Zhao Ye, Huang XingFeng, Fu ZeXin, Zhang Lei, Jin Ting Ting, Pan Lei, Lai Fangyuan, Wang Ji, Wu SuFan, Chen CongXian
Center for Plastic & Reconstructive Surgery, Department of Plastic & Reconstructive Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College).
The Second Clinical Medical College, Zhejiang Chinese Medicine University.
J Craniofac Surg. 2023;34(5):1570-1574. doi: 10.1097/SCS.0000000000009236. Epub 2023 Mar 7.
With the growing popularity of rejuvenation, people are giving more concerns on their temporal depression which makes them look older and wishing to improve it by injection. The complex structure of the temporal region leads to a higher risk of failed injection. The temporal region is well understood based on cadaver anatomy, but few studies have described its spatial structure. The purpose of this study was to improve the efficacy and safety of temporal injection by studying the spatial structure of the soft tissues and major blood vessels in each layer of the temporal region.
A total of 30 volunteers (24 men and 6 women, 60 temporal regions) were investigated. Color Doppler ultrasound was used to measure the thickness of the temporal layers at the selected measurement points (A, B, C, D, E, and F). The maximum thickness of the temporal fat pads was also measured, and the layers, depths and diameters of the major temporal vessels (frontal branch of superficial temporal artery and vein, middle temporal vein and deep temporal artery) were measured.
At the various measurement points, the thickness and position of the skin, subcutaneous fat superficial fascia, and temporalis muscle did not differ significantly, whereas the superficial temporal fat pad and deep temporal fat pad differed significantly. The diameter and depth of the superficial temporal artery, superficial temporal vein, and deep temporal artery did not differ significantly, whereas the diameter of the middle temporal vein differed slightly, whereas the depth differed more obviously.
The temporal structure is very complex, and understanding the spatial position of each layer of tissue plays an important role in improving the efficacy and safety of temporal filler injection. Ultrasound can help us to understand this information and assist in therapy.
Level II.
随着年轻化理念日益流行，人们越来越关注颞部凹陷问题，这使他们显得更老，并希望通过注射来改善。颞部复杂的结构导致注射失败的风险更高。基于尸体解剖，颞部区域已为人熟知，但很少有研究描述其空间结构。本研究的目的是通过研究颞部各层软组织和主要血管的空间结构，提高颞部注射的有效性和安全性。
共调查了30名志愿者（24名男性和6名女性，60个颞部区域）。使用彩色多普勒超声测量选定测量点（A、B、C、D、E和F）处颞部各层的厚度。还测量了颞部脂肪垫的最大厚度，并测量了主要颞部血管（颞浅动脉和静脉的额支、颞中静脉和颞深动脉）的层次、深度和直径。
在各个测量点，皮肤、皮下脂肪浅筋膜和颞肌的厚度和位置无显著差异，而颞浅脂肪垫和颞深脂肪垫差异显著。颞浅动脉、颞浅静脉和颞深动脉的直径和深度无显著差异，而颞中静脉的直径略有差异，深度差异更明显。
颞部结构非常复杂，了解各层组织的空间位置对提高颞部填充注射的有效性和安全性起着重要作用。超声可帮助我们了解这些信息并辅助治疗。
二级。
