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Clinical anatomy considerations on the muscular and vascular components of the midface by ultrasonographic imaging

Authors
 Alonso Hormazabal-Peralta  ;  Kang-Woo Lee  ;  Hyung-Jin Lee  ;  You-Jin Choi  ;  Kyung-Seok Hu  ;  Hee-Jin Kim 
Citation
 CLINICAL ANATOMY, Vol.34(8) : 1142-1149, 2021-11 
Journal Title
CLINICAL ANATOMY
ISSN
 0897-3806 
Issue Date
2021-11
MeSH
Adult ; Anatomic Landmarks* ; Face / anatomy & histology ; Face / blood supply* ; Face / diagnostic imaging* ; Facial Muscles / anatomy & histology ; Facial Muscles / blood supply* ; Facial Muscles / diagnostic imaging* ; Female ; Humans ; Male ; Ultrasonography* ; Young Adult
Keywords
botulinum toxin ; facial artery ; fillers ; levator labii superioris alaeque nasi ; midface ; orbicularis oculi ; ultrasonography ; zygomaticus minor
Abstract
The first signs of face aging appear in the midface, so procedures such as botulinum toxin and filler injections are performed there. However, no guidelines based on clinical anatomy describing the muscular and vascular components in vivo have been published. The aim of this research was to describe the depths of the midface muscles and the locations of vessels using ultrasonographic (US) imaging. US was applied at 12 landmarks on the midface in 88 volunteers (49 males and 39 females; 19-36 years) to detect sex differences in the depths of muscles and the locations of the vessels. The depths of the orbicularis oculi (OOc), levator labii superioris alaeque nasi (LLSAN), and zygomaticus minor (Zmi) differed significantly with sex at P7 (p = 0.001) and P8 (p = 0.017), P1 (p = 0.028), and P4 (p = 0.035), respectively. The facial artery, facial vein, angular artery, angular vein, and perforator vessels were found at P9, P2 and P10, P1, P1 and P5, and P8, P11 and P12, respectively. The findings indicate that the depths of the OOc, LLSAN, and Zmi muscles differ between the sexes and that the vessels appear at specific landmarks. This information could help in developing anatomical guidelines for several procedures.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1002/ca.23754
DOI
10.1002/ca.23754
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Others (기타) > 1. Journal Papers
Yonsei Authors
Kim, Hee Jin(김희진) ORCID logo https://orcid.org/0000-0002-1139-6261
Choi, You Jin(최유진) ORCID logo https://orcid.org/0000-0003-3701-2200
Hu, Kyung Seok(허경석) ORCID logo https://orcid.org/0000-0002-9048-3805
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186756
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