额外的面部神经相互连接和干部的可变性:一个系统的审查与元分析
George Triantafyllou1, Christos Tsiouris1, Ioannis Chrysanthou1
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Diagnostics (Basel, Switzerland)
|September 14, 2024
概括
面部神经 (FN) 在其超时段中显示出显著的解剖变异. 了解这种面部神经的变化对于手术安全至关重要,特别是在切除术期间.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术解剖学手术解剖学
- 形态变异性 形态变异性
背景情况:
- 面部神经 (FN) 的外部分,包括其干部 (FT) 和分支模式,表现出相当大的形态变异性.
- 这种变化具有临床意义,特别是在涉及头部和部的手术过程中.
研究的目的:
- 系统地审查和元分析外神经段的形态变异性.
- 提供面部神经外分裂模式的临床意义的全面概述.
主要方法:
- 根据基于证据的解剖学指南,对四个在线数据库进行了系统审查.
- 使用R编程软件对19项符合条件的研究 (2453个神经) 进行了元分析.
- 计算了面部神经变异,子组和累积分析的聚合流行率.
主要成果:
- 最常见的面部神经形态是面部干部 (FT) 分叉 (94.1%的患病率).
- 在23.1%的病例中,出现了面和面分支之间的单一相互连接 (IC).
- 两个IC是最罕见的模式,在8.9%的病例中观察到.
结论:
- 额外的面部神经解剖学显示了广泛的形态变异性,挑战了现有的分类系统.
- 虽然FT分支是常见的 (94.1%),但远程分支模式显示出显著的多样性 (互连的8.9-23.1%).
- 外科医生必须在手术过程中保持谨慎,比如胸膜切除术,因为面部神经受伤的潜在风险源于解剖变异.
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