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A Case Series: Three-dimensional Computed Tomographic Study of the Superior Orbital Vessels: Superior Orbital Arcades and Their Relationships With the Supratrochlear Artery and Supraorbital Artery.

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机构: [1]The Second School of Clinical Medicine, Southern Medical University, 253 Industry Avenue, Guangzhou City, Guangdong Province, People’s Republic of China [2]Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, Guangdong Province, People’s Republic of China [3]Department of Radiology, Guang Dong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, Guangdong Province, People’s Republic of China [4]Department of Neurology, Integrated Hospital of Traditional Chinese Medicine, The Third School of Clinical Medicine, Southern Medical University, 13 Shiliugang Road, Guangzhou City, Guangdong Province, People’s Republic of China
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关键词: Three-dimensional Computed Tomography Superior orbital vessel Superior orbital arcade Sunken upper eyelid injection Filler injection Supratrochlear artery Supraorbital artery

摘要:
Vascular complication from periorbital intravascular filler injection are major safety concerns. To thoroughly describe the superior orbital vessels near the orbital rim and propose considerations for upper eyelids and forehead injections. Fifty-one cadaver heads were infused with lead oxide contrast media through the external carotid artery, internal carotid artery, and facial and superficial temporal arteries. Computed tomography (CT) images were obtained after contrast agent injection, and 3D CT scans were reconstructed using a validated algorithm. Eighty-six qualified hemifaces clearly revealed the origin, depth and anastomoses of the superior orbital vessels, which consistently deployed two distinctive layers: deep and superficial. Of all hemifaces, 59.3% had deep superior orbital vessels near the orbital rim, including 44.2% with deep superior orbital arcades and 15.1% with deep superior orbital arteries, which originated from the ophthalmic artery. Additionally, 97.7% of the hemifaces had superficial superior orbital arcades, for which four origins were identified: ophthalmic artery, superior medial palpebral artery, angular artery, and anastomosis between the angular and ophthalmic arteries. The arterial depth estimated from 3D CT needs to be confirmed by standard cadaver dissection. This study elucidated novel arterial systems and proposed considerations for upper eyelids and forehead injections. Copyright © 2020. Published by Elsevier Inc.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 皮肤病学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 皮肤病学
第一作者:
第一作者机构: [1]The Second School of Clinical Medicine, Southern Medical University, 253 Industry Avenue, Guangzhou City, Guangdong Province, People’s Republic of China [2]Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, Guangdong Province, People’s Republic of China
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通讯机构: [1]The Second School of Clinical Medicine, Southern Medical University, 253 Industry Avenue, Guangzhou City, Guangdong Province, People’s Republic of China [2]Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, Guangdong Province, People’s Republic of China [*1]Department of Plastic and Reconstructive Surgery Guangdong Second Provincial General Hospital 466 Middle Xin Gang Road, Guangzhou City Guangdong Province 510317, China
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