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颞浅动脉:面部外科和美容医学时代的解剖结构和临床意义。

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

机构信息

Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Greece.

出版信息

Acta Med Acad. 2022 Dec;51(3):232-242. doi: 10.5644/ama2006-124.393. Epub 2022 Dec 20.

Abstract

OBJECTIVE

The aim of this review was to present the vascular pattern of the STA, as well as anatomical variations, and to accentuate the areas which should be taken into consideration during manipulations along the course of the artery.

BACKGROUND

The STA may be encountered during several aesthetic procedures on the face, and iatrogenic trauma could be an incriminating factor of diverse sequelae. The constant increase in demand for facial aesthetic procedures has rendered it imperative to maximize safety and patient satisfaction.

METHODS

We conducted a narrative literature review using the electronic databases of PubMed and Google Scholar, retrieving studies concerning the anatomy and variations of the STA. Moreover, we identified registered clinical cases presenting complications which involved the artery.

DISCUSSION

The anatomic morphology of the STA is described and classification systems summarized, on the basis of the studies retrieved. In addition, the STA is related to defined landmarks, and specific danger zones are emphasized. Finally, the clinical significance of the artery is reflected in registered cases of adverse events following specific aesthetic surgeries.

CONCLUSION

Thorough knowledge of the anatomical variability of the STA, and awareness of the danger zones involved in aesthetic procedures, combined with intraoperative vigilance could increase safety and minimize the advent of relevant sequelae.

摘要

目的

本文旨在介绍 STA 的血管模式以及解剖变异,并强调在沿动脉走行进行操作时应注意的区域。

背景

STA 在面部的几种美容手术中可能会遇到,医源性创伤可能是多种后遗症的罪魁祸首。对面部美容手术需求的不断增加,使得最大限度地提高安全性和患者满意度变得至关重要。

方法

我们使用 PubMed 和 Google Scholar 的电子数据库进行了叙述性文献综述,检索了关于 STA 解剖和变异的研究。此外,我们还确定了涉及该动脉的注册临床病例。

讨论

根据检索到的研究,描述了 STA 的解剖形态,并对分类系统进行了总结。此外,STA 与特定的地标相关联,并强调了特定的危险区域。最后,通过特定美容手术后发生不良事件的注册病例反映了该动脉的临床意义。

结论

对 STA 的解剖变异性有透彻的了解,对美容手术中涉及的危险区域有认识,并保持术中警惕,可以提高安全性,最大限度地减少相关后遗症的发生。

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本文引用的文献

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Anatomic variations of the superficial temporal artery.颞浅动脉的解剖变异。
Surg Radiol Anat. 2021 Mar;43(3):445-450. doi: 10.1007/s00276-020-02629-x. Epub 2021 Jan 2.

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