From the Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital.
Plast Reconstr Surg. 2023 Jun 1;151(6):1180-1185. doi: 10.1097/PRS.0000000000010112. Epub 2022 Dec 27.
The current anatomical description of the zygomatico-orbital artery (ZOA) is mainly based on cadaver head studies and does not accurately reflect the complete anatomical information of the ZOA. The purpose of this study was to reveal the anatomical characteristics of the ZOA and to provide an anatomical basis for relevant operations in the temporal area.
Computed tomographic scans and autopsies were performed on 78 cadaver heads perfused with lead oxide. Mimics software was used to construct a three-dimensional image based on the bilateral intertragic notches and the right inferior orbital margin for a detailed analysis of the ZOA.
The occurrence rate of ZOA in the 101 qualified hemisectioned cadaver heads was 86.14% (87 of 101). According to our observations, 46 of 87 (52.87%) originated from the superficial temporal artery above the zygomatic arch, 23 of 87 (26.44%) from the superficial temporal artery under the zygomatic arch, and 18 of 87 (20.69%) from the frontal branch of the superficial temporal artery. The ZOA communicates with the deep and superficial arches of the supraorbital artery, transverse facial artery, and ophthalmic artery.
This study describes the anatomical characteristics of the ZOA. Moreover, these findings may guide skin flap transplantation and prevent associated injection complications.
目前关于颧眶动脉(ZOA)的解剖描述主要基于对头骨的研究,不能准确反映 ZOA 的完整解剖信息。本研究旨在揭示 ZOA 的解剖特征,为颞区相关手术提供解剖学基础。
对 78 例经氧化铅灌注的尸体头颅进行计算机断层扫描和解剖。使用 Mimics 软件基于双侧颞下切迹和右侧眶下缘构建三维图像,对 ZOA 进行详细分析。
在 101 个符合条件的半侧头颅中,ZOA 的发生率为 86.14%(87/101)。根据我们的观察,87 例中有 46 例(52.87%)起源于颧弓上方的颞浅动脉,23 例(26.44%)起源于颧弓下方的颞浅动脉,18 例(20.69%)起源于颞浅动脉的额支。ZOA 与眶上动脉的深、浅弓、横面动脉和眼动脉相通。
本研究描述了 ZOA 的解剖特征。这些发现可能有助于指导皮瓣移植,并预防相关注射并发症。