An Anatomical Guide to the Terminal Facial Artery: Lumen Diameter and Associated Anatomy Relevant to Dermatologic Procedures
| Autor: | Loretta S. Davis, Anna Edmondson, Weston Wall, Silas M. Money |
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| Rok vydání: | 2021 |
| Předmět: |
Male
endocrine system Nasolabial Fold Injections Subcutaneous Facial artery Dermatology Cosmetic Techniques 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Cadaver medicine.artery Dermal Fillers medicine Humans Canthus Aged Dermatologic Procedures Aged 80 and over business.industry Oral commissure General Medicine Anatomy Arteries Middle Aged Nasolabial fold Lip Lumen Diameter medicine.anatomical_structure Terminal (electronics) 030220 oncology & carcinogenesis Surgery Female business |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 47(6) |
| ISSN: | 1524-4725 |
| Popis: | BACKGROUND Dermal filler injection in the vicinity of the terminal facial artery (FA) can lead to vascular compromise with devastating consequences, including tissue necrosis, blindness, and stroke. OBJECTIVE The purpose of this study was to examine lumen diameter and other anatomical features of the terminal FA relevant to dermal filler injection. MATERIALS AND METHODS Eighteen embalmed adult cadavers were dissected along the distribution of the terminal FA. Gross and microscopic measurements were taken at predetermined points in its course. RESULTS Mean lumen diameter was largest at the midpoint between the oral commissure and the lateral supra-alar crease (0.81 ± 0.36 mm; point P1) and smallest at the midpoint between the lateral supra-alar crease and the medial canthus (0.43 ± 0.23 mm; point P3). Mean cutaneous depth was deepest at the lateral supra-alar crease (5.06 ± 1.84 mm; point P2) and most superficial at the midpoint between the lateral supra-alar crease and the medial canthus (3.13 ± 2.07 mm; point P3). CONCLUSION The large-caliber lumen diameter of the terminal FA creates the potential for intra-arterial injection with commonly used filler needles and blunt-tipped cannulas at all points in its course in the nasolabial fold and midface. |
| Databáze: | OpenAIRE |
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