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耳廓肌的解剖学特点、功能与在面部整形外科学中的应用

Dimensions, Function and Applications of the Auricular Muscle in Facial Plastic Surgery.

机构信息

Cleveland Clinic Cole Eye Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk i-132, Cleveland, OH, 44195, USA.

Center for Advanced Eye Care, Vero Beach, FL, USA.

出版信息

Aesthetic Plast Surg. 2021 Feb;45(1):309-314. doi: 10.1007/s00266-020-02045-x. Epub 2020 Nov 30.

DOI:10.1007/s00266-020-02045-x
PMID:33258010
Abstract

PURPOSE

To determine the dimensions and function of the auricular muscle and to consider applications of this muscle in facial plastic surgery.

METHODS

Nonpreserved fresh frozen human cadaver dissections from the (HOSPITAL-Blinded) Body Donation program were dissected. The length and width of the superior auricular muscle were measured. One surgeon performed all dissections and measurements.

RESULTS

A total of seven left and five right hemifaces were studied. The average central height of the superior auricular muscle was 4.7 cm, and an average width was 5.0 cm. There was no significant difference between the average values of the left versus the right hemiface measurements. The muscle originated in the fibers of the galea and temporal fascia and inserted into the conchal cartilage in each specimen. Engaging the muscle in its line of action yielded slight elevation of the forehead and prevented movement of the galea along the vertex of the scalp.

CONCLUSIONS

The auricular muscle acts as an occipitofrontalis stabilizer and a weak brow elevator.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors - www.springer.com/00266 .

摘要

目的

确定耳肌的维度和功能,并考虑该肌肉在面部整形手术中的应用。

方法

对(医院匿名)遗体捐献计划中的非保存新鲜冷冻的人体尸体进行解剖。测量耳上肌的长度和宽度。由一名外科医生进行所有的解剖和测量。

结果

共研究了 7 个左侧和 5 个右侧半面。耳上肌的平均中央高度为 4.7cm,平均宽度为 5.0cm。左侧和右侧半面测量值的平均值之间没有显著差异。该肌肉起自帽状腱膜和颞筋膜的纤维,并在每个标本中插入耳廓软骨。在其作用线上使肌肉收缩可轻微抬高额头,并防止帽状腱膜沿头皮顶点移动。

结论

耳肌作为枕额肌的稳定剂和较弱的眉提升肌。

证据等级 IV:本杂志要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 - www.springer.com/00266 。

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Int J Clin Exp Med. 2015 Jun 15;8(6):9772-8. eCollection 2015.
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Evidence for a vestigial pinna-orienting system in humans.人类存在退化的耳廓定向系统的证据。
Psychophysiology. 2015 Oct;52(10):1263-70. doi: 10.1111/psyp.12501. Epub 2015 Jul 24.
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Bilateral muscular tinnitus due to myoclonus of extrinsic auricular muscles.由于耳廓外肌肌阵挛引起的双侧肌肉性耳鸣。
Auris Nasus Larynx. 2015 Apr;42(2):173-5. doi: 10.1016/j.anl.2014.10.009. Epub 2014 Nov 15.
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Proc Natl Acad Sci U S A. 2014 Apr 15;111(15):E1454-62. doi: 10.1073/pnas.1322355111. Epub 2014 Mar 31.
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Splitted posterior auricular muscle flap combined with traditional otoplasty.耳后肌瓣劈开联合传统耳整形术
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Posterior auricular muscle flap as an adjunct to otoplasty.耳后肌瓣作为耳整形术的辅助手段。
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Repositioning of posterior auricular muscle combined with conventional otoplasty: a personal technique.耳后肌复位联合传统耳整形术:一种个人技术
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Ear wiggling tics: treatment with botulinum toxin injection.耳部抽动症:肉毒杆菌毒素注射治疗
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