黄渭清 李森恺 严义坪 100041 北京，中国医学科学院中国协和医科大学整形外科医院 中华整形烧伤外科杂志 1999 0 15 2


    关键词：颞肌；解剖学；麻痹性睑外翻 期刊 zhzxsswkzz 0 论 著 fur -->


    

【摘要】 目的 了解颞肌的神经支配，以提高手术治疗麻痹性睑外翻的成功率。方法 对12具新鲜尸体解剖，观察颞深神经发出的部位并进行数据测量及统计学处理。结果 测出数据表明，外眦至耳轮脚连线长(8.733±1.311)cm，颞深神经在(3.852±0.353)cm及(6.317±0.330)cm处与水平线呈60°角，放射状分布至颞肌边缘。结论 颞深神经二级分支在外眦至耳轮脚连线呈三等分放射状发出，与水平线各呈约60°角。行颞肌瓣移转治疗麻痹性睑外翻手术时，于外眦至耳轮脚连线的中央1/3区作切口最为安全。临床应用32例，30例术后动态效果良好，占93.8%。

    A study of innervation of musculus temporalis and its clinical application

HUANG Weiqing, LI Senkai, YAN Yiping.

    Plastic Surgery Hospital,Chinese Academy of Medical Science,Beijing 100041

【 Abstract 】Objective To study the innervation of the musculus temporalis and improve the successful rate of the operation for paralytic eyelid ectropion.MethodsAnatomic dissection was performed in 12 fresh cadavers.ResultsThe data show that the distance between the outer canthus and the crus helicis is 8.733±1.311cm.The deep temporal nerve spread radially to the edge of musculus temporalis at 3.852±0.353cm and 6.317±0.330cm at a 60-degree angle to the horizontal line.The rami of the deep temporal nerve rise at a 60-degree angle to the horizontal line in 3 parts from the outer canthus to the crus helicis.Conclusion In transferring the temporal muscle to treat paralytic ectropion,it is safe to make incisions at the middle one-third between the outer canthus and the crus helicis.The discovery has been used to treat 32 patients with eyelid ectropion of facial palsy,among whom 30(93.8%)got good results.

     【 Key words】 Musculus temporalis Anatomy Paralytic ectropion of the eyelid

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