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The Course of the Angular Artery in the Midface: Implications for Surgical and Minimally Invasive Procedures.

Abstract：

BACKGROUND:Previous anatomic studies have provided valuable information on the two-dimensional (2-D) course of the angular segment of the facial artery in the midface and its arterial connections. The third dimension (ie, the depth of the artery) is less well characterized. OBJECTIVE:The objective of the present study is to describe the three-dimensional (3-D) pathway of the angular segment of the facial artery and its relationship to the muscles of facial expression. METHODS:The bilateral location and the depth of the midfacial segment of the facial artery was measured using multi-planar computed tomographic (CT) image analyses obtained from contrast agent enhanced cranial CT scans of 156 Caucasians with a mean age of 45.19 ± 18.7 years and a mean body mass index (BMI) of 25.05 ± 4.9 kg/m2. RESULTS:At the nasal ala, the mean depth of the main arterial trunk was 13.7 ± 3.7 mm (range, 2.7-25.0 mm) whereas at the medial canthus it was 1.02 ± 0.62 mm (range, 1.0-3.0 mm). This was reflected by the arteries' relationship to the midfacial muscles: at the nasal ala superficial to LAO in 62.0% but deep to the LLSAN in 53.6%; at the medial canthus superficial to the LLSAN in 83.1% and superficial to the OOM in 82.7%. CONCLUSION:The results presented herein confirm the high variability in the course of the angular segment of the facial artery. Various arterial pathways have been identified providing evidence that, in the midface, there is no guaranteed safe location for minimally invasive procedures.

journal_name

Aesthet Surg J

journal_title

Aesthetic surgery journal

authors

Gombolevskiy V,Gelezhe P,Morozov S,Melnikov DV,Vorontsov A,Kulberg N,Frank K,Gotkin RH,Lachman N,Cotofana S

doi

10.1093/asj/sjaa176

subject

Has Abstract

pub_date

2020-06-27 00:00:00

eissn

1090-820X

issn

1527-330X

pii

5864152

pub_type

杂志文章

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