Shokrollahi Kayvan, Taylor James Paul, Le Roux Cara M, Ashton Mark W, Rozen Warren M, Jones Nicholas S, Payne Anthony
From the *Mersey Regional Burns and Plastic Surgery Unit, Whiston Hospital, Liverpool; †Guys and St Thomas' NHS Foundation Trust, London, United Kingdom; ‡The Taylor Laboratory, Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Department of Anatomy and Cell Biology, The University of Melbourne, Parkville, Victoria, Australia; §Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham; and ∥Department of Anatomy, University of Glasgow, Glasgow, United Kingdom.
Ann Plast Surg. 2014 Jul;73(1):92-7. doi: 10.1097/SAP.0b013e31826cb2b5.
In recent times, there has been evolving interest in the fascial structure of the ear, especially in relation to otoplasty techniques. Although the fascial tissues used in these procedures are referred to as "postauricular/retroauricular fascia," the sparse anatomical studies that exist use this terminology to describe what is the adjacent thicker and more fibrous structure of the superficial temporal area continuous with the mastoid region, rather than the tissue actually used in these procedures which is adherent to the posterior surface of the ear. There are clear clinical differences in the properties of these two structures, and this study set out to identify the anatomical nature of these differences, looking in detail at the anatomy and vascularity of the fascia directly posterior and adherent to the ear itself, highlighting its unique properties, and how it interfaces with the rest of the fascia. We provide a nomenclature to differentiate the fascia adherent to the posterior of the ear (the intrinsic postauricular fascia) from the more fibrous tissues continuous with the scalp fascia (the extrinsic postauricular fascia). Clinical applications for the fascia are suggested based on the vascularity and anatomy described, and our clinical experience.
近年来，人们对耳部的筋膜结构兴趣日增，尤其是与耳整形技术相关的方面。尽管这些手术中使用的筋膜组织被称为“耳后/耳后筋膜”，但现有的少量解剖学研究使用该术语描述的是与乳突区域相连的颞浅区域相邻的较厚且纤维较多的结构，而非这些手术实际使用的附着于耳后表面的组织。这两种结构的特性存在明显的临床差异，本研究旨在确定这些差异的解剖学本质，详细观察直接位于耳后并附着于耳本身的筋膜的解剖结构和血管分布，突出其独特特性，以及它与其余筋膜的连接方式。我们提供了一种命名法，以区分附着于耳后的筋膜（固有耳后筋膜）和与头皮筋膜连续的纤维较多的组织（外在耳后筋膜）。基于所描述的血管分布和解剖结构以及我们的临床经验，提出了该筋膜的临床应用。
