Gocmen-Mas Nuket, Edizer Mete, Keles Nigar, Aksu Funda, Magden Orhan, Lafci Sevda, Ates Hasan, Karabekir Selim
*Department of Anatomy, Faculty of Medicine, Dokuz Eylul University, Izmir †Department of Anatomy, Faculty of Medicine, Akdeniz University, Antalya ‡Department of Anatomy, Faculty of Medicine, Yakin Dogu University, Limasol, Turkish Republic of Northern Cyprus §Department of Plastic and Reconstructive Surgery ||Department of Neurosurgery, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
J Craniofac Surg. 2015 May;26(3):933-6. doi: 10.1097/SCS.0000000000001187.
Anatomic variability and anastomosis of the angular artery of the facial artery with the other arteries are important for both anatomists and surgeons. In particular, the angular artery is a significant landmark in dacryocystorhinostomy. Because of variations on anatomy of the angular artery, there are limited numbers of anatomic studies on the flaps of facial region. Hence, the aim of the cadaveric study was to evaluate the anatomic features of the angular artery in detail to help surgical procedures.The artery was represented under ×4 loop magnification in 32 sides of 16 formalin-fixed adult cadavers. The angular artery's position, diameter, and branch patterns relevant to the nose arterial supply were evaluated. The facial artery ended symmetrically in 10 (62.5%) of the cadavers. The facial artery was terminated as angular artery in all of the cases. The types of the angular artery were as follows: classical angular type in 8 cases (25.0%), nasal type in 15 cases (46.9%), alar type in 4 cases (12.5%), and labial type in 5 cases (15.6%) on the facial halves. We studied the topographic anatomic features of the angular artery for increasing reliability of the flaps on the region. The angular arterial anatomic details are critical and essential for surgical cosmetic and functional results.
面动脉角动脉的解剖变异及其与其他动脉的吻合，对解剖学家和外科医生都很重要。特别是，角动脉在泪囊鼻腔造口术中是一个重要标志。由于角动脉解剖结构的变异，对面部区域皮瓣的解剖学研究数量有限。因此，这项尸体研究的目的是详细评估角动脉的解剖特征，以辅助手术操作。在16具福尔马林固定的成年尸体的32侧，在×4放大倍数的放大镜下观察动脉。评估了角动脉与鼻动脉供血相关的位置、直径和分支模式。10例（62.5%）尸体的面动脉对称终止。所有病例中面动脉均以角动脉终末。面部半侧角动脉的类型如下：经典角型8例（25.0%），鼻型15例（46.9%），鼻翼型4例（12.5%），唇型5例（15.6%）。我们研究了角动脉的局部解剖特征，以提高该区域皮瓣的可靠性。角动脉的解剖细节对手术美容和功能效果至关重要。
