我们是否低估了中脸外科手术中肌肉的变异性?
Ingrid C Landfald1, Łukasz Olewnik2
1Department of Clinical Anatomy, Mazovian Academy in Plock, 09-402 Płock, Poland.
Journal of clinical medicine
|October 29, 2025
概括
了解腹肌大和小 (ZMa/ZMi) 肌肉变体对于中脸美学至关重要. 一个标准化的动态成像协议提高了化品和重建程序的安全性和可预测性.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科 整形外科 整形外科
- 医疗成像医学成像
背景情况:
- 腹肌大和小 (ZMa/ZMi) 肌肉显著影响微笑动态和中脸轮.
- 在ZMa/ZMi的形态变异,如双腹或多腹腹和配件滑动,是常见的,可以复杂化审美和重建程序.
- 这些变体可能导致不对称,轮不规则,或不良结果,如干预后的"笑话笑容".
研究的目的:
- 将ZMa/ZMi变种的Landfald分类与标准化动态成像为基础的工作流进行整合,用于中间表面美学和重建程序.
- 为手术前评估和手术规划提供一个实用的协议.
- 提高中介干预的安全性,可预测性和患者满意度.
主要方法:
- 解剖学和成像学研究的叙事文学综合.
- 对ZMa/ZMi变种的Landfald分类的整合.
- 基于动态成像的标准化工作流程的建议,包括病史,动态检查,超声波 (US) /电肌图 (EMG) 映射和可选的MRI.
- 对各种中间干预措施的程序特定调整的审查.
主要成果:
- ZMa/ZMi变种,包括双腹或多腹形式,在高达35%的尸体标本中被报告.
- 解剖学,生物力学和成像证据的综合支持拟议的协议.
- 该协议强调根据患者特定的解剖学和功能对手术载体,注射平面和剂量进行个性化调整.
结论:
- 标准化ZMa/ZMi肌肉的术前动态映射对于改善中脸手术的结果至关重要.
- 采用"患者特定的模仿形象"可以提高安全性,可预测性,并保持真实的面部表情.
- 拟议的工作流旨在提高患者在各种中间表面美学和重建干预措施中的满意度.
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