examinations, exploration of the neck, thyroid and parathyroid surgery, tracheotomy, and surgery of the larynx, pharynx, upper esophagus, pterygopalatine, and infratemporal fossa.
颈部区域具有重要的生命价值;其变异情况及已知的测量值在手术过程中被视为重要的定位点。在40个样本中,对外颈动脉前支的测量值、它们与周围结构的关系以及与甲状腺上动脉(STA)、舌动脉(LA)和面动脉(FA)起始位置相关的测量数据进行了评估。关于外颈动脉分支类型的评估,STA、LA和FA作为独立分支起源的病例占90%,舌面干病例占7.5%,甲状腺舌干病例占2.5%。观察到STA、LA和FA起始处的直径分别为3.53±1.17、3.06±0.65和3.35±0.68毫米。发现STA起始处至颈动脉分叉的距离为3.29±4.27毫米,STA起始处至LA起始处的距离为10.45±5.16毫米,STA起始处至FA起始处的距离为18.20±8.81毫米。目前的研究结果可能对放射学检查、颈部探查、甲状腺和甲状旁腺手术、气管切开术以及喉、咽、上食管、翼腭窝和颞下窝手术具有重要意义。