술 전 초음파 영상을 이용한 안면동맥의 주행 확인 및 이를 이용한 악하선 절제술 시의 안면동맥의 보존

최형준; 류성훈; 이형민; 박지훈; 김진환; 이동진

추천

검색

자료유형: 학술저널

저자정보: 최형준 류성훈 이형민 박지훈 김진환 이동진

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제8호

발행연도: 2015.1

수록면: 558 - 562 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives The traditional surgical method for submandibular gland resection includes ligation of facial artery. In this study, we used ultrasound preoperatively and tried to preserve the facial artery if facial artery passed on an extra-glandular course with a glandular branch. Subjects and Method Patients undergoing submandibular gland resection either because of submandibular gland tumor or submandibular gland stone were prospectively included. Preoperative sonographic assessment was done to evaluate the intra-glandular or extra-glandular course of facial artery. For the cases with extra-glandular course with a glandular branch of facial artery, we tried to preserve facial artery by ligation of the glandular branch. Results A total of 34 cases were included in this study. Among them, 6 cases (17%) hadfacial artery passing on an extraglandular course with glandular branching. For these 6 cases, we easily could find the facial artery and glandular branch in the operative field and were able to preserve the facial artery. For the remaining 28 cases, however, the facial artery penetrated through the submandibular gland, thus we opted for the ligation of facial artery rather than preserving it to minimize bleeding or trauma during the surgery. There were no statistic difference between two groups with respect to clinical and surgical variables. Conclusion Extra-glandular course of facial artery was easily assessed by preoperative ultrasound. In those cases, we could preserve facial artery easily without bleeding or trauma to the submandibular gland by ligation of glandular branch. As facial artery is animportant vessel for reconstruction and facial rejuvenation, it is preferable to preserve this artery if the course of this artery makes it possible to preserve.

#Facial artery preservation #Glandular branch #Submandibular gland #Ultrasound

참고문헌 (15)

참고문헌 신청

Alagoz MS / 2004 / The vascular anatomy of the digastric muscle / J Craniofac Surg 15 (1) : 114 ~ 117

Ching AS / 2002 / High-resolution sonography of the submandibular space: anatomy and abnormalities / AJR Am J Roentgenol 179 (3) : 703 ~ 708

Eid N / 2011 / Anomalous branching pattern of external carotid artery: clinical relevance to cervicofacial surgery / Clin Anat 24 (8) : 953 ~ 955

Gervasio A / 2011 / Sonographic anatomy of the neck: the suprahyoid region / J Ultrasound 14 (3) : 130 ~ 135

Guerrissi JO / 2001 / Endoscopic excision of the submandibular gland by an intraoral approach / J Craniofac Surg 12 (3) : 299 ~ 303

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!