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《Journal of Jilin University(Medicine Edition)》 2007-01
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Anatomic feature and clinical application of temporal region

ZHANG Han,LUO Yi-nan,ZHANG You-jun,WU Wei,LI Yun-qian,HAN Yan-qing(Department of Neurosurgery,First Hospital,Jilin University,Changchun 134001,China)  
Objective To provide a detailed anatomic data of temporal region and evaluate the clinical application of intermedial temporal space in re-time bone graft operation.Methods Stepwise dissection was performed in the temporal region in 15 pre-fixed adult cadavers(30 sides) with the aid of surgical microscope,and the anatomic layers,the distribution of nerves and blood vessels in temporal region were observed.Results ① Temporal region was rich in fascia layers,fatty tissue layers,and contained 3 latent anatomic spaces;② The distance between point A,B and dorsal root of ygomatic arch was 0.3-0.85 cm[(0.5±0.1)cm],2.2-3.5 cm [(2.6±0.3)cm],respectively.③ All of the temporal branches of facial nerve were located in front of line CD,75.0% in subcutaneous tissue,21.4% in superficial temporal space,3.6% in intermedial temporal space.Conclusion ① The intermediate fat layer is an important landmark of intermediate temporal space;② The skin flap before dorsal root of ygomatic arch 1 cm is safety to temporal artery;③ The temporal space after the line CD is a safety operation area for the protection of temporal branch of facial nerve.
【Fund】: 吉林省科技厅基金资助课题(20050407)
【CateGory Index】: R322.8
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