顔の骨皮質アンカー:帯皮質の量的な地形図とヒストロジック・エビデンス
Fulya Temizsoy Korkmaz1, Betül Zehra Karip2, Fatma Ok1
1Department of Anatomy, Hamidiye Faculty of Medicine, University of Health Sciences.
The Journal of craniofacial surgery
|September 3, 2025
まとめ
帯皮筋 (ZCL) に関する定量的なデータは限られている. この研究は,ZCLの正確な測定を行い, 顔の真ん中の美容処置における神経の安全性を高めるための安定した里程碑として確立しました.
科学分野:
- アナトミー
- 手術 計画
- 顔の美学
背景:
- 帯皮筋 (ZCL) に関する定量的な3Dデータは少ない.
- この制限は,真面目美容の手続きの精密な神経を節約する計画を妨げます.
研究 の 目的:
- フランクフルト水平 (FH) 平面に対するZCLのセグメンタル垂直プロフィールを評価する.
- ZCLの周骨から皮膚への連続性を確認する.
- 手術のナビゲーションのための 信頼性の高い解剖学的参照を確立する.
主な方法:
- フォーマルリンで固定された15人の成人の頭 (30人の半面) の死体研究.
- FH平面に対するデジタルキャリパーを使用して,特定のセグメント (AB,BC,CD,EF) でZCLの高さを測定します.
- 組織の構成と連続性を確認するために,組織学的分析 (マッソン三色染色)
主要な成果:
- ZCLセグメントの平均FH垂直距離はAB (7. 5±1. 8mm),BC (14. 2±3.1mm),CD (10. 9±2.5mm),およびEF (19. 6±2. 6mm) であった.
- ZCLの高さは 表面と表面の比率と 重要な相関関係がないので 安定した基準です
- ZCLと上部マセテリック保持筋の間の13.3±3.8ミリメートルの間隔は,潜在的な神経安全な廊下を特定しました.
- ヒストロジーはZCLを 骨皮質帯状の 濃いコラーゲンだと確認した
結論:
- ZCLの重複可能なミリメートル基準が確立されました.
- これらの発見は,深層面面リフト,内視中面リフト,そしてフィラーの配置における神経血管の安全性を向上させることができます.
- ZCLは 精密な外科計画のための 信頼性の高い解剖学的なランドマークとして機能します
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