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首页> 美国卫生研究院文献>Eplasty >The Danger Zone in the Anterior Neck: Anatomical Landmarks to Avoid Injury to Anterior Jugular Vein During Face-Lift and Neck-Lift
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The Danger Zone in the Anterior Neck: Anatomical Landmarks to Avoid Injury to Anterior Jugular Vein During Face-Lift and Neck-Lift

机译：前颈的危险区：避免在举脸和举颈过程中损伤颈前静脉的解剖学标志

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>Background: An estimated 125,711 face-lifts and 54,281 neck-lifts were performed in 2015. Regardless of the technique employed, facial and neck flap elevation carries with it anatomical risk of which any surgeon performing these procedures should be aware of. Statistics related to anterior jugular vein injury during these procedures have not been published. >Objective: To define a “danger zone” that will contain both of the anterior jugular veins on the basis of anatomical landmarks to aid surgeons with planning their surgical approach during rhytidectomy in the anterior neck region. >Methods: Ten fresh tissue heminecks were dissected. All specimens were dissected under loupe magnification in a 45° (face-lift) position in which a midline incision was used for exposure. Measurements from the anterior jugular vein to the hyoid, thyroid cartilage, and cricoid cartilage bilaterally were taken. The transverse distance between the anterior jugular veins at the level of the hyoid, thyroid cartilage, and cricoid cartilage was also measured. >Results: The anterior jugular veins remain in an anatomical danger zone while they travel in the anterior neck. Regardless of anatomical variation of the vessels between bodies, they generally reside in this danger zone from their inferior emergence behind the sternocleidomastoid muscle until they branch in the suprahyoid region. >Conclusions: Knowledge of the anatomy, course, and location of the anterior jugular veins through the anterior neck based on anatomical landmarks and distance ratios can facilitate a safer dissection during rhytidectomy procedures.
机译：>背景：2015年估计进行了125,711次面部提拉和54,281次颈部提拉。无论采用哪种技术，面部和颈部皮瓣抬高都具有解剖学风险，任何外科医生都应进行这些手术意识到。这些手术过程中与前颈静脉损伤有关的统计资料尚未公布。 >目的：根据解剖学标志，定义一个包含两个颈前静脉的“危险区”，以帮助外科医生在颈前路除皱术中计划其手术方法。 >方法：解剖十个新鲜的组织痔疮。将所有标本在放大镜放大下于45°（瘦脸）位置进行解剖，在该位置使用中线切口进行曝光。进行从颈前静脉到双侧舌骨，甲状腺软骨和环状软骨的测量。还测量了舌骨，甲状腺软骨和环软骨水平的颈前静脉之间的横向距离。 >结果：前颈静脉在前颈中行进时仍处于解剖危险区。不管身体之间血管的解剖学变化如何，它们通常从胸锁乳突肌后面的下出现到位于分支上突区的分支一直位于该危险区域。 >结论：基于解剖标志和距离比，了解通过前颈的颈前静脉的解剖结构，病程和位置，可以促进在除皱术过程中进行更安全的解剖。

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