颞肌血管神经束修复晚期面瘫的局部显微解剖研究

目的 通过分组进行颞肌的血管神经分束研究，以阐明颞肌动力修复晚期面瘫的显微解剖应用基础。方法 选用20具新鲜尸体的颞肌标本，随机分为4组，分别用氧化铅、墨汁或甲基丙烯酸树脂进行血管灌注，并进行神经显微解剖染色，其成像结果拍摄照片，在计算机中进行图像叠加，从而形成血管神经的分束构筑图。结果 颞肌具有可利用的、有独立神经血管支配的3个肌肉分区，互相之间有丰富的吻合支。结论 晚期面瘫眼、鼻和口部畸形的动力矫正可选用对应的颞肌神经血管束一期完成。

Anatomy study of blood vessel and nerve bunch of temporal muscle to repair the deformed of later facial paralysis

Objective To evaluate the clinical anatomy for repair the deformed of later facial paralysis in power by grouped human specimen of the blood vessel and nerve bunch of temporal muscle Methods Materials consisted of 20 fresh human temporalis muscle specimens Divided to four groups in random Vascular infusion was by either solution of lead oxide,methylmethacrylate or Zhonghua ink,and stained the microdissection of nerve All the images were made photograph,and overlaped by computer To form the bunches of vascular and nerve Results Temporal muscle have three bunches to utilize independently,and the blood vessel and nerve formed a dense interlacing network Conclusion To power correct deformed in eye,nose and mouth of later facial paralysis,we can accomplish once a time with the corresponding temporal muscle bunches of vascular and nerve