枕额肌是由两个生理和解剖上不同的肌肉组成,分别影响眉毛和发际线的位置

Hideo Kushima , Kiyoshi Matsuo , Shunshuke Yuzuriha , Takeshi Kitazawa , Tetsuji Moriizumi
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引用次数: 27

摘要

筋膜性上睑下垂手术矫正或眼睑成形术后,眉毛和发际线的位置发生变化,仿佛额腹独立于枕额肌的枕腹。因此,我们在生理上用肌电图评价健康人的枕额肌,在解剖上用尸体解剖。随着提提肌的收缩以保持足够的视野,在注视位置较低时,只会引起额腹的收缩,而在注视位置较高时,总是会引起额腹和枕腹的收缩,用上睑皮肤提起眉毛。覆盖在枕腹上的浅筋膜变成了颞顶筋膜,并在额腹的上端结束,从而形成了一个浅表肌肉筋膜系统,它提起眉毛并向前拉动头皮。在浅肌筋膜系统下面,枕额肌的枕腹成为盔状肌筋膜,并插入额腹的下方,从而形成深肌筋膜系统,将浅肌筋膜系统与头皮一起向后拉。因此,枕额肌似乎是由两个生理上和解剖上不同的肌肉组成的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The occipitofrontalis muscle is composed of two physiologically and anatomically different muscles separately affecting the positions of the eyebrow and hairline

After the surgical correction of aponeurotic blepharoptosis or blepharoplasty, the positions of the eyebrow and hairline change as if the frontal belly is independent from the occipital belly of the occipitofrontalis muscle. Therefore, the occipitofrontalis muscle was studied physiologically with electromyographic evaluation in healthy subjects and anatomically with cadaver dissections. Along with contraction of the levator muscle to maintain an adequate visual field, at a less upward gaze position, contraction of only the frontal belly was induced, and at a more upward gaze position, contraction of both the frontal and the occipital bellies was always induced to lift the eyebrow with the upper eyelid skin. The superficial fascia overlying the occipital belly becomes the temporoparietal fascia and ends at the superior end of the frontal belly, thus creating a superficial musculoaponeurotic system that lifts the eyebrow and pulls the scalp forwards. Beneath the superficial musculoaponeurotic system, the occipital belly of the occipitofrontalis muscle becomes the galea aponeurotica and inserts into the underside of the frontal belly, thus creating a deep musculoaponeurotic system that pulls the superficial musculoaponeurotic system with the scalp backwards. Thus, the occipitofrontalis muscle appears to be composed of two physiologically and anatomically different muscles.

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