Endoscopic surgical approach of transmandibular angle to jugular foramen region: an anatomical study

CUI Run-tai; GAO Yong-feng; LIANG Zhi-xing; LIU Jun

doi:10.11659/jjssx.01E024046

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Endoscopic surgical approach of transmandibular angle to jugular foramen region: an anatomical study

Basic Research | 更新时间：2025-01-21

- Endoscopic surgical approach of transmandibular angle to jugular foramen region: an anatomical study
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 2, Pages: 95-97(2025)
- 作者机构：
  
  1.广东医科大学附属湛江中心医院神经外科，广东湛江 524045
  2.沂南县中医医院神经外科，山东临沂 276399
  3.江门市人民医院神经外科，广东江门 529000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.01E024046
  CLC： R602
- Published：25 February 2025，
  
  Received：09 January 2024，
- 稿件说明：
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CUI RUN-TAI, GAO YONG-FENG, LIANG ZHI-XING, et al. Endoscopic surgical approach of transmandibular angle to jugular foramen region: an anatomical study. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 95-97.
DOI：

CUI RUN-TAI, GAO YONG-FENG, LIANG ZHI-XING, et al. Endoscopic surgical approach of transmandibular angle to jugular foramen region: an anatomical study. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 95-97. DOI： 10.11659/jjssx.01E024046.

摘要

目的

探讨内镜下经下颌角-颈静脉孔区手术入路的解剖学基础。

方法

收集湿性尸头标本5具，模拟内镜下经下颌角-颈静脉孔区手术入路对湿性尸头标本进行解剖，观察相关解剖结构，测量手术操作深度和角度。

结果

该手术入路形成了带蒂下颌角骨瓣，骨瓣长为（23.74±0.95）mm，宽为（18.95±0.56）mm。移位下颌角骨瓣后手术操作深度为（8.54±0.55）mm，复位下颌角骨瓣后手术操作深度为（24.94±0.90）mm，差异有统计学意义（

0.05）；移位下颌角骨瓣后手术操作角度为（69.60±3.30）°，复位下颌角骨瓣后手术操作角度为（26.20±2.20）°，差异有统计学意义（

0.05）。

结论

内镜下经下颌角-颈静脉孔区手术入路形成带蒂下颌角骨瓣，可以增加手术操作角度、缩短操作深度，提高手术自由度，该手术入路值得进一步研究和在临床实践中探讨。

Abstract

Objective

To investigate the anatomical foundation of endoscopic surgical approach of transmandibular angle to jugular foramen region.

Methods

Five wet cadaveric head specimens were collected and dissected through the endoscopic surgical approach of transmandibular angle to jugular foramen region.The relevant anatomical structures were observed and the depth and angle of operation were measured.

Results

A pedicled mandibular angle bone flap was formed by this surgical approach，and the length was （23.74±0.95）mm，the width was （18.95±0.56）mm.The operative depth after displacement of the mandibular angle bone flap was （8.54±0.55）mm，the operative depth after reduction of the mandibular angle bone flap was （24.94±0.90）mm，and the difference was statistically significant （

0.05）.The operative angle after displacement of the mandibular angle bone flap was （69.60±3.30）°，and the operative angle after reduction of the mandibular angle bone flap was （26.20±2.20）°，and the difference was statistically significant （

0.05）.

Conclusion

The endoscopic surgical approach of transmandibular angle to jugular foramen region forms pedicled mandibular angle bone flap，which can increase the operation angle， shorten the operation depth and improve the freedom of operation. This surgical approach is worthy of further study and discussion in clinical practice.

关键词

下颌角颈静脉孔解剖学内镜手术手术入路设计

Keywords

mandibular anglejugular foramenanatomyendoscopic surgerysurgical approach design

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