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颞部血管的三维计算机断层扫描评估填充物注射的安全性。

Three-Dimensional Computed Tomography Scanning of Temporal Vessels to Assess the Safety of Filler Injections.

机构信息

Jinan University, The First Affiliated Hospital, Guangzhou, China.

Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.

出版信息

Aesthet Surg J. 2021 Oct 15;41(11):1306-1313. doi: 10.1093/asj/sjaa371.


DOI:10.1093/asj/sjaa371
PMID:33647932
Abstract

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.

摘要

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。

相似文献

[1]
Three-Dimensional Computed Tomography Scanning of Temporal Vessels to Assess the Safety of Filler Injections.

Aesthet Surg J. 2021-10-15

[2]
A case series: 3-dimensional computed tomographic study of the superior orbital vessels: Superior orbital arcades and their relationships with the supratrochlear artery and supraorbital artery.

J Am Acad Dermatol. 2021-5

[3]
The Superficial Temporal Artery and Zygomatico-Orbital Artery: Superficial Arterial Distribution of the Anterior Temple Area.

Biomed Res Int. 2022

[4]
Three-Dimensional Computed Tomographic Study on the Periorbital Branches of the Ophthalmic Artery: Arterial Variations and Clinical Relevance.

Aesthet Surg J. 2019-9-13

[5]
Topographic Anatomy of the Zygomatico-Orbital Artery: Implications for Improving the Safety of Temporal Augmentation.

Plast Reconstr Surg. 2021-7-1

[6]
Tomography of the Forehead Arteries and Tailored Filler Injection for Forehead Volumizing and Contouring.

Dermatol Surg. 2020-12

[7]
Three-Dimensional Computed Tomographic Study on the Vessels of the Zygomatic Region: Arterial Variations and Clinical Relevance.

Plast Reconstr Surg. 2021-2-1

[8]
Zygomatico-Orbital Artery: A Reevaluation of the Temporal Blood Vessels.

Plast Reconstr Surg. 2023-6-1

[9]
Three-Dimensional Computed Tomography Scanning Study of the Superior Labial Artery in Chinese Individuals for Assessing Filler Injection Safety.

Aesthetic Plast Surg. 2024-10

[10]
Pathophysiology Study of Filler-Induced Blindness.

Aesthet Surg J. 2019-1-1

引用本文的文献

[1]
Mechanisms of Complications from Ear Filler Injections: A Cadaver Imaging and Anatomical Study.

Aesthetic Plast Surg. 2025-6-10

[2]
Three-Dimensional Evaluation of Superficial Temporal Artery and Its Terminal Branches: Implications for Clinical Practice.

Head Neck. 2025-8

[3]
Cerebral Complications Following Facial Autologous Fat Graft Injection: A Systematic Review and Meta-analysis.

Aesthetic Plast Surg. 2024-11

[4]
Cross-linked Sodium Hyaluronate Gel with PLLA-b-PEG Microsphere for Facial Contouring in Chinese: A Retrospective Study.

Aesthetic Plast Surg. 2024-11

[5]
The Superficial Temporal Artery: Anatomy and Clinical Significance in the Era of Facial Surgery and Aesthetic Medicine.

Acta Med Acad. 2022-12

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