Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery

ZHANG Bo-jing; LU Feng-ying; LI Xin-yang; WANG Liang-xian; DUN Ai-she

doi:10.11659/jjssx.04E024137

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Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery

Basic Research | 更新时间：2025-05-26

- Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 5, Pages: 386-389(2025)
- 作者机构：
  
  1.山东第一医科大学口腔医学院2021级口腔医学系，山东济南 250117
  2.山东第一医科大学口腔医学院口腔基础医学教研室，山东济南 250117
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.04E024137
  CLC： R322
- Received：28 April 2024，
  
  Published：25 May 2025
- 稿件说明：
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张泊静,卢凤莹,李昕阳等.面神经颊支与腮腺导管及面动脉位置关系的应用解剖学研究[J].局解手术学杂志,2025,34(05):386-389.

ZHANG Bo-jing,LU Feng-ying,LI Xin-yang,et al.Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(05):386-389.
张泊静,卢凤莹,李昕阳等.面神经颊支与腮腺导管及面动脉位置关系的应用解剖学研究[J].局解手术学杂志,2025,34(05):386-389. DOI： 10.11659/jjssx.04E024137.

ZHANG Bo-jing,LU Feng-ying,LI Xin-yang,et al.Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(05):386-389. DOI： 10.11659/jjssx.04E024137.

摘要

目的

通过观察并测量面神经颊支、腮腺导管、面动脉的相关数据，分析三者之间的位置关系，以避免术中结扎面动脉时误伤面神经颊支及腮腺导管。

方法

对40例成人头颈部标本进行解剖，观察面神经颊支与腮腺导管的关系、面动脉的走行及位置关系、面神经颊支与周围血管网的关系，游标卡尺测量相关径线。

结果

面神经颊支分为上颊支和下颊支，与腮腺导管之间没有直接吻合或连通纤维，上颊支常较粗，位置较恒定，与腮腺导管平行；下颊支位置不恒定，在口角平面或其稍上方走行；上颊支距腮腺导管（10.76±5.54）mm，下颊支距腮腺导管（6.84±4.06）mm。面动脉主干走行位置较为固定，且若出现面动脉分支缺失的情况，面动脉其他分支会延伸替代缺失的分支动脉；面动脉主干直径（2.34±0.83）mm，其分支与上颌动脉的颊动脉分支吻合形成腮腺区及颊区血管网。面神经颊支周围存在血管网，多为面动脉、颞浅动脉的细小分支。

结论

面神经颊支与腮腺导管、面动脉存在较恒定的解剖毗邻关系，术中结扎面动脉时以腮腺导管为标志定位面神经颊支，可很大程度上避免误伤面神经颊支及腮腺导管。

Abstract

Objective

By observing and measuring the relevant data of the buccal branch of the facial nerve，the parotid duct and the facial artery，the positional relationship among the three was analyzed to avoid accidental injury to the buccal branch of the facial nerve and the parotid duct when ligaturing the facial artery during the operation.

Methods

Forty adult head and neck specimens were dissected to observe the relationship between the buccal branch of the facial nerve and the parotid duct，the course and positional relationship of the facial artery，and the relationship between the buccal branch of the facial nerve and the peripheral vascular network. The relevant diameters were measured with a vernier caliper.

Results

The buccal branch of the facial nerve was divided into the superior buccal branch and the inferior buccal branch，and there was no direct anastomosis or connecting fiber between the buccal branch of the facial nerve and the parotid duct. The superior buccal branch was relatively thick，and it has a relatively constant position，which was parallel to the parotid duct. The position of the inferior buccal branch was not constant and it ran on or slightly above the plane of angulus oris. The superior buccal branch was located （10.76±5.54） mm from the parotid duct，while the inferior buccal branch was positioned （6.84±4.06） mm away from the parotid duct.The course of the main trunk of the facial artery was relatively fixed. Moreover，if the branch of the facial artery was missing，other branches of the facial artery would extend to replace the missing branch artery. The main trunk of the facial artery had a diameter of （2.34±0.83） mm，and its branches formed anastomoses with the buccal branch of the maxillary artery，creating a vascular network in the parotid and buccal regions.There was a vascular network around the buccal branch of the facial nerve，which was mostly small branches of the facial artery and the superficial temporal artery.

Conclusion

The buccal branch of the facial nerve exhibits a consistent anatomic relationship with the parotid duct and the facial artery. During the ligation of the facial artery，the parotid duct can serve as a landmark to accurately locate the buccal branch of the facial nerve，thereby significantly reducing the risk of inadvertent injury to the buccal branch of the facial nerve and the parotid duct.

关键词

Keywords

references

骆耐香，曾繁余，蒋常文 . 面神经颊支的应用解剖［J］. 解剖学杂志， 2003 ， 26 （ 5 ）： 489 - 490 . doi： 10.3969/j.issn.1001-1633.2003. 05.021 http://dx.doi.org/10.3969/j.issn.1001-1633.2003.05.021 .

高俊彦，李明，吴海平，等 . 面神经下颌缘支和颊支的应用解剖学研究［J］. 长治医学院学报， 2011 （ 4 ）： 256 - 258 . doi： 10.3969/j.issn.1006-0588.2011.04.005 http://dx.doi.org/10.3969/j.issn.1006-0588.2011.04.005 .

蔡志平，杜颋，任凤飞 . 腮腺管与面横动脉及面神经颊支关系的解剖学研究［J］. 包头医学院学报， 2008 ， 24 （ 5 ）： 459 - 460 . doi： 10.3969/j.issn.1006-740X.2008.05.008 http://dx.doi.org/10.3969/j.issn.1006-740X.2008.05.008 .

Lazaro R ， Dante J ， George B ， et al . The parotid gland，submandibular gland，and facial nerve in 3 dimensions： a digital anatomical model derived from radiology，peer-reviewed literature，and medical illustration ［J］. Oper Tech Otolaryngol Head Neck Surg ， 2023 ， 34 （ 4 ）： 220 - 235 .

黄渭清，方柏荣，闫迎军，等 . 腮腺外面神经颊支的应用解剖研究［J］. 中国美容医学， 2006 ， 15 （ 6 ）： 679 - 681 . doi： 10.3969/j.issn. 1008-6455.2006.06.031 http://dx.doi.org/10.3969/j.issn.1008-6455.2006.06.031 .

郑如意，朱杭波，叶怡欣，等 . 面神经颊支与腮腺导管的路径分析［J］. 局解手术学杂志， 2023 ， 32 （ 8 ）： 662 - 665 . doi： 10.11659/jjssx. 03E023065 http://dx.doi.org/10.11659/jjssx.03E023065 .

吴镝，王新刚，黄晨煜，等 . 面动脉的解剖学研究及其临床意义［J］. 组织工程与重建外科杂志， 2006 ， 2 （ 5 ）： 256 - 258 . doi： 10.3969/j.issn.1673-0364.2006.05.005 http://dx.doi.org/10.3969/j.issn.1673-0364.2006.05.005 .

赵振民 . 面动脉（面段）的解剖学研究及其临床应用［D］. 北京：北京协和医学院， 1998 .

吴晓勇，熊猛 . 面动脉及其分支的解剖研究及临床价值［J］. 中国美容医学， 2013 ， 22 （ 5 ）： 523 - 525 . doi： 10.3969/j.issn.1008-6455. 2013.05.005 http://dx.doi.org/10.3969/j.issn.1008-6455.2013.05.005 .

韩彬，张建平，夏耀林 . 面动脉血流信息与周围性面瘫的相关性研究［J］. 山西中医学院学报， 2016 ， 17 （ 3 ）： 52 - 53 . doi： 10.3969/j.issn.1000-7369.2016.03.020 http://dx.doi.org/10.3969/j.issn.1000-7369.2016.03.020 .

黄旭冰，庄少川，蔡雯靖 . 特发性面神经麻痹患者应用注射用鼠神经生长因子联合针刺、超激光治疗的效果观察［J］. 罕少疾病杂志， 2022 ， 29 （ 3 ）： 21 - 22 . doi： 10.3969/j.issn.1009-3257.2022. 03.009 http://dx.doi.org/10.3969/j.issn.1009-3257.2022.03.009 .

李思忠，方长民 . 面神经颊支及其与腮腺管关系的解剖学研究［J］. 实用医技杂志， 2005 ， 12 （ 10 ）： 2818 .

汤铖，何杰，江永桂，等 . 交替温针灸联合鼠神经生长因子治疗急性期特发性面神经麻痹患者的疗效及对其面神经功能的影响［J］. 世界中西医结合杂志， 2024 ， 19 （ 1 ）： 111 - 115 . doi： 10.13935/j.cnki.sjzx.240118 http://dx.doi.org/10.13935/j.cnki.sjzx.240118 .

郭元明，马建法，孙晓，等 . 鼠神经生长因子对急性期特发性面神经麻痹患者面神经传导功能的影响［J］. 中国疗养医学， 2023 ， 32 （ 5 ）： 536 - 539 . doi： 10.13517/j.cnki.ccm.2023.05.021 http://dx.doi.org/10.13517/j.cnki.ccm.2023.05.021 .

陈荐，杜伟清 . 鼠神经生长因子治疗特发性面神经麻痹急性期的疗效观察［J］. 吉林医学， 2018 ， 39 （ 7 ）： 1301 - 1302 . doi： 10.3969/j.issn.1004-0412.2018.07.041 http://dx.doi.org/10.3969/j.issn.1004-0412.2018.07.041 .

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