局解手术学杂志2025，Vol.34Issue(5)：386-390,5.DOI:10.11659/jjssx.04E024137
面神经颊支与腮腺导管及面动脉位置关系的应用解剖学研究
Applied anatomical study on the positional relationships among buccal branch of facial nerve,parotid duct and facial artery
摘要
Abstract
Objective By observing and measuring the relevant data of the buccal branch of the facial nerve,the parotid duct and the facial artery,the positional relationship among the three was analyzed to avoid accidental injury to the buccal branch of the facial nerve and the parotid duct when ligaturing the facial artery during the operation.Methods Forty adult head and neck specimens were dissected to observe the relationship between the buccal branch of the facial nerve and the parotid duct,the course and positional relationship of the facial artery,and the relationship between the buccal branch of the facial nerve and the peripheral vascular network.The relevant diameters were measured with a vernier caliper.Results The buccal branch of the facial nerve was divided into the superior buccal branch and the inferior buccal branch,and there was no direct anastomosis or connecting fiber between the buccal branch of the facial nerve and the parotid duct.The superior buccal branch was relatively thick,and it has a relatively constant position,which was parallel to the parotid duct.The position of the inferior buccal branch was not constant and it ran on or slightly above the plane of angulus oris.The superior buccal branch was located(10.76±5.54)mm from the parotid duct,while the inferior buccal branch was positioned(6.84±4.06)mm away from the parotid duct.The course of the main trunk of the facial artery was relatively fixed.Moreover,if the branch of the facial artery was missing,other branches of the facial artery would extend to replace the missing branch artery.The main trunk of the facial artery had a diameter of(2.34±0.83)mm,and its branches formed anastomoses with the buccal branch of the maxillary artery,creating a vascular network in the parotid and buccal regions.There was a vascular network around the buccal branch of the facial nerve,which was mostly small branches of the facial artery and the superficial temporal artery.Conclusion The buccal branch of the facial nerve exhibits a consistent anatomic relationship with the parotid duct and the facial artery.During the ligation of the facial artery,the parotid duct can serve as a landmark to accurately locate the buccal branch of the facial nerve,thereby significantly reducing the risk of inadvertent injury to the buccal branch of the facial nerve and the parotid duct.关键词
面神经颊支/腮腺导管/面动脉/应用解剖Key words
buccal branch of facial nerve/parotid duct/facial artery/applied anatomy分类
医药卫生引用本文复制引用
张泊静,卢凤莹,李昕阳,王良先,顿爱社..面神经颊支与腮腺导管及面动脉位置关系的应用解剖学研究[J].局解手术学杂志,2025,34(5):386-390,5.基金项目
2023年泰安市科技创新发展项目(2023NS245 （）
20230930001) （）
山东第一医科大学2022年本科生研究计划(SRTP)暨大学生创新创业训练计划项目(2022104391688) （SRTP）
