摘要
目的:为应用胸锁乳突肌瓣转位修复晚期面瘫提供解剖依据。方法:利用新鲜尸体和活体头颈部共计26侧,解剖观测胸锁乳突肌的起止、长度、血供及其神经的分支类型和入肌部位。结果:胸锁乳突肌全长为17.0～19.0cm,枕动脉与副神经伴行支于乳突尖部下方4.0～5.0cm入肌肉上段;副神经分叉点至胸锁乳突肌胸骨端起点的长度为14.0～15.7cm,大于分叉点至口轮匝肌外上缘的距离11.0～14.3cm。结论:胸锁乳突肌瓣转位修复面瘫的长度足以满足治疗需要,并且不论肌外、肌内分叉均可以顺利转位,肌肉血供也没有影响。。
Objective: To provide anatomic basis for repair of the terminal facial paralysis with stemocleidomastoid muscular flap. Methods: Measured were the length of the stemocleidomastoid muscle at all 26 sides. Results:The length of sternocleidoinastoid muscle is from 17.0-19.0cm,the occipital artery and the branch of accessary nerve enter the upside of the muscle in the location of 4.0 - 5. 0cm under the apical of the mastoid; the distance from the nerval bifurcation to the sternal end of stemocleidomastoid is 14. 0 - 15. 7cm, greater than the distance of 11. 0 - 14. 3cm from the nerval bifurcation to the orbicular muscle of mouth. Conclusion: The length of stemocleidomastoid muscular flap is enough for repair of the paralysis. Intermuscular branch or extramuscular branch can all be scuessfully dislocated and the muscular blood supplement will not be influecnced.
出处
《中华解剖与临床杂志》
2001年第3期144-146,共3页
Chinese Journal of Anatomy and Clinics
关键词
胸锁乳突肌瓣
面瘫
解剖学
治疗
Sternocleidomastoid Muscle
Facial paralysis
Applied anatomy
