Anatomical Study of Temporal Fat Compartments and its Clinical Application for Temporal Fat Grafting.
Anatomical Study of Temporal Fat Compartments and its Clinical Application for Temporal Fat Grafting.
复制标题
颞脂肪室的解剖学研究及其在颞脂肪移植中的临床应用
DOI：
10.1093/asj/sjw257
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发表时间：
2017-09-01
影响因子：
2.9
通讯作者：
Li Q
中科院分区：
文献类型：
--
作者：
Huang RL;Xie Y;Wang W;Herrler T;Zhou J;Zhao P;Pu LLQ;Li Q
摘要背景自体脂肪移植术颞叶空心隆胸手术的两大限制因素是手术满意率低和并发症严重。尽管颞区脂肪室已被报道，但其在脂肪移植中的临床应用解剖尚未有研究客观和统计地显示其益处。目的研究尸体颞骨脂肪区及相关神经血管结构，探索一种安全有效的颞骨空隆术脂肪移植技术。方法对8具尸体（16个太阳穴）进行研究。分析了颞区组织层、脂肪区、韧带和神经血管结构。变量为前哨静脉、颞中静脉穿支血管的数量和位置。测量是用数字卡尺进行的。结果皮下脂肪层存在外侧颞颊脂肪室和外侧眶脂肪室两个独立的脂肪室，疏松乳晕组织层存在外侧颞颊脂肪室和外侧眶脂肪室两个独立的隔室。发现1根前哨静脉和1 ~ 6根穿支血管穿过皮下组织层，穿过颞中隔下区重叠的组织层，最终与颞中静脉汇合。结论颞区4个脂肪区是脂肪移植的理想收纳部位。发际线与颞部线交界处的内侧边界是颞部脂肪移植术安全有效的插管入口。下颞区前半部分是颞部脂肪移植的“谨慎区”。
Abstract Background Low satisfaction rates and severe complications are two major limitations for temporal hollowing augmentation using autologous fat grafting. Despite fat compartments in temporal region have been reported, its clinical applied anatomy for fat grafting have not been the subject of studies that show its benefits objectively and statistically. Objectives To investigate temporal fat compartments and relative neurovascular structures in cadavers, developing a safe and effective fat grafting technique for temporal hollowing augmentation. Methods The study was conducted on 8 cadavers (16 temples). The tissue layers, fat compartments, ligaments, and neurovascular structures in the temporal region were analysed. The variables were the number and location of sentinel veins, perforator vessels of the middle temporal vein. Measurements were taken with a digital calliper. Results Two separate fat compartments, the lateral temporal-cheek fat compartment and lateral orbital fat compartment, were found in the subcutaneous layer, and two separate septum compartments, the upper and lower temporal compartment, were found in the loose areolar tissue layer. One sentinel vein and 1 to 6 perforator vessels were found to travel through the subcutaneous tissue layer, traverse the overlapping tissue layers in the lower temporal septum region, and finally join in the middle temporal vein. Conclusions The four fat compartments in the temporal region are ideal receipt sites for fat grafting. The medial border of the junction of the hairline and temporal line is a safe and effective cannula entry site for temporal fat grafting. The anterior half of the lower temporal compartment is a “zone of caution” for temporal fat grafting.
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影响因子：
3.6
作者：
O'Brien, Justin X.;Ashton, Mark W.;Mendelson, Bryan C.
通讯作者：
Mendelson, Bryan C.
影响因子：
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影响因子：
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通讯作者：
Harii, Kiyonori
影响因子：
2.3
作者：
Coleman, Sydney R.
通讯作者：
Coleman, Sydney R.