Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Preoperative Evaluation of the Facial Artery Using Facial Angio Computed Tomography

전산화단층촬영 혈관조영술을 이용한 얼굴동맥의 수술 전 평가

  • Kim, Joo-Hak (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Nak-Heon (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Lee, In-Ho (Department of Radiology, College of Medicine, Chungnam National University) ;
  • Seo, Young-Joon (Department of Dermatology, College of Medicine, Chungnam National University) ;
  • Yang, Ho-Jik (Clinical Anatomy Institute, Chungnam National University Hospital) ;
  • Song, Seung-Han (Clinical Anatomy Institute, Chungnam National University Hospital) ;
  • Oh, Sang-Ha (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University)
  • 김주학 (충남대학교 의과대학 성형외과학교실) ;
  • 강낙헌 (충남대학교 의과대학 성형외과학교실) ;
  • 이인호 (충남대학교 의과대학 영상의학과학교실) ;
  • 서영준 (충남대학교 의과대학 피부과학교실) ;
  • 양호직 (충남대학교병원 임상해부학연구회) ;
  • 송승한 (충남대학교병원 임상해부학연구회) ;
  • 오상하 (충남대학교 의과대학 성형외과학교실)
  • Received : 2011.03.30
  • Accepted : 2011.06.29
  • Published : 2011.11.10
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Abstract

Purpose: Previous studies of the facial artery have shown significant anatomical variability in this region. The vascular anatomy of the region is considered unreliable in predicting the ideal pedicle. Preoperative imaging has been suggested as a means of improving preoperative awareness, with Doppler ultrasound as useful tools. Multi-detector row angiographic computed tomography (angio CT) is a significant improvement, providing noninvasive operator-independent details of the vascular anatomy. This tool was used to perform an $in$ $vivo$ anatomical study of the facial artery, demonstrating the usefulness of facial angio CT in planning the facial reconstruction. Methods: Eleven consecutive patients underwent facial angio CT of the facial vasculature with the anatomical details of the facial artery assessed. Results: Facial angio CT could demonstrate the size and course of the facial vasculature, particularly the facial artery. Conclusion: The vascular anatomy of the facial artery is highly variable, and thus there is a role for preoperative imaging. Facial angio CT can demonstrate cases where there is an aberrant or non-preferred anatomy, or select the method of a facial reconstruction.

Keywords

References

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