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眼轮匝肌对面部表情肌颧大肌的解剖学贡献:对面部美容手术中微笑的理解的改善。

Anatomical contribution of the orbicularis oculi to the zygomaticus major: An improved understanding of the smile with consideration for facial cosmetic procedures.

机构信息

Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, United States of America.

Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, United States of America.

出版信息

PLoS One. 2022 Jul 28;17(7):e0272060. doi: 10.1371/journal.pone.0272060. eCollection 2022.

Abstract

The aim of the present study was to determine the contribution of the orbicularis oculi (OOc) to the zygomaticus major (Zmj) in connecting the orbital region to the corner of the mouth. The OOc and Zmj of 22 embalmed adult Korean cadavers were dissected in 44 hemifaces. The OOc fibers were traced to determine their contribution to the Zmj. Parts of the superficial bundle in the orbital region of the OOc extended directly or indirectly to the Zmj in 22.7% of the specimens. The anatomical contribution of the OOc to the Zmj was divided into three categories depending on whether the connection between them was direct or indirect: (1) superficial orbital OOc fibers extended directly to the Zmj in 6.8% of the specimens, (2) superficial orbital OOc fibers extended to the zygomaticus minor and their small portion joined to the upper fibers of the Zmj in 15.9% of the specimens, and (3) no connection was identified between the OOc and Zmj in 77.3% of the specimens. The results of this study provide further anatomical insight into the relationship between the OOc and zygomaticus muscle complex. This information could be helpful for elucidating the anatomy of smiling and treatment and surgery designs for balanced or ideal smiles.

摘要

本研究旨在确定眼轮匝肌(OOc)对颧大肌(Zmj)的贡献,以将眶区连接到口角。在 44 个半面中解剖了 22 具防腐成人韩国尸体的 OOc 和 Zmj。追踪 OOc 纤维以确定其对 Zmj 的贡献。在 22.7%的标本中,OOc 眶区的浅层束的部分直接或间接延伸至 Zmj。OOc 对 Zmj 的解剖学贡献根据它们之间的连接是直接的还是间接的分为三类:(1)6.8%的标本中,浅层眶 OOc 纤维直接延伸至 Zmj;(2)15.9%的标本中,浅层眶 OOc 纤维延伸至小颧肌,其小部分与 Zmj 的上纤维结合;(3)77.3%的标本中未发现 OOc 与 Zmj 之间的连接。本研究的结果为 OOc 和颧肌复合体之间的关系提供了进一步的解剖学见解。这些信息可能有助于阐明微笑的解剖结构以及平衡或理想微笑的治疗和手术设计。

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