New Perspectives on the Surgical Anatomy and Nomenclature of the Temporal Region: Literature Review and Dissection Study
New Perspectives on the Surgical Anatomy and Nomenclature of the Temporal Region: Literature Review and Dissection Study
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DOI：
10.1097/prs.0b013e31827c6ed6
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发表时间：
2013-03-01
影响因子：
3.6
通讯作者：
Mendelson, Bryan C.
中科院分区：
文献类型：
--
作者：
O'Brien, Justin X.;Ashton, Mark W.;Mendelson, Bryan C.
背景：对颞区的理解仍然是混乱的，很大程度上是因为模糊的命名。解剖学方面也仍然不清楚，在文献中有不同的报道。这项研究的目的是双重的：(1)澄清解剖细节，使用新鲜的尸体解剖；(2)根据公认的命名法原则、现代用法和正确的解剖细节，提出标准化的命名法。方法：在墨尔本大学对24例新鲜半面尸体进行解剖研究，其中男性13例，女性11例，平均年龄72岁，以明确该区域组织层和解剖平面的解剖结构。进行了全面的文献综述，以澄清该地区的命名法，并调查目前对解剖学本身的理解。结果：在所有解剖标本中，组织层、韧带结构和颞区两个独立软组织区室的解剖结构一致。提出了一种标准化的颞区命名系统。结论：使用一致的命名法来描述颞区结构有助于理解和讨论解剖学。两个独立的软组织区室存在于颞区，以韧带结构为界。两个隔室之间的组织层差异很大，这些层内的解剖标志为颞区手术的外科医生提供了有用的信息。(塑料。Reconstr。外科杂志。131:510,2013。)
Background: Understanding of the temporal region remains confused, largely because of the ambiguous nomenclature. Aspects of the anatomy also remain unclear and are variably reported in the literature. The aim of this study was twofold: (1) to clarify details of the anatomy, using fresh cadaver dissections; and (2) to propose a standardized nomenclature that is based on recognized principles of nomenclature, contemporary use, and correct anatomical detail.Methods: A cadaver dissection study on 24 fresh hemifaces (13 male, 11 female; mean age, 72 years) was undertaken at the University of Melbourne to clarify the anatomy of the tissue layers and dissection planes of the region. A comprehensive literature review was undertaken to clarify the nomenclature of the region and to investigate the current understanding of the anatomy itself.Results: The tissue layers, ligamentous structures, and anatomy of two separate soft-tissue compartments within the temporal region were consistently identified across all dissection specimens. A standardized nomenclature system for the temporal region has been proposed.Conclusions: The use of consistent nomenclature to describe the structures in the temporal region facilitates understanding and discussion of the anatomy. Two separate soft-tissue compartments exist in the temporal region, bounded by ligamentous structures. The tissue layers differ considerably between the two compartments, and anatomical landmarks within these layers provide useful information to the surgeon operating in the temporal region. (Plast. Reconstr. Surg. 131: 510, 2013.)