Jinan University, The First Affiliated Hospital, Guangzhou, China.
Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.
Aesthet Surg J. 2021 Oct 15;41(11):1306-1313. doi: 10.1093/asj/sjaa371.
BACKGROUND: Temple filler injection is one of the most common minimally invasive cosmetic procedures involving the face; however, vascular complications are not uncommon. OBJECTIVES: This study aimed to investigate the anatomy of the temporal vessels and provide a more accurate protocol for temple filler injection. METHODS: Computed tomography (CT) scans of 56 cadaveric heads injected with lead oxide were obtained. We then used Mimics software to construct 3-dimensional (3D) images of the temporal vessels described by a coordinate system based on the bilateral tragus and right lateral canthus. RESULTS: In the XOY plane, the superficial temporal artery (STA), middle temporal artery (MTA), zygomatico-orbital artery (ZOA), posterior branch of the deep temporal artery (PDTA), and lateral margin of the orbital rim divide the temple into 4 parts (A, B, C, and D). The probabilities of the STA, MTA, ZOA, and PDTA appearing in parts A, B, C, and D were 30.73%, 37.06%, 39.48%, and 77.18%, respectively. In 3D images, these vessels together compose an arterial network that is anastomosed with other vessels, such as the external carotid, facial, and ocular arteries. CONCLUSIONS: 3D CT images can digitally elucidate the exact positions of temporal vessels in a coordinate system, improving the safety of temple filler injections in a clinical setting.
背景:太阳穴填充注射是最常见的涉及面部的微创美容程序之一;然而,血管并发症并不少见。
目的:本研究旨在探讨颞部血管的解剖结构,并为太阳穴填充注射提供更准确的方案。
方法:对 56 具注入氧化铅的尸体头颅进行 CT 扫描。然后,我们使用 Mimics 软件根据双侧耳屏和右侧外眦构建基于坐标系的颞部血管的 3 维(3D)图像。
结果:在 XOY 平面上,颞浅动脉(STA)、颞中动脉(MTA)、颧眶动脉(ZOA)、深颞动脉后支(PDTA)和眶缘外侧将太阳穴分为 4 个部分(A、B、C 和 D)。STA、MTA、ZOA 和 PDTA 出现在 A、B、C 和 D 部分的概率分别为 30.73%、37.06%、39.48%和 77.18%。在 3D 图像中,这些血管共同构成一个动脉网络,与颈外动脉、面部和眼动脉等其他血管吻合。
结论:3D CT 图像可以在坐标系中数字化阐明颞部血管的确切位置,提高临床太阳穴填充注射的安全性。
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