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面神经下颌缘支的走行层次及分段定位
引用本文:姜吉良,吴斌,刘冬强,曹妍群.面神经下颌缘支的走行层次及分段定位[J].中国局解手术学杂志,2009,18(2).
作者姓名:姜吉良  吴斌  刘冬强  曹妍群
作者单位:邵阳医学高等专科学校解剖学教研室,湖南 邵阳,422000  
摘    要:目的 了解面神经下颌缘支的走行层次及分段定位,为防止面侧区颌面部下部手术中造成面神经下颌缘支损伤提供解剖学依据.方法 参照设定的坐标系,观测28具成人尸体(即56侧)面神经下颌缘支的走行层次和位置.结果 面神经下颌缘支主要穿行于腮腺和咬肌筋膜内,全长可分为降段、弓段和升段3段,与下颌后静脉及面动脉交叉处的坐标值分别是(-6.4±1.5)mm和(9.8 ±1.3)mm、(28.8±4.1)mm 和(11.6±1.6)mm.结论 采用分段定位的方法能更准确显示面神经下颌缘支的位置,以满足颌面部外科手术的需要.

关 键 词:面神经下颌缘支  坐标系  分段定位  颌面部手术

Applied anatomy of marginal mandibular branch of the facial nerve:distribution in different strata and positioning section by section
JIANG Ji-liang,WU Bin,LIU Dong-qiang,CAO Yan-qun.Applied anatomy of marginal mandibular branch of the facial nerve:distribution in different strata and positioning section by section[J].Journal of Regional Anatomy and Operative Surgery,2009,18(2).
Authors:JIANG Ji-liang  WU Bin  LIU Dong-qiang  CAO Yan-qun
Institution:Department of Human Anatomy;Shaoyang Medical College;Shaoyang Hunan 422000;China
Abstract:Objective To provide the anatomical basis for preventing the marginal mandibular branch of facial nerve being injured in lower maxillofacial region surgery.Methods The distribution in different strata and location of the marginal mandibular branch of facial nerve was observed and measured on 28 adults(56 sides) cadaver with reference to the stated frame of axes.Results The marginal mandibular branch of the facial nerve mainly travelled through the parotid and the masseteric fascia.The branch could be segmen...
Keywords:marginal mandibular branch of facial nerve  frame of axes  positioning section by section  maxillofacial surgery  
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