Superficial Fascia (SF) in the Cheek and Parotid Area: Histology and Magnetic Resonance Image (MRI)
- Authors
- Hwang, Kun; Kim, Hun; Kim, Dae Joong; Kim, Yeo Ju; Kang, Young Hye
- Issue Date
- Aug-2016
- Publisher
- Springer Verlag
- Keywords
- Cheek; Histology; Magnetic resonance imaging; Subcutaneous tissue
- Citation
- Aesthetic Plastic Surgery, v.40, no.4, pp.566 - 577
- Indexed
- SCIE
SCOPUS
- Journal Title
- Aesthetic Plastic Surgery
- Volume
- 40
- Number
- 4
- Start Page
- 566
- End Page
- 577
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/154124
- DOI
- 10.1007/s00266-016-0639-4
- ISSN
- 0364-216X
- Abstract
- Background
The aim of this study is to compare the superficial fascia (SF) in the cheek and parotid areas histologically and through MRI.
Methods
An in vitro study included a histological report and an MRI of the cheek of two Korean adult cadavers. The in vivo study included 100 MRI images and three axial image cuts (mandibular condyle, notch, and half the distance between the top of the condyle and the angle). Four angles, one length, and four thicknesses were measured and compared.
Results
The MRI results were in concord with the gross specimen or histology. The SF consisted of multilayered horizontal and vertical fibrous connective tissues at all three levels in both the histology and MRI. In the cheek, both histology and MRI showed horizontal fibrous connective tissues which were connected with the zygomaticus major, visualized as a continuous membrane (membranous layer, MSF). MSF divided the SF into the superficial fatty layer (SFS) and the deep fatty layer. The thickness of the SF depended upon the thickness of the SFS since the thickness of the MSF was very similar irrespective of the three levels. The thickness of the SFS was thicker in females than in males. At the condyle level, the AS–PS angle (AP line—the most posterior superficial fascia angle) and AS–PS length increased significantly (p = 0.001, y = 0.15x + 16.19, and p < 0.001, y = 0.33x + 14.68, respectively).
Conclusion
We hope the information we have gathered could be useful to provide subcutaneous dissection or sub-SMAS dissection in facelift surgeries.
- Files in This Item
-
Go to Link
- Appears in
Collections - 서울 의과대학 > 서울 영상의학교실 > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.