Guidera Alice K, Dawes Patrick J D, Fong Amy, Stringer Mark D
Department of Surgical Sciences, Dunedin School of Medicine, Dunedin, New Zealand.
Head Neck. 2014 Jul;36(7):1058-68. doi: 10.1002/hed.23442. Epub 2014 Jan 29.
An accurate understanding of the arrangement of cervical fascia and its associated compartments is essential for differential diagnosis, predicting the spread of disease, and surgical management. The purpose of this detailed review is to summarize the anatomic, clinical, and radiological literature to determine what is known about the arrangement of cervical fascia and to highlight controversies and consensus. The current terminology used to describe cervical fascia and compartments is replete with confusing synonyms and inconsistencies, creating important interdisciplinary differences in understanding. The term "spaces" is inappropriate. A modified nomenclature underpinned by evidence-based anatomic and radiologic findings is proposed. This should not only enhance our understanding of cervical anatomy but also facilitate clearer interdisciplinary communication.
准确理解颈部筋膜及其相关间隙的结构对于鉴别诊断、预测疾病扩散以及手术治疗至关重要。本详细综述的目的是总结解剖学、临床和放射学文献，以确定关于颈部筋膜结构的已知信息，并突出争议点和共识。目前用于描述颈部筋膜和间隙的术语充斥着令人困惑的同义词和不一致之处，在理解上造成了重要的跨学科差异。“间隙”一词并不恰当。本文提出了一种基于循证解剖学和放射学发现的改良命名法。这不仅应能增强我们对颈部解剖结构的理解，还应有助于更清晰的跨学科交流。
