颞叶窝增大术中颞中静脉的临床意义
Clinical implications of the middle temporal vein with regard to temporal fossa augmentation.
机构信息
*Department of Anatomy, School of Medicine, Gachon University, Inchon, Korea; †Division in Anatomy and Developmental Biology, Department of Oral Biology, BK21 PLUS Project, Human Identification Center, Yonsei University College of Dentistry, Seoul, Korea; ‡Department of Occupational Therapy, College of Health and Welfare, Woosong University, Daejeon, Korea; §Department of Anatomy, Department of Oral Anatomy, Dankook University College of Dentistry, Cheonan, Korea.
出版信息
Dermatol Surg. 2014 Jun;40(6):618-23. doi: 10.1111/dsu.0000000000000004.
BACKGROUND
The middle temporal vein (MTV) traverses the temporal fossa between the superficial and deep layers of the deep temporal fascia. During filler injection into a deficient temporal fossa, filling agents may be inadvertently injected into the MTV, which results in vascular complications.
OBJECTIVE
To investigate the course of the MTV to enable safe filler injection in the temple area.
MATERIALS AND MATERIALS
The course and diameter of the MTV were measured in 18 hemifaces from 9 Korean cadavers.
RESULTS
The MTV was located 23.5 and 18.5 mm above the zygomatic arch at the jugale and the zygion, respectively. The diameter of the MTV at its thickest point was 5.1 mm. A splitting and reuniting pattern, such that the MTV occupied more space than a single trunk, was observed in 28% of cases.
CONCLUSION
We propose that the safest area for filler injection in temporal fossa augmentation is one finger width above the zygomatic arch.
背景
中颞静脉（MTV）穿行于颞深筋膜的浅层和深层之间的颞窝。在对颞部凹陷进行填充剂注射时，填充剂可能会意外注入 MTV，导致血管并发症。
目的
研究 MTV 的走行，以便在颞区安全地进行填充剂注射。
材料和方法
在 9 具韩国尸体的 18 个半面中测量了 MTV 的走行和直径。
结果
MTV 在颧弓的颞侧和颧结节处分别位于眶缘上方 23.5 和 18.5mm 处。MTV 最厚处的直径为 5.1mm。28%的病例观察到 MTV 呈分叉和再汇合的模式，即 MTV 占据的空间大于单个干。
结论
我们建议颞部凹陷填充时最安全的注射区域是眶缘上方 1 指宽的区域。
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