The Facial Vein on Computed Tomographic Angiography: Implications for Plastic Surgery and Filler Injection

眼角 医学 解剖 面动脉 静脉 前额 尸体 眼睑 外科
作者
Dawei Wang,Shixuan Xiong,Ning Zeng,Yiping Wu
出处
期刊:Aesthetic Surgery Journal [Oxford University Press]
卷期号:42 (5): NP319-NP326 被引量:5
标识
DOI:10.1093/asj/sjab391
摘要

Knowledge of the anatomy of the facial vein is essential for plastic surgery and filler injection.The authors sought to investigate the variation and 3-dimensional (3D) course of the facial vein utilizing computed tomographic angiography.The computed tomographic angiography images of 300 facial veins from 150 Asian patients were included in this study. The distance between each anatomical landmark and the facial vein was measured to position the course. The depth of the facial vein beneath the skin and the height of the facial vein above the periosteum were measured at 5 anatomical planes.The facial vein showed a relatively constant course with a frequency of 7.0% variation. The vertical distance between the medial canthus, midpoint of inferior orbital rim, or external canthus and the facial vein was 10.28 ± 2.17 mm, 6.86 ± 2.02 mm, or 48.82 ± 7.26 mm, respectively. The horizontal distance between medial canthus, nasal alar, or oral commissure and the facial vein was 6.04 ± 1.44 mm, 22.34 ± 3.79 mm, or 32.21 ± 4.84 mm, respectively. The distance between the mandibular angle or oral commissure and the facial vein at the inferior of mandible was 24.99 ± 6.23 mm or 53.04 ± 6.56 mm. The depth of the facial vein beneath the skin and the height of the facial vein above the periosteum varied from the plane of the medial canthus to the plane of the mandible.This study revealed the 3D course of the facial vein with reference to anatomical landmarks. Detailed findings of the facial vein will provide a valuable reference for plastic surgery and filler injection.
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