Conner W C, Rohrich R J, Pollock R A
Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9132, USA.
Ann Plast Surg. 1998 Sep;41(3):321-6. doi: 10.1097/00000637-199809000-00019.
The branches of the external carotid artery are protected from injury in most locations by an adequate buffer of soft tissue. On occasion, the vessels approach the surface to cross bone structures, and in these key areas they become vulnerable to blunt trauma. The facial, superficial temporal, and terminal branches of the internal maxillary arteries are the branches most often affected via this mechanism of injury. In addition, damage to deeper branches of the internal maxillary artery and to the subparotid portion of the superficial temporal artery has been reported secondary to maxillary fractures and craniofacial surgery. A brief patient report illustrates the highlights of clinical examination, diagnostic study, and surgical management of an aneurysm of the facial artery. A review of the world literature since 1644 has revealed 386 patients with traumatic aneurysms of the face and temple.
在大多数部位，颈外动脉的分支受到足够的软组织缓冲保护，免受损伤。有时，血管会靠近体表以穿过骨骼结构，在这些关键区域，它们容易受到钝性创伤。面动脉、颞浅动脉和上颌内动脉的终末分支是最常通过这种损伤机制受到影响的分支。此外，据报道，上颌骨骨折和颅面外科手术可导致上颌内动脉较深分支和颞浅动脉腮腺下部分的损伤。一份简短的病例报告阐述了面动脉瘤临床检查、诊断研究及手术治疗的要点。自1644年以来对世界文献的回顾显示，有386例面部和颞部创伤性动脉瘤患者。
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