在面部复苏手术中使用马塞特里克动脉导航马塞特里克神经
Stefan Rössler1,2, Wolfgang Zemann3, Niels Hammer1,4,5
1Division of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Center, Medical University of Graz, Auenbruggerplatz 25, A-8036 Graz, Austria.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
按摩动脉 (Ma) 通常进入靠近按摩神经 (Mn) 的按摩器肌肉 (Mm). 了解他们的关系有助于面部复苏手术,但马.
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
- 头部和部解剖学 头部和部解剖学
背景情况:
- 按动脉 (Ma) 通过下突进入按肌 (Mm) 通过按神经 (Mn) 进入按肌.
- 关于Ma的肌肉内过程及其与Mn的关系的详细知识是有限的.
- 一致的解剖关系可以帮助面部复苏手术和Mn的超声波定位.
研究的目的:
- 为了研究大脑大动脉 (Ma) 的肌肉内路径.
- 为了澄清按摩器肌肉 (Mm) 内的按摩器动脉 (Ma) 和按摩器神经 (Mn) 之间的关系.
- 评估Ma对肌内导向和Mn间接局部化的潜在效用.
主要方法:
- 检查了来自30名被蒂尔包装的尸体 (年龄在54至99岁之间) 的60个头脑.
- 对肌肉内分支模式和大脑动脉 (Ma) 与大脑神经 (Mn) 的空间关系的分析.
- 马塞特动脉 (Ma) 在马塞特肌肉 (Mm) 内的终端路径的分类.
主要成果:
- 在按摩器肌肉 (Mm) 内发现了四种类型的按摩器动脉 (Ma) 终结:0型 (5%),1型上三分之一 (48.3%),2型中三分之一 (41.7%) 和3型下三分之一 (5%).
- 马始终进入Mm较低,在85%的案例中,稍后进入Mn.
- 马河的主干分别在31.7%和23.3%的案例中穿过Mn河的上和中间三分之一;较小的分支在45%的案例中穿过Mn河.
结论:
- 大动脉 (Ma),当存在时,可以作为肌肉内地标,通过下沟口通过大神经 (Mn) 的方向和间接定位.
- 由于Ma的射程有限,可以进入按摩器肌肉 (Mm) 的下三分之一,因此不适合偏距肌内导向以定位Mn.
- 这些发现为执行面部复苏手术的外科医生提供了宝贵的解剖洞察力,这些手术涉及大脑神经 (Mn).
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