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鼻背鼻肌—降眉间肌腱膜的解剖和组织学观察及有关命名的商榷
引用本文:李文志,张书永,凌诒淳,庄强.鼻背鼻肌—降眉间肌腱膜的解剖和组织学观察及有关命名的商榷[J].中华烧伤杂志,1995(4).
作者姓名:李文志  张书永  凌诒淳  庄强
作者单位:中国医学科学院整形外科医院 100041北京(李文志,凌诒淳,庄强),北京医科大学解剖学教研室 100041(张书永)
摘    要:对26例成人尸体鼻标本进行了解剖学及组织学观察,发现在鼻背降眉间肌和鼻肌横部深面,存在两层排列性状不同的胶原纤维,在描述和命名上与以往国内文献报道有差异。我们认为,浅层致密胶原纤维,与鼻肌横部和降眉间肌呈包裹关系,为鼻肌—降眉间肌腱膜;深层疏松胶原纤维,分布有血管,为腱膜下疏松组织。提出鼻背软组织应分为皮肤、浅筋膜、肌肉及腱膜、腱膜下疏松组织四层。旨在为隆鼻术提供解剖依据。

关 键 词:鼻肌—降眉间肌腱膜  鼻背软组织  隆鼻术

Anatomical and histological observation on soft tissue of nasal dorsum and the nasalis-procerus aponeurosis
Li Wenzhi Zhang Shuyong Ling Yichun Plastic Surgery Hospital,Chinese Academy of Medical Science,Beijing.Anatomical and histological observation on soft tissue of nasal dorsum and the nasalis-procerus aponeurosis[J].Chinese Journal of Burns,1995(4).
Authors:Li Wenzhi Zhang Shuyong Ling Yichun Plastic Surgery Hospital  Chinese Academy of Medical Science  Beijing
Institution:Li Wenzhi Zhang Shuyong Ling Yichun Plastic Surgery Hospital,Chinese Academy of Medical Science,Beijing 100041
Abstract:26 nasal specimens of cadavers were studied with anatomical and histo- logical methods.Two layers of collagen fibre arranged in different pattern were found beneath the nasalis transversus and procerus.The superficial layer of compact collagen fibres directly attached to and wraped up nasalis transversus and procerus,and it was named the nasalis-procerus aponeurosis;the deep layer of relatively flexible collagen fi- bres was loose subaponeuratic tissue.The study showed that soft tissue of nasal dorsum could be divided into four layers:skin,superficial fascia,skeletal muscle and aponeuro- sis,and loose subaponeurotic tissue.This result provides scientific basis for proper de- sign of rhinoplasty.
Keywords:Nasalis-procerus aponeurosis  Soft tissue of nosal dosum  Rhinoplasty
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