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Submental perforating artery: A culprit of bleeding during facelift

Authors
 Kun Hwang  ;  Jin Yi Han  ;  Robert S. Chung  ;  In Hyuk Chung 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.16(1) : 3-5, 2005 
Journal Title
 JOURNAL OF CRANIOFACIAL SURGERY 
ISSN
 1049-2275 
Issue Date
2005
MeSH
Aged ; Arteries/anatomy & histology ; Blood Loss, Surgical/prevention & control ; Cadaver ; Chin/blood supply* ; Dissection ; Facial Muscles/blood supply* ; Female ; Humans ; Male ; Mandible/blood supply ; Middle Aged ; Rhytidoplasty/adverse effects ; Skin/blood supply
Keywords
Artery ; rhytidoplasty
Abstract
The aim of the study was to elucidate the precise anatomical detail of the submental perforating artery (SPA) and avoid bleeding during the facelift operation or submental procedures. Latex-injected heads of eight fresh Korean cadavers (6 male, 2 female) were used. After the facial artery was found, the dissection was continued anteriorly, following the submental artery (SMA). When the SMA ran anteriorly about 15.5 mm (15.5 ± 2.2 mm) from the facial artery and reached about halfway from the gonion to the menton, it gave off one or two perforating branches (SPA, mean number 1.6). The SPA ran upward and forward until it reached the skin. Diameter of the SPA at its beginning was 1.25 ± 0.36 mm. The point of emergence of the SPA from the SMA was about halfway (49% ± 14%) from the gonion to the menton, about 6 mm (6.1 ± 1.9 mm) inferior to the lower border of mandible. The high risk of injuring the vessels during the facelift can be explained by the close vicinity of the SPA to the mandibular inferior border.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-200501000-00002&LSLINK=80&D=ovft
DOI
OAK-2005-06076
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anatomy (해부학교실) > 1. Journal Papers
Yonsei Authors
Chung, In Hyuk(정인혁)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151401
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