Applied anatomical study of facial artery branches in the nasolabial groove area

CONG Yuan; LIU Jing-wen; SUN Xiao-xu; ZHANG Chun-ju; DUN Ai-she

doi:10.11659/jjssx.11E023040

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Applied anatomical study of facial artery branches in the nasolabial groove area

Basic Research | 更新时间：2024-10-22

- Applied anatomical study of facial artery branches in the nasolabial groove area
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 33, Issue 10, Pages: 882-886(2024)
- 作者机构：
  
  1.山东第一医科大学口腔医学院2021级口腔医学本科专业，山东济南 250117
  2.山东第一医科大学临床与基础医学院医学概论教研室，山东济南 250117
  3.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.11E023040
  CLC： R322
- Published：25 October 2024，
  
  Received：09 November 2023，
- 稿件说明：
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丛源,刘静雯,孙晓旭等.鼻唇沟区面动脉分支的应用解剖学研究[J].局解手术学杂志,2024,33(10):882-886.

CONG Yuan,LIU Jing-wen,SUN Xiao-xu,et al.Applied anatomical study of facial artery branches in the nasolabial groove area[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(10):882-886.
丛源,刘静雯,孙晓旭等.鼻唇沟区面动脉分支的应用解剖学研究[J].局解手术学杂志,2024,33(10):882-886. DOI： 10.11659/jjssx.11E023040.

CONG Yuan,LIU Jing-wen,SUN Xiao-xu,et al.Applied anatomical study of facial artery branches in the nasolabial groove area[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(10):882-886. DOI： 10.11659/jjssx.11E023040.

摘要

目的

通过解剖观测鼻唇沟区面动脉分支及其周围毗邻结构的行程、径线，以及位置关系，为临床医师进行面部美容修复手术提供参考。

方法

对40例成人头颈部标本进行实地解剖，观察鼻唇沟区面动脉的分支、面静脉、面神经的行程及位置，测量其径线，记录相关数据。

结果

鼻唇沟区面动脉分支情况分为4种类型：Ⅰ型（上唇型）占12.5％，Ⅱ型（鼻型）占62.5％，Ⅲ型（经典型）占20.0％，Ⅳ型（双重型）占5.0％。鼻唇沟区面动脉与面静脉的位置关系有4种：口唇段面动脉位于面静脉内侧占42.5%，口唇段面动脉位于面静脉外侧占32.5%，两者紧贴并包裹在一个筋膜鞘中占17.5%，口唇段面动脉与面静脉主干交叉，静脉位于动脉深面占7.5%。面动脉与面神经下颌缘支的位置关系有3种：面动脉位于面神经下颌缘支深面占87.5%，面动脉位于面神经下颌缘支浅面占7.5%，面动脉被面神经下颌缘支分两支经其浅面或深面夹持或环抱占5.0%。

结论

鼻唇沟区面动脉与面静脉、面神经的位置关系复杂，熟悉其位置关系可避免鼻唇沟手术过程中损伤血管神经，减少手术并发症，提高手术安全性。

Abstract

Objective

To observe the course and diameter of facial artery branches and its adjacent structures in nasolabial groove area and the positional relationship， so as to provide reference for clinicians to carry out facial cosmetic repair surgery.

Methods

A total of 40 adult head and neck specimens were dissected on the spot， and the course and position of the facial artery branches，facial vein and facial nerve in the nasolabial groove area were observed， their diameters were measured， and relevant data were recorded.

Results

There were 4 types of facial artery branches in the nasolabial groove area： type Ⅰ（upper lip type） accounted for 12.5%，type Ⅱ （nasal type） accounted for 62.5%， type Ⅲ （classical type） accounted for 20.0%， and type Ⅳ （double severe type） accounted for 5.0%. There were 4 kinds of positional relationship between the facial artery and the facial vein in the nasolabial groove area： 42.5% of the orofacial artery was located on the medial side of the facial vein， 32.5% of the orofacial artery was located on the lateral side of the facial vein， 17.5% of the two were close to and wrapped in a fascial sheath，7.5% of the orofacial artery and the main trunk of the facial vein were crossed， and the vein was located in the deep surface of the artery. There were 3 kinds of positional relationship between the facial artery and the marginal mandibular branch of the facial nerve： 87.5% of the facial artery was deep on the marginal mandibular branch of the facial nerve， 7.5% of the facial artery was superficial on the marginal mandibular branch of the facial nerve， and 5.0% of the facial artery was held or surrounded by two branches of the marginal mandibular branch of the facial nerve on the superficial or deep surface.

Conclusion

The positional relationship among facial artery， facial vein and facial nerve in the nasolabial groove area is complicated. Familiarity with its positional relationship can avoid damaging blood vessels and nerves during the nasorabial groove surgery， reduce surgical complications and improve surgical safety.

关键词

面动脉面静脉面神经应用解剖

Keywords

facial arteryfacial veinfacial nerveapplied anatomy

references

Sandulescu T，Spilker L，Rauscher D，et al.Morphological analysis and three-dimensional reconstruction of the SMAS surrounding the nasolabial fold［J］.Ann Anat，2018，217：111-117.doi：10.1016/j.aanat. 2018.02.007http://dx.doi.org/10.1016/j.aanat.2018.02.007.

Koziej M，Trybus M，Hołda M，et al.Anatomical map of the facial artery for facial reconstruction and aesthetic procedures［J］.Aesthet Surg J，2019，39（11）：1151-1162.doi：10.1093/asj/sjz028http://dx.doi.org/10.1093/asj/sjz028.

Wollina U，Goldman A.Facial vascular danger zones for filler injections［J］.Dermatol Ther，2020，33（6）：e14285.doi：10.1111/dth.14285http://dx.doi.org/10.1111/dth.14285.

李琴，李映雪，余鑫，等.头面部皮瓣修复术后并发症发生风险模型的构建［J］.皮肤性病诊疗学杂志，2022，29（3）：220-225.doi：10.3969/j.issn.1674-8468.2022.03.005http://dx.doi.org/10.3969/j.issn.1674-8468.2022.03.005.

陈巧儒，岑瑛，李正勇，等.面部危险区的填充注射及相关血管并发症［J］.华西医学，2022，37（6）：951-954.doi：10.7507/1002-0179.202112134http://dx.doi.org/10.7507/1002-0179.202112134.

陈伟良，杨朝晖，黄志权，等.逆行面动脉-颏下动脉岛状肌皮瓣修复口腔颌面部缺损的探讨［J］.中华口腔医学杂志，2007，42（10）：629-630.doi：10.3760/j.issn：1002-0098.2007.10.016http://dx.doi.org/10.3760/j.issn：1002-0098.2007.10.016.

姚远镇，唐修俊，王达利，等.面动脉穿支螺旋桨皮瓣修复上唇皮肤恶性肿瘤切除后创面［J］.中国修复重建外科杂志，2018，32（2）：210-214.doi：10.7507/1002-1892.201709126http://dx.doi.org/10.7507/1002-1892.201709126.

王迪，陈文.面动脉穿支皮瓣解剖研究及临床应用进展［J］.中国修复重建外科杂志，2017，31（2）：246-250.doi：10.7507/1002-1892.201608129http://dx.doi.org/10.7507/1002-1892.201608129.

文昌隆，罗赛，郝立君.鼻唇沟解剖及相关面部年轻化治疗的最新研究进展［J］.中国美容整形外科杂志，2021，32（5）：277-279.doi：10.3969/j.issn.1673-7040.2021.05.007http://dx.doi.org/10.3969/j.issn.1673-7040.2021.05.007.

Aratani R.Anatomical study of the external carotid artery of Japanese［J］.Oral Anat Res，1960，15：145-164.

Mitz V，Ricbourg B，Lassau J.Les branches faciales de l'artère faciale chez l’adulte.typologie，variations et territoires cutanés respectifs［J］.Ann Chir Plast，1973，18（4）：339-350.

Niranjan NS.An anatomical study of the facial artery［J］.Ann Plast Surg，1988，21（1）：14-22.doi：10.1097/00000637-198807000-00003http://dx.doi.org/10.1097/00000637-198807000-00003.

Koh KS，Kim HJ，Oh CS，et al.Branching patterns and symmetry of the course of the facial artery in Koreans［J］.Int J Oral Maxillofac Surg，2003，32（4）：414-418.doi：10.1054/ijom.2002.0372http://dx.doi.org/10.1054/ijom.2002.0372.

Pinar YA，Bilge O，Govsa F.Anatomic study of the blood supply of perioral region［J］.Clin Anat，2005，18（5）：330-339.doi：10.1002/ca.20108http://dx.doi.org/10.1002/ca.20108.

Loukas M，Hullett J，JrLouis RG，et al.A detailed observation of variations of the facial artery，with emphasis on the superior labial artery［J］.Surg Radiol Anat，2006，28（3）：316-324.doi：10.1007/s00276-006-0093-0http://dx.doi.org/10.1007/s00276-006-0093-0.

Lohn JW，Penn JW，Norton J，et al.The course and variation of the facial artery and vein：implications for facial transplantation and facial surgery［J］.Ann Plast Surg，2011，67（2）：184-188.doi：10.1097/SAP.0b013e31822484aehttp://dx.doi.org/10.1097/SAP.0b013e31822484ae.

Hong SJ，Park SE，Jo JW，et al.Variant facial artery anatomy revisited：conventional angiography performed in 284 cases［J］.Medicine （Baltimore），2020，99（28）：e21048.doi：10.1097/MD.00 00000000021048http://dx.doi.org/10.1097/MD.0000000000021048.

Furukawa M，Mathes DW，Anzai Y.Evaluation of the facial artery on computed tomographic angiography using 64-slice multidetector computed tomography：implications for facial reconstruction in plastic surgery［J］.Plast Reconstr Surg，2013，131（3）：526-535.doi：10.1097/PRS.0b013e31827c6f18http://dx.doi.org/10.1097/PRS.0b013e31827c6f18.

郭纯，杨艳婷，刘刚，等.健康成人面动脉超声影像学研究［J］.中国超声医学杂志，2023，39（2）：121-124.doi：10.3969/j.issn.1002-0101.2023.02.001http://dx.doi.org/10.3969/j.issn.1002-0101.2023.02.001.

Cotofana S，Steinke H，Schlattau A，et al.The anatomy of the facial vein：implications for plastic， reconstructive， and aesthetic procedures［J］.Plast Reconstr Surg，2017，139（6）：1346-1353.doi：10.1097/PRS.0000000000003382http://dx.doi.org/10.1097/PRS.0000000000003382.

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，2011，25（4）：256-258.doi：10.3969/j.issn.1006-0588.2011.04.005http://dx.doi.org/10.3969/j.issn.1006-0588.2011.04.005.

马祖国，张新海，李科，等.腮腺良性肿瘤切除术中腮腺导管和面神经颊支解剖关系的观察［J］.中国耳鼻咽喉颅底外科杂志，2020，26（1）：37-39.doi：10.11798/j.issn.1007-1520.202001009http://dx.doi.org/10.11798/j.issn.1007-1520.202001009.

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