Whetzel T P, Saunders C J
Division of Plastic and Reconstructive Surgery, University of California Medical Center, Davis, USA.
Plast Reconstr Surg. 1997 Sep;100(3):582-7; discussion 588-90. doi: 10.1097/00006534-199709000-00004.
Knowledge of the specific cutaneous or surface regions supplied by constant named arterial sources has allowed for increasing clinical application of flap transfers of tissue. Despite the routine use of intraoral flaps for reconstruction of congenital or acquired defects of the oral cavity and pharynx, no previous investigation has centered on understanding the surface or mucosal arterial territories of the oral cavity. In a cadaver study, six mucosal territories of the intraoral cavity were defined using selective ink and lead oxide injections through named arteries. The anatomical boundaries of these territories are predictable and constant in location for different cadavers. The six contiguous territories are based on the buccal, labial, inferior alveolar, ascending palatine, ascending pharyngeal, and lingual arteries. This study supports the safe vascular basis of existing clinical procedures of the intraoral cavity and may have implications for the design of new intraoral reconstructive procedures.
了解由特定命名动脉供血的特定皮肤或体表区域，使得组织瓣转移在临床上的应用日益增多。尽管口腔内瓣常规用于修复口腔和咽部的先天性或后天性缺损，但此前尚无研究聚焦于了解口腔的表面或黏膜动脉分布区域。在一项尸体研究中，通过对特定命名动脉进行选择性墨水和氧化铅注射，确定了口腔内六个黏膜区域。这些区域的解剖边界在不同尸体上位置可预测且恒定。这六个相邻区域基于颊动脉、唇动脉、下牙槽动脉、腭升动脉、咽升动脉和舌动脉。本研究支持了现有口腔内临床手术安全的血管基础，可能对新型口腔内重建手术的设计具有启示意义。
