An Anatomical Dissection Method for Observation of Fibrous Facial Structures
An Anatomical Dissection Method for Observation of Fibrous Facial Structures
复制标题
观察面部纤维结构的解剖学方法
DOI：
10.1097/prs.0000000000009975
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Watanabe Koichi
中科院分区：
文献类型：
--
作者：
Hashiguchi Shin-ichiro;Hayakawa Koji;Inoue Eiko;Han Aya;Iwanaga Joe;Tabira Yoko;Yamashita Akihiro;Rikimaru Hideaki;Kiyokawa Kensuke;Watanabe Koichi
背景：近年来，支持面部软组织的浅表肌肉腱膜系统和固位韧带等结构已被阐明。然而，通过标准大体解剖程序（即从浅层到深层的解剖）很难完整地观察这些结构。此外，这些结构的准确描述是罕见的解剖和整形外科教科书。本研究的目的是从大体解剖学的角度阐明面部纤维结构。将组织固定在明胶中，并切成5 - 10 mm厚的切片。将每个切片放在木板上;然后用针固定骨，用缝线将皮肤向外拉，使软组织过度伸展。随后，在手术显微镜下撕裂疏松结缔组织并去除脂肪组织。结果：切片厚度允许三维观察，可以清楚地观察到位于切片深层的结构。软组织的扩张有利于观察面神经层和纤维结构，以及神经和血管的位置。因此，面部层次结构是很容易辨别。结论：这种方法可能是非常有用的整形外科领域，因为它使直观的识别面部层次和他们的特点。
Background:In recent years, structures including the superficial musculoaponeurotic system and retaining ligaments that support the facial soft tissue have been clarified. However, these structures are very difficult to observe in their entirety by the standard gross anatomical procedure (ie, dissection from superficial to deep layers). Furthermore, accurate descriptions of these structures are rare in both anatomical and plastic surgery textbooks. The aim of this study was to clarify the facial fibrous structures in a gross anatomical view.Methods:The authors’ novel method used soft facial tissue and bone. The tissue was fixed in gelatin and sectioned at a thickness of 5 to 10 mm. Each section was placed on a wooden board; the bone was then pinned, and the skin was pulled outward with sutures to hyperextend the soft tissue. Subsequently, the loose connective tissue was torn and fat tissue was removed under a surgical microscope. After the removal of fat tissue, the fibrous facial structures (eg, the superficial musculoaponeurotic system and retaining ligaments) could be observed clearly.Results:The thickness of the sections allowed three-dimensional observation, such that a structure located deep within a section could be clearly observed. The expansion of soft tissue facilitated observation of the facial layer and fibrous structures, and the locations of nerves and vessels. Therefore, the facial layer structure was readily discerned.Conclusion:This method is likely to be very useful in the field of plastic surgery because it enabled intuitive identification of facial layers and their characteristics.
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影响因子：
3.6
作者：
OWSLEY, JQ
通讯作者：
OWSLEY, JQ
影响因子：
3.6
作者：
Mendelson, Bryan C.;Wong, Chin-Ho
通讯作者：
Wong, Chin-Ho
DOI：
10.1016/s0194-59980070015-5
发表时间：
2000
期刊：
Otolaryngology- Head and Neck Surgery
影响因子：
--
作者：
S. Hao
通讯作者：
S. Hao
DOI：
10.1016/j.bjps.2012.03.007
发表时间：
2012-09-01
影响因子：
2.7
作者：
O'Brien, Justin X.;Rozen, Warren M.;Ashton, Mark W.
通讯作者：
Ashton, Mark W.
影响因子：
3.6
作者：
Muzaffar, AR;Mendelson, BC;Adams, WP
通讯作者：
Adams, WP