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[额部的解剖结构]

[Anatomy of the frontal region].

作者信息

Vacher C, Rosano G, Nokovitch L

机构信息

Anatomie, faculté de médecine Paris-cité et service de chirurgie maxillo-faciale, hôpital Beaujon, AP-HP, Paris, France; Academy of Craniofacial Anatomy, Cremona, Italie.

Academy of Craniofacial Anatomy, Cremona, Italie.

出版信息

Ann Chir Plast Esthet. 2024 Nov;69(6):482-488. doi: 10.1016/j.anplas.2024.06.015. Epub 2024 Jul 25.

Abstract

The forehead is an anatomic region located between the frontal hairline cranially, the eyebrow and the glabella caudally, and the anterior border of the temporal fossa laterally on both sides. Its vertical situation, due to the telencephalon growth, is specific of the human species. From surface to deep planes, the skin and sub-cutaneous fat pads are described first. The muscular plane is constituted of the frontal muscles elevators of the forehead and the eyebrow, and the depressors which are the procerus and orbicularis oculi muscles superficially, the depressor supercilii muscle, and the corrugator supercilii in a deep plane. The galea aponeurotica, located deep to the frontal muscles, is a fibrous lamina on which the muscles of the skull insert. There is a sexual dimorphism of the frontal bone. The male forehead has extensive supraorbital bossing, and above this there is often a flat area, in teh femalethe supraorbital bossing is often nonexistent and above, there is a continous mild curvature. Blood supply to the forehead is given by an anterior pedicle constituted by the supraorbital and supratrochlear vessels and a lateral pedicle made of the anterior branches from the superficial temporal vessels. The sensory innervation of the forehead is given by the ophtalmic nerve which divides in frontal, nasociliar and lacrymal nerves. The motor innervation is given by the temporal ramus of the facial nerve which passes laterally to the zygomatic arch, and gives the innervation of the frontal, corrugator supercilii and procerus muscles.

摘要

前额是一个解剖学区域,其颅侧位于额发际线之间,尾侧位于眉毛和眉间,两侧外侧位于颞窝前缘。由于端脑生长,其垂直位置是人类特有的。从浅层面到深层面,首先描述皮肤和皮下脂肪垫。肌肉层面由前额和眉毛的额肌提升肌以及降肌组成,降肌浅层为降眉间肌和眼轮匝肌,深层为眉降肌和皱眉肌。帽状腱膜位于额肌深层,是颅骨肌肉附着的纤维板。额骨存在性别差异。男性前额有广泛的眶上隆凸,在此之上通常有一个平坦区域,而女性眶上隆凸通常不存在,其上方有连续的轻度弯曲。前额的血液供应由眶上和滑车上血管构成的前蒂以及颞浅血管前支组成的外侧蒂提供。前额的感觉神经支配由眼神经提供,眼神经分为额神经、鼻睫神经和泪腺神经。运动神经支配由面神经颞支提供,该支经颧弓外侧走行,支配额肌、皱眉肌和降眉间肌。

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