Pilsl Ulrike, Anderhuber Friedrich, Neugebauer Simone
Institute of Macroscopic and Clinical Anatomy, Medical University of Graz, Graz, Austria.
Dermatol Surg. 2016 Feb;42(2):203-8. doi: 10.1097/DSS.0000000000000599.
The facial artery is said to be the main vessel for the blood supply of the anterior face. However, its course is quite often not as described in the textbooks.
The purpose of this study was to find out the different courses of the facial artery, its anastomoses, and its position in relation to the fat compartments of the face.
With 60 hemifaces three-dimensional reconstructions with computed tomography, cross dissections and horizontal sections were performed.
Of note, 4 types of facial arteries were identified. Not even half of the specimens showed a textbook course of the facial artery and only a quarter of the specimens had a textbook course of the artery on both sides.
To know the different appearances of the facial artery can be helpful for filler injection in aesthetic medicine but also for planning flaps in reconstructive surgery.
面动脉被认为是面部前部血液供应的主要血管。然而,其走行常常与教科书描述的不同。
本研究旨在找出面动脉的不同走行、其吻合情况以及它相对于面部脂肪间隔的位置。
利用60个半面的计算机断层扫描三维重建,进行了交叉解剖和水平切片。
值得注意的是,识别出了4种类型的面动脉。甚至不到一半的标本显示出面动脉的教科书式走行,只有四分之一的标本两侧动脉走行均符合教科书描述。
了解面动脉的不同表现不仅有助于美容医学中的填充注射,也有助于重建手术中皮瓣的规划。