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《Journal of Chengde Medical College》 2014-01
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APPLIED ANATOMIC STUDY ON MUSCLE BONE FLAP OF ORBITOZYGOMATIC APPROACH

ZHANG Long;FENG Ji;LIU Yin-feng;Chengde Medical College;  
Objective: To reduce the incidence of temporal branch of facial nerve injury,temporal muscle atrophy and temporal fossa collapse induced by traditional orbitozygomatic approach.Methods: The muscle bone flap of orbitozygomatic approach was simulated in 20 sides cadaver heads. The relationship between temporal branch of facial nerve and frontotemporal branch of superfi cial temporal artery was observed and the shortest distance between them was measured. The vertical distance from the center of MacCarty keyhole to spheno-frontal suture,and the distance between the vertical point and the end of spheno-frontal suture were measured. Results:In surgical site,all the temporal branch of facial nerve ran anteroinferior to the frontotemporal branch of superf icial temporal artery,and the shortest distance between them was(4.80±2.40)mm. The MacCarty keyhole was superior to the spheno-frontal suture,the vertical distance between the center of MacCarty keyhole and the spheno-frontal suture was(6.10±2.32)mm,the distance between the vertical point and the end of spheno-frontal suture was(22.42±4.12)mm.Conclusions:Frontotemporal branch of superf icial temporal artery can be acted as the sign of interfascial pterional approach; Integrity of blood vessels and nerves of the muscle bone f lap can lower the risk of temporal muscle atrophy and temporal fossa collapse.
【CateGory Index】: R322.8
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 TONG Xiao-guang, LIU Kui, WANG Hong, LI Qing-guo. Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China;Study on superficial temporal artery guided interfascial pterional approach for the protection of facial nerve branches[J];Chinese Journal of Contemporary Neurology and Neurosurgery;2008-02
【Co-citations】
Chinese Journal Full-text Database 3 Hits
1 MA Li,HE Chong-xin,WANG Liang,YANG Tao Department of Neurosurgery,Chizhou People's Hospital,Chizhou 247000,China;Diagnosis and microsurgical treatment of anterior circulation aneurysm[J];Acta Academiae Medicinae Wannan;2010-04
2 ~*ZHANG Hong-wei,LI Jing-rong, ZHI Da-shi.* Department of Neurosurgery,the Second Hospital,Tianjin Medical University,Tianjin 300211,China;Anatomic changes in operation through pterion to opticocarotid space[J];Chinese Journal of Contemporary Neurology and Neurosurgery;2010-05
3 LI Zhenwei,YAO Xin,YANG Yushan,CHEN Budong.Grade 2008,Graduated School,Tianjin Medical University,Tianjin 300070,China;Surgical treatment of carotid-ophthalmic aneurysm[J];Chinese Journal of Contemporary Neurology and Neurosurgery;2011-02
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 <author>o Naixiang, Zeng Fanyu, Qin Xiaoyun, et al(Department of Anatomy, Guilin Medical college Guilin,Guangxi 541004);<title> Applied Anatomy on Temporal Branches of the Facial Nerve[J];Anatomy and Clinics;2004-03
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