Anatomical research progress of alar fascia and its significance in thyroid surgical membrane anatomy

LI Xiao-wu; SONG Chuang-ye; SHANG Pei-zhong

doi:10.11659/jjssx.12E022160

您当前的位置：

首页 >

文章列表页 >

Anatomical research progress of alar fascia and its significance in thyroid surgical membrane anatomy

Review | 更新时间：2023-10-23

- Anatomical research progress of alar fascia and its significance in thyroid surgical membrane anatomy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 10, Pages: 927-931(2023)
- 作者机构：
  
  陆军第八十一集团军医院普通外科，河北张家口 075000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.12E022160
  CLC： R653
- Published：25 October 2023，
  
  Received：31 December 2022，
扫描看全文
李晓武,宋创业,尚培中.翼状筋膜解剖学研究进展及其在甲状腺外科膜解剖中的意义[J].局解手术学杂志,2023,32(10):927-931.

LI Xiao-wu,SONG Chuang-ye,SHANG Pei-zhong.Anatomical research progress of alar fascia and its significance in thyroid surgical membrane anatomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):927-931.
李晓武,宋创业,尚培中.翼状筋膜解剖学研究进展及其在甲状腺外科膜解剖中的意义[J].局解手术学杂志,2023,32(10):927-931. DOI： 10.11659/jjssx.12E022160.

LI Xiao-wu,SONG Chuang-ye,SHANG Pei-zhong.Anatomical research progress of alar fascia and its significance in thyroid surgical membrane anatomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(10):927-931. DOI： 10.11659/jjssx.12E022160.

摘要

翼状筋膜是连接两侧颈动脉鞘的冠状位走行的筋膜。目前翼状筋膜在甲状腺外科中的研究较少，本文通过检索国内外文献对翼状筋膜的相关解剖研究进展进行综述，探讨翼状筋膜在甲状腺系膜膜解剖中的意义及其在右侧喉返神经保护、右侧中央区淋巴结清扫中的作用。

Abstract

The alar fascia is a coronally oriented fascial sheet spanning between the carotid sheaths. So far， there is few research about alar fascia in thyroid surgery. This paper reviews the relevant anatomical research progress of alar fascia by searching domestic and foreign literatures， and explores the significance of alar fascia in the anatomy of thyroid mesangial membrane and its role in the protection of right recurrent laryngeal nerve and lymph node dissection in the right central area.

关键词

甲状腺癌膜解剖翼状筋膜喉返神经

Keywords

thyroid cancermembrane anatomyalar fasciarecurrent laryngeal nerve

references

田文，石臣磊，万政.我国甲状腺癌外科治疗近10年进展［J］.中国实用外科杂志，2022，42（8）：841-844.doi：10.19538/j.cjps.issn1005-2208.2022.08.01http://dx.doi.org/10.19538/j.cjps.issn1005-2208.2022.08.01.

李健文，乐飞.膜解剖理论在全腹膜外腹股沟疝修补术中的应用［J］.中华胃肠外科杂志，2021，24（7）：604-610.doi：10.3760/cma.j.cn.441530-20210509-00198http://dx.doi.org/10.3760/cma.j.cn.441530-20210509-00198.

池畔，王枭杰.膜解剖——推动精准腔镜与机器人结直肠外科的动力［J］.中华胃肠外科杂志，2019，22（5）：406-412.doi：10.3760/cma.j.issn.1671-0274.2019.05.002http://dx.doi.org/10.3760/cma.j.issn.1671-0274.2019.05.002.

陈曦，陈海珍.甲状腺癌淋巴结清扫术的膜解剖［J］.外科理论与实践，2016，21（4）：291-293.doi：10.16139/j.1007-9610. 2016.04.004http://dx.doi.org/10.16139/j.1007-9610.2016.04.004.

雷尚通.甲状腺系膜切除术——基于解剖层面的手术技术［J］.临床外科杂志，2017，25（11）：823-825.doi：10.3969/j.issn.1005-6483.2017.11.007http://dx.doi.org/10.3969/j.issn.1005-6483.2017.11.007.

雷尚通，丁自海，李国新.甲状腺周围筋膜及筋膜间隙的应用解剖学观察［J］.中国临床解剖学杂志，2014，32（4）：387-391.doi：10.13418/j.issn.1001-165x.2014.04.004http://dx.doi.org/10.13418/j.issn.1001-165x.2014.04.004.

雷尚通，丁自海，葛军娜，等.气管前筋膜的再认识及其在甲状腺癌手术中的意义［J］.中国临床解剖学杂志，2015，33（2）：126-128.doi：10.13418/j.issn.1001-165x.2015.02.002http://dx.doi.org/10.13418/j.issn.1001-165x.2015.02.002.

Snosek M，Macchi V，Stecco C，et al.Anatomical and histological study of the alar fascia［J］.Clin Anat，2021，34（4）：609-616.doi：10.1002/ca.23644http://dx.doi.org/10.1002/ca.23644.

付美娟，温稀超，靳小石.颈部筋膜的解剖学认识及临床应用研究进展［J］.现代肿瘤医学，2022，30（13）：2464-2470.doi：10.3969/j.issn.1672-4992.2022.13.036http://dx.doi.org/10.3969/j.issn.1672-4992.2022.13.036.

Guidera AK，Dawes PJ，Stringer MD.Cervical fascia：a terminological pain in the neck［J］.ANZ J Surg，2012，82（11）：786-791.doi：10.1111/j.1445-2197.2012.06231.xhttp://dx.doi.org/10.1111/j.1445-2197.2012.06231.x.

Grodinsky M，Holyoke EA.The fasciae and fascial spaces of the head，neck and adjacent regions［J］.Am J Anat，1938，63（3）：367-408.doi：10.1002/aja.1000630303http://dx.doi.org/10.1002/aja.1000630303.

Feigl G，Hammer GP，Litz R，et al.The intercarotid or alar fascia，other cervical fascias，and their adjacent spaces-a plea for clarification of cervical fascia and spaces terminology［J］.J Anat，2020，237（1）：197-207.doi：10.1111/joa.13175http://dx.doi.org/10.1111/joa.13175.

Guidera AK，Dawes PJ，Fong A，et al.Head and neck fascia and compartments：no space for spaces［J］.Head Neck，2014，36（7）：1058-1068.doi：10.1002/hed.23442http://dx.doi.org/10.1002/hed.23442.

Phan T，Lay J，Scali F.The alar fascia and danger space：a modern

review［J］.Cureus，2022，14（12）：e32871.doi：10.7759/cureus. 32871http://dx.doi.org/10.7759/cureus.32871.

Lopez-fernandez P，Murillo-gonzalez J，Arraez-aybar LA，et al.Early stages of development of the alar fascia （human specimens at 6-12 weeks of development）［J］.J Anat，2019，235（6）：1098-1104.doi：10.1111/joa.13074http://dx.doi.org/10.1111/joa.13074.

Ozlugedik S，Ibrahim Acar H，Apaydin N，et al.Retropharyngeal space and lymph nodes：an anatomical guide for surgical dissection［J］.Acta Otolaryngol，2005，125（10）：1111-1115.doi：10.1080/00016480510035421http://dx.doi.org/10.1080/00016480510035421.

Kitamura S.Anatomy of the fasciae and fascial spaces of the maxillofacial and the anterior neck regions［J］.Anat Sci Int，2018，93（1）：1-13.doi：10.1007/s12565-017-0394-xhttp://dx.doi.org/10.1007/s12565-017-0394-x.

Scali F，Nash LG，Pontell ME.Defining the morphology and distribution of the alar fascia：a sheet plastination investigation［J］.Ann Otol Rhinol Laryngol，2015，124（10）：814-819.doi：10.1177/0003489415588129http://dx.doi.org/10.1177/0003489415588129.

Gavid M，Dumollard JM，Habougit C，et al.Anatomical and histological study of the deep neck fasciae：does the alar fascia exist？［J］.Surg Radiol Anat，2018，40（8）：917-922.doi：10.1007/s00276-018-1977-5http://dx.doi.org/10.1007/s00276-018-1977-5.

Miyake N，Hayashi S，Kawase T，et al.Fetal anatomy of the human carotid sheath and structures in and around it［J］.Anat Rec （Hoboken），2010，293（3）：438-445.doi：10.1002/ar.21089http://dx.doi.org/10.1002/ar.21089.

Chen M，Tang H，Shan J.Anatomic relationship between the cervical sympathetic trunk and cervical fascia and its application in the anterolateral cervical spine surgical approach［J］.Eur Spine J，2021，30（2）：425-430.doi：10.1007/s00586-020-06621-2http://dx.doi.org/10.1007/s00586-020-06621-2.

Shan J，Jiang H，Ren D，et al.Anatomic relationship between right recurrent laryngeal nerve and cervical fascia and its application significance in anterior cervical spine surgical approach［J］.Spine （Phila Pa 1976），2017，42（8）：E443-E447.doi：10.1097/BRS.00000000 00001881http://dx.doi.org/10.1097/BRS.0000000000001881.

Lei S，Ding Z，Ge J，et al.Anatomy of mesothyroid：value of mesothyroid excision in thyroid cancer patients［J］.Hepatogastroenterology，2014，61（136）：2181-2184

雷尚通.甲状腺周围筋膜和筋膜间隙的解剖学观察及临床应用［D］.广州：南方医科大学，2014.

Fundakowski CE，Hales NW，Agrawal N，et al.Surgical management of the recurrent laryngeal nerve in thyroidectomy：American Head and Neck Society Consensus Statement［J］.Head Neck，2018，40（4）：663-675.doi：10.1002/hed.24928http://dx.doi.org/10.1002/hed.24928.

刘佳，袁栩昕，郑惊雷.不同喉返神经保护方法在甲状腺癌术后复发再次手术中的效果［J］.局解手术学杂志，2022，31（6）：532-536.doi：10.11659/jjssx.11E021105http://dx.doi.org/10.11659/jjssx.11E021105.

罗舟，吴菁菁，章佳新，等.甲状腺术中依据右侧颈总动脉与喉返神经交叉点寻找右侧喉返神经的可行性［J］.局解手术学杂志，2021，30（11）：983-987.doi：10.11659/jjssx.06E021051http://dx.doi.org/10.11659/jjssx.06E021051.

赵文新，颜守义，王波，等.右侧甲状腺乳头状癌喉返神经后方淋巴结清扫的临床意义［J］.中华内分泌外科杂志，2016，10（4）：280-283.doi：10.3760/cma.j.issn.1674-6090.2016.04.005http://dx.doi.org/10.3760/cma.j.issn.1674-6090.2016.04.005.

Shao L，Sun W，Zhang H，et al.Risk factors for right paraesophageal lymph node metastasis in papillary thyroid carcinoma：a meta-analysis［J］.Surg Oncol，2020，32：90-98.doi：10.1016/j.suronc. 2019.11.007http://dx.doi.org/10.1016/j.suronc.2019.11.007.

田文，姚京，郗洪庆，等.中国腔镜甲状腺手术20年回顾与展望［J］.中华普外科手术学杂志（电子版），2021，15（6）：598-602.doi：10.3877/cma.j.issn.1674-3946.2021.06.002http://dx.doi.org/10.3877/cma.j.issn.1674-3946.2021.06.002.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Efficacy of non-inflatable transaxillary approach and transthoracic approach surgery in treatment of thyroid cancer

Clinical analysis of contrast-enhanced ultrasound combined with serum SMURF1 detection in the diagnosis of thyroid cancer

Diagnosis and treatment of aggressive fibromatosis after thyroidectomy

Anatomical and clinical significance of Berry ligament and recurrent laryngeal nerve

Related Author

LI Lan

PENG Shu-wang

HUANG Xiang-jun

SHU Le

XIONG Juan

ZHAO Jing

CHEN Hui

WAN Ke

Related Institution

Department of Gastrointestinal， Thyroid and Vascular Surgery， the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine

Department of Ultrasound Medicine，Lishui Branch of Zhongda Hospital Affiliated to Southeast University/Lishui District People's Hospital in Nanjing

Department of Pathology，Lishui Branch of Zhongda Hospital Affiliated to Southeast University/Lishui District People's Hospital in Nanjing

School of Medicine and Health，University of Sydney，New South Wales Australia

Department of Thyroid Breast Surgery,Southwest Hospital,Third Military Medical University

⁰