On the a. malaris of the goat (Capra hircus)

Detailed observations were made of the a. malaris in 25 adult goats by means of the acryl plastic injection method and the findings obtained were evaluated in comparison with those for other mammals. The malar artery arose from the superior wall of the infraorbital artery, lateral to the infraorbital nerve and superomedial to the maxillary tuber, independently or rarely in common with the superior alveolar artery. It first passed anterolaterally in the sulcus malaris on the superior surface of the lacrimal bulla and gave rise to the third palpebral branch independently or rarely in common with the inferior oblique muscular branch beneath the obliquus inferior muscle, and also the main and accessory inferior oblique and the maxillary sinus branches. The third palpebral branch gave off the periosteal, the conjunctive, the supero- and inferolateral branches. After the malar artery gave off the zygomatic branch on the orbital surface of the zygomatic bone, it passed anterosuperiorly up to the incisura malaris at the medial end of the infraorbital margin of the lacrimal bone and gave off the medial superior and inferior palpebral arteries or a common trunk between them. It continued to pass forwards as the nasal radical branch after giving off the infraorbital marginal branch and anastomosed with the nasal dorsal branch of the superficial temporal artery. The medial inferior palpebral artery formed the inferior palpebral arterial arch by anastomosing with the lateral inferior palpebral artery of the superficial temporal at the lateral canthus. The inferior palpebral marginal, the ocular orbicular muscular and the conjunctive branches diverged from the above arterial arch. The medial superior palpebral artery gave off the lacrimal canalicular and the nasolacrimal canal branches and anastomosed with the lateral superior palpebral artery or the frontal branch of the superficial temporal at the medial canthus. The characteristic features of the malar artery in the goat were thus the third palpebral branch occasionally diverging from the external ophthalmic artery of the maxillary artery, a main and several accessory inferior oblique muscular, the maxillary sinus branches and the zygomatic branches.     

Topographic distribution area of the infraorbital nerve

The infraorbital nerve (ION) supplies the skin and mucous membranes of the middle portion of the face. This nerve is vulnerable to injury during surgical procedures of mid-face. Severe pain and loss of sense are noted in patients whose infraorbital nerve is either entirely or partially lost after these surgeries. We investigated the distribution area and topography of the ION, about which little is currently known, by dissecting 43 hemifaces of Korean cadavers. The ION produced four main branches, the inferior palpebral, internal nasal, external nasal, and superior labial branches. The inferior palpebral branch was generally bifurcated, giving off a medial and a lateral branch (58.1%). The internal nasal branch ran superior to the depressor septi muscle, along the ala of the nose. It supplied the skin of the philtrum and gave off a terminal branch that supplied the nasal septum and the vestibule of the nose. The external nasal branch was distributed diversely supplying areas between the root and the ala of the nose. The superior labial branch was the largest branch of the ION produced the most subbranches. These subbranches were divided into the medial and lateral branches depending upon the area that they supplied.     

The anatomy of the lacrimal portion of the orbicularis oculi muscle (tensor tarsi or Horner's muscle)

Horner's muscle (the palpebral part of the orbicularis oculi muscle) has a fan-shaped origin in the lacrimal bone. Its muscle fibers are oriented from 160 to 210 degrees relative to the ear-eye plane and converge towards the medial palpebral commissure. Then the muscle divides into superior and inferior bundles of fibers. Some of the lower fibers participate in the formation of the superior bundle and some of the higher fibers participate in the formation of the inferior bundle and, thus, some of Horner's muscle is twisted. Each bundle courses laterally to the lateral palpebral commissure and has three insertions. The first insertion is located at the medial margin of the tarsi. The second insertion is into the subcutaneous tissue along the palpebral margins. Minute fascicles of Horner's muscle are fastened to the palpebral margins. The third insertions are into the lateral palpebral ligament and subcutaneous connective tissue of the lateral commissure. Serial histological sections of a fetus at 14 to 16 weeks gestation revealed that the extent of the envelope formed by Horner's muscle around the lacrimal canaliculus decreases gradually from the lacrimal papilla to the lacrimal sac. The various observations suggest the following roles for Horner's muscle: (1) it closes the medial canthus of the eye and closes the lacrimal punctum; (2) it pulls the tarsus medially; (3) it tautens the palpebral margins and presses against the eyeball; and (4) it squeezes the lacrimal canaliculus with a decreasing gradient of pressure from the lacrimal papilla to the lacrimal sac. These actions are likely to be important for the flow of lacrimal fluid in the lateral to medial direction on the eyeball, for maintenance of the thickness of tear film over the cornea, for opening and closing of the lacrimal punctum, and for passage of the lacrimal fluid from the canaliculus to the sac. Horner's muscle appears, thus, to be a muscle of prime importance in all phases of the flow of lacrimal fluid.     

The facial artery of the common marmoset (Callithrix jacchus)

The facial artery and its ramifications in 7 adult common marmosets (Callithrix jacchus) were studied by the plastic injection method. The findings obtained are discussed in comparison with those for other primates. In the submandibular region, the facial artery arose from the external carotid artery at the height of the atlas via the linguofacial trunk on 10 of the total of 14 sides examined and independently on the other 4 sides. This common trunk always gave rise to the superior thyroid artery. The facial artery passed anterolaterally between the styloglossus muscle and the intermediate tendon of the digastricus muscle, giving off the styloglossal and the submandibular glandular branches, and anteroinferiorly medial to the pterygoideus medialis muscle. In a position anterior to this muscle, the submental artery and masseteric branch were derived. The submental artery gave off the medial pterygoid, the digastric, the cutaneous, the sublingual glandular and the mylohyoid branches, and then continued up to the median line, where it terminated to supply the genioglossus muscle. In the facial region, the facial artery passed anterosuperiorly along the anterior margin of the masseter muscle on 12 sides and away from it forwards on 2 sides, giving off the premasseteric branch in one of these 2 sides. It gave rise to the cutaneous, the buccal and the buccinator branches, the inferior labial artery and the communicating branch with the zygomatic artery. It terminated to divide into the superior labial and the naris lateral arteries, although the latter was lacking on 4 sides. The inferior labial artery gave off the mandibular marginal, the inferior labial marginal and the inferior labial glandular branches and terminated to anastomose with the mental artery. The superior labial artery divided into the superficial and deep branches, each of which continued as a nasal septal branch. The facial artery of the common marmoset usually ascended along the anterior margin of the masseter muscle and did not reach the medial angle of the eye.     

Clinical considerations of the glandular branch of the lacrimal artery

The lacrimal artery is classically described as a branch of the ophthalmic artery supplied by the internal carotid. In this study, 25 orbits were dissected to identify variations in glandular branching and to compare them to previously published accounts. The glandular branching patterns of the lacrimal artery fall into two categories, those that branch (56%) and those that do not branch (44%). We found the medial and lateral glandular branches to be equal in diameter with a divergence of 2.67–40.58 mm proximal to the gland parenchyma. The long glandular branches run alongside the superolateral aspect of the orbit. The lateral branch runs lateral to the lateral rectus muscle. The medial branch runs superomedial to the lateral rectus muscle and lateral to the superior rectus muscle. In relation to the lacrimal gland, the medial branch enters the superior aspect of the gland parenchyma and the lateral branch enters its inferior aspect. The average branch lengths were 17.88 mm (medial) and 13.51 mm (lateral) as measured with a Mitutoyo Absolute 1/100 mm caliper. We could not confirm the existence of a third branch supplying the lacrimal gland, as posited by other authors. The key finding in this study is that the lacrimal gland is predominantly supplied by two significant arterial branches, both of which must be identified during procedures involving the lateral orbit. Clin. Anat. 28:844–847, 2015. © 2015 Wiley Periodicals, Inc.     

The lacrimal fascia redefined.

It has been commonly accepted that the lacrimal fascia is an intact septum, composed of connective tissue, that separates the orbital cavity into a large compartment, which contains the eyeball, and a small compartment, which contains the lacrimal sac and nasolacrimal duct. the septum, however, is not necessarily always intact. We found a circular or oval opening in the lacrimal fascia in 37 of 52 specimens (71.2%) examined. The opening, which we shall refer to as the lacrimal fascial foramen, was located at variable levels in the lacrimal fossa. The lacrimal fascial foramen was buried in fatty tissue through which passed a branch of either the inferior palpebral artery or the infraorbital artery and a vein of the nasolacrimal duct. The clinical implications of the lacrimal fascial foramen in obstruction of the nasolacrimal duct are discussed.     

A middle meningeal artery which arises from the internal carotid artery in which the first branchial artery participates.

A middle meningeal artery arising from the internal carotid artery was found in the right half of the head of an 85-year-old male cadaver during student dissection practice. It arose from the lateral aspect of the internal carotid artery in the carotid canal, arrived at the foramen lacerum after running forward. It then ran backward under the trigeminal ganglion and took the usual course after passing its posterior margin. On one hand, the maxillary artery did not issue the middle meningeal artery, gave off only a small twig supplying the lateral pterygoid muscle at the corresponding position. It was corroborated by the fact that the foramen spinosum was absent in this example. During usual development, the middle meningeal artery primarily springs from the supraorbital branch of the stapedial artery that arises from the dorsal part of the second branchial artery. Later, by the formation of the external carotid artery connecting with the common trunk of the infraorbital and mandibular branches (maxillomandibular division) of the stapedial artery and by the atrophy of the proximal part of it, the middle meningeal artery is finally supplied by the external carotid artery. But in this example, it is supposed that the middle meningeal artery arose from a more distal position of the internal carotid artery owing to the persistence of the anastomosis between the dorsal part of the first branchial artery and the supraorbital branch and the interruption of the connection between the supraorbital branch and maxillomandibular division of the stapedial artery.     

The cephalic arterial system in dogs, especially on the anastomoses between the intracranial and extracranial circulations

The cephalic arterial system with a special reference to the anastomoses between the extracranial and intracranial circulations was investigated by means of the corrosion casts of 30 dogs. We researched into the cephalic arterial system in dogs according to Bugge's theory. His theory is as follows: ontogenetically it is composed of 4 arterial systems (the internal and external carotids, vertebral and stapedial arteries), although these arteries trans-figure from the primitive basic pattern to the adult one with particular anastomoses between the branches in each of the species. The modification of this basic pattern occurs as a result of the obliteration or persistence of certain parts of the 4 original arterial systems when they are accompanied with various anastomoses. And he emphasizes that the mode of the appearance of each anastomosis is constant in each of the species. In this paper the obtained result is as follows. The stapedial artery that occurred in an early stage of embryonic period obliterates the proximal part except for the supraorbital, infraorbital and mandibular branches. Anastomosis X between the vertebral and external carotid arteries is formed in all the cases. Anastomosis Y between the internal carotid and ascending pharyngeal arteries is found at 20% on the right side and 30% on the left. Anastomosis a1 between the internal ophthalmic artery and each of the orbital arteries derived from the supraorbital branch is recognized at 93% on the right side and 97% on the left, and the other a1 between the internal ophthalmic artery and anastomosis a6 is formed in 7% on the right side and 3% on the left. Anastomosis a2 between the supraorbital and infraorbital branches is recognized in all the cases. Anastomosis a3 between the distal part of the external carotid artery and the proximal portion of the mandibular branch is found out in all. Anastomosis a4 between the distal portion of the internal carotid artery and the supraorbital branch or each of its distal branches in the orbita is recognized at 90% on both sides. Anastomosis a5 between the distal part of the internal carotid artery and the proximal part of the infraorbital branch or the middle meningeal artery is found at 97% on the right side and 87% on the left.(ABSTRACT TRUNCATED AT 400 WORDS)     

The arterial supply to the digits of the forelimb in the Bactrian camel (Camelus bactrianus)

The arterial supply of the digits of the forelimb of the Bactrian camel is described. The arteries supplying the digits were the palmar metacarpal and common palmar digital arteries III. The palmar metacarpal artery III was the continuation of the deep medial proximal metacarpal branch which was derived from the medial branch of the radial artery. It gave rise to a nutrient branch, medial branch, lateral branch and distal perforating palmar branch at the proximal end of the distal sixth of the cannon bone (fused third and fourth metacarpal bones). The common palmar digital artery III was the continuation of the median artery, which divided into medial and lateral branches. The medial branch of common palmar digital artery III which occasionally arose from the axial palmar proper digital artery III, after giving rise to the axial proximal proximal phalangeal branch, divided into the axial and abaxial palmar proper digital arteries III. The axial palmar proper digital artery III gave off the dorsoaxial distal proximal phalangeal, dorsoaxial proximal middle phalangeal, dorsoaxial distal middle phalangeal, palmoaxial middle phalangeal, palmoaxial distal phalangeal, dorsoaxial distal phalangeal branches, coronal artery and some digital tori branches. The abaxial palmar proper digital artery III gave rise to the abaxial proximal proximal phalangeal, dorsoabaxial distal proximal phalangeal, dorsoabaxial middle phalangeal, palmoabaxial middle phalangeal, palmoabaxial distal phalangeal, dorsoabaxial distal phalangeal branches, coronal artery and some digital tori branches. The lateral branch of the common palmar digital artery III in its origin, course, branching pattern and supply in the fourth digit was similar to the medial branch of common palmar digital artery III in the third digit.     

Origin and incidence of xiphoid branch of the internal thoracic artery

The study presents the incidence of a variant terminal branch of the internal thoracic artery (ITA). The ITA’s were cannulated in situ, injected with coloured latex and dissected together with its branches in 62 cadavers. Unlike the usual termination of the ITA bifurcating into the musculophrenic and superior epigastric arteries, this third branch arose from the medial border of the ITA at the level of the 6th costal cartilage. As it descends it inclines medially towards the angle between the xiphoid process and the 7th costal cartilage, giving off 2 or 3 fine branches to the lower sternum. It then passes deep to this angle and can be observed on the anterior surface of the xiphoid process, terminating in fine branches distributed to the inferior aspect of the xiphoid cartilage. It is proposed that this branch at the “trifurcation” of the ITA be termed the xiphoid branch. This branch was noted in 61.3%. An incidence of 30.7% was seen on the right and 21% on the left with bilateral presence in 9.7%. The xiphoid branch contributes to the supply to the lower sternal region and may be of special importance when the collateral supply to the region is compromised in the event of the internal thoracic or superior epigastric artery damage or when used as a conduit in coronary artery by-pass grafts.     

Localization of the supraorbital,infraorbital, and mental foramina using palpable,bony landmarks

The purpose of this study was to locate the infraorbital, supraorbital, and mental foramina by using palpable anatomical landmarks that are conducive to surgical use. Fourteen embalmed cadavers (27 sides) were dissected to expose the supraorbital, infraorbital, and mental foramina. Measurements were made from the lateral orbital rim at the zygomaticofrontal (ZF) suture to both the supraorbital and infraorbital foramina. The distance from the inferior orbital rim at the zygomaticomaxillary (ZM) suture to both foramina was also measured. The distance to the mental foramen was measured from the angle and the inferior border of the mandible. The supraorbital foramen was located 26.2 ± 2.8 mm medial and 13.5 ± 3.7 mm superior to the ZF suture. The infraorbital foramen was located 23.8 ± 3.1 mm medial and 30.9 ± 3.8 mm inferior to the ZF suture, on average. Vertical measurements made from the ZM suture to the supraorbital foramen averaged 34.4 ± 3.6 mm and from the ZM suture to the infraorbital foramina averaged 7.6 ± 2.2 mm. The mental foramen was 64.2 ± 6.4 mm medial to the angle of the mandible and 12.9 ± 1.6 mm superior to the inferior border of the mandible. This study provides data that may be useful in predicting the location of the supraorbital, infraorbital, and mental foramina using palpable landmarks. These data may be particularly helpful for surgery in patients with missing teeth or fractures of the maxillary bone. Clin. Anat., 2010. © 2009 Wiley‐Liss, Inc.     

Anatomic study of the distal supraorbital nerve

This investigation was designed to extend our present knowledge of the supraorbital n. (SO n.) distal to the supraorbital notch. It is based on 40 dissected hemi-faces and the position of the notch and the periosteal and frontalis cutaneous branches of the SO n. were studied. The notch was 33.05 mm from the midline on the right side and 30,70 mm on the left. The periosteal branch arises from the lateral frontalis cutaneous branch. Its ascends in an oblique direction laterally and ends in two terminal branches. The frontalis cutaneous branch, after a very short trunk, divides into two branches, medial and lateral. The medial or deep branch enters the corrugator supercilii m. between its fibers. Most frequently, it passes under the inferior fasciculus and superficial to the middle and superior ones. Leaving the corrugator m., it ascends medially into the frontalis m., supplying the median cutaneous frontalis region. The lateral or superficial branch crosses superficial to the corrugator supercilii m. to penetrate the frontalis m. in an ascending and lateral direction, supplying the lateral frontalis region. The two branches enter the frontalis m., displaying a zigzag pattern in order to adapt its length during expressive movements. They cross the frontalis region together with the SO a. and two veins supplying the nerve and the frontalis m. These anatomic data may explain some of the complications after surgery for ptosis and blepharospasm.     

Localization of important facial foramina encountered in maxillo-facial surgery

Knowledge of the location of foramina in the maxillo-facial region is necessary in clinical situations requiring regional nerve blocks and in open as well as endoscopic surgical procedures to avoid injury to corresponding nerves. In this study, measurements were taken on 79 adult dried human skulls to determine the position of the supraorbital, infraorbital, and mental foramina. Supraorbital foramina were found to be approximately 25 mm lateral to the midline, 30 mm medial to the temporal crest of the frontal bone, and 2-3 mm superior to the supraorbital rim. Additional exits for branches of the supraorbital nerve were present in 14% of skulls. The intersection of the zygomatico-maxillary suture with the inferior orbital rim was a readily palpable landmark for locating the infraorbital foramen. This foramen was approximately 7 mm inferior to the inferior orbital rim and 28.5-mm lateral to the midline. Mental foramina were on average, 25.8-mm lateral to the midline and about 13-mm superior to the inferior mandibular margin. Both the infraorbital and mental foramina were most often on a vertical line with the second premolar (Position 3). The distances of the foramina from the midline were similar on both sides demonstrating facial symmetry. In about 80% of skulls, the supraorbital, infraorbital, and mental foramina/notches were along the same vertical line. These measurements may be of value to clinicians in localizing and safeguarding these nerves and providing effective nerve blocks.     

The somatotopic organization of the cat trigeminal ganglion as determined by the horseradish peroxidase technique

The somatotopic organization of the cat trigeminal ganglion has been investigated in the present study by using the horseradish peroxidase (HRP) technique. In separate animals, the corneal, supraorbital, infraorbital, inferior alveolar, or mental branches of the trigeminal nerve have been transected and then soaked in concentrated solutions of HRP. Retrogradely labeled corneal and supraorbital neurons have been found, with extensive overlap between the two cell populations, in the anteromedial region of the trigeminal ganglion. Inferior alveolar and mental neurons have been found to possess similar distributions within the posterolateral part of the trigeminal ganglion. Infraorbital cells have been localized in a central position. The cell bodies of any given nerve are found in at least minimal numbers in all dorsoventral levels of the trigeminal ganglion. However, cell bodies of origin of the supraorbital nerve and the lateral branch of the infraorbital nerve, innervating more posterior or lateral areas of the head and face, are found in greater numbers dorsally. Conversely, cell bodies of origin of the medial branch of the infraorbital nerve, the inferior alveolar nerve, and the mental nerve, supplying more rostral or intraoral areas of the orofacial region, are present in greater numbers ventrally. In contrast, corneal neurons are distributed uniformly in the dorsoventral axis. The ophthalmic and maxillary regions of the trigeminal ganglion appear to be well segregated, whereas the maxillary and mandibular regions exhibit a somewhat greater degree of overlap. Cell bodies of corneal afferent neurons range from 20 to 50 μm in diameter, whereas those of supraorbital, infraorbital, inferior alveolar and mental neurons measure from 20 to 85 μm. It is concluded from the findings of the present work that much of the cat trigeminal ganglion is organized somatotopically in not only the mediolateral axis but also in the dorsoventral axis.     

The facial artery of the lion (Panthera leo)

An investigation was made of the facial artery in 3 heads of the lion (Panthera s. Felis leo) in the possession of the authors' department. The heads were injected with acryl plastic via the common carotid artery and were examined from the standpoint of the comparative anatomy. Five sides of these 3 heads were prepared to vascular corrosion casts and the remaining side to a dessection specimen preserved in formalin solution. The facial artery of the lion arose independently from the anteroinferior wall of the external carotid artery between the styloglossus and digastricus muscles and between the origins of the lingual and the posterior auricular arteries at a position where the external carotid curved laterally anterior to the tympanic bulla. The facial artery gave rise to the mandibular glandular branch posterosuperiorly immediately after its origin and passed forwards medial to the insertion of the masseter along the superior margin of the digastricus and bent anteroinferiorly giving off the sublingual glandular branch after the divergence of a thick, masseteric branch. The facial artery reached the posterior margin of the mylohyoideus muscle, where it gave rise to the submental artery anteroinferiorly from its inferior wall. The submental artery passed forwards along the inferior margin of the mandible, giving off the digastric and the mylohyoid branches, up to the intermandibular synchondrosis, where it anastomosed with the opposite fellow after giving off the genioglossal branch. The main stream of the facial artery, after giving off the submental artery, reached the face through the facial vascular notch of the mandible. The facial artery passed anterosuperiorly along the anterior margin of the masseter muscle, giving off the buccal, the cutaneous and the mandibular marginal branches, up to a position posterior to the oral angle, where it terminated to the inferior labial and the posterior superior labial arteries. Similarities between the lion and the cat were found in terms of both the origin and ramifications. However, the inferior labial artery was more developed than that of the cat, whereas the peripheral ramifications of the submental artery were underdeveloped and supplemented by the lingual artery.     

Unusual blood supply to the pancreas by a dorsal pancreatic artery

A variation of the blood supply to the pancreas was observed in an 89-year-old female, in which the celiac trunk gave off four arteries the hepatic, splenic, left gastric arteries and an additional dorsal pancreatic artery. One of the branches the dorsal pancreatic artery joined with the superior mesenteric artery to form a longitudinal anastomosis. The anterior and posterior pancreaticoduodenal arcades arose from branches of the superior pancreaticoduodenal and the dorsal pancreatic arteries. The inferior pancreaticoduodenal artery, a branch of the superior mesenteric artery, was missing. The majority of the pancreas was, therefore supplied by the dorsal pancreatic artery. The clinical implications of this finding are that the size, location and course of a dorsal pancreatic artery should be established given its central role in the blood supply to the pancreas observed in the present study.     

人小脑上动脉的应用解剖学研究

目的研究小脑上动脉毗邻关系及分支分布,为颅后窝小脑、脑干病变手术提供形态学依据。方法选13个人颅脑标本,在眉弓与枕外隆凸连线行水平锯开,暴露小脑上动脉并进行显微解剖观测。结果小脑上动脉在小脑幕内下与滑车神经伴行并与之交叉后行于其上方,行程中分支到小脑上面的多为3～4支,第一支分布于本侧半球上面的前外侧部、第二支分布于中间部、第三支分布于内侧部、第四支分布于蚓部。其分支分布到中脑和脑桥背面的多为2-3支,第一、二支分布于中脑背外侧面,第三支分布于中脑和脑桥连接处的背面。结论小脑上动脉在小脑幕内下行于滑车神经上方,在影像学上是确定滑车神经的理想标志,其每侧主要分支不仅供应本侧小脑半球上面,而且发分支供应中脑和脑桥的背外侧面。     

Morphometric measurements from various reference points in the orbit of male Caucasians

The aim of this study was to determine the morphometric variations from various reference points to decrease risks in orbital surgery. Sixty-two orbits obtained from 31 skulls of male adult Caucasians were measured with a millimetric compass. On the medial orbital wall, the midpoint of the anterior lacrimal crest was the reference point; from this point we measured distances of 23.9+/-3.3 mm, 35.6+/-2.3 mm, 41.7+/-3.1 mm and 6.9+/-1.5 mm respectively to the anterior ethmoidal foramen, posterior ethmoidal foramen, midpoint of the medial aspect of the optic canal and posterior lacrimal crest. On the same wall, distances from the plane of the anterior and posterior ethmoidal foramina to the ethmoido-maxillary suture and distance from the posterior ethmoidal foramen to the anterior ethmoidal foramen and midpoint of the medial margin of the optic canal were 14.9+/-2.3 mm, 9.8+/-2.9 mm and 6.8+/-2.2 mm respectively. On the inferior orbital wall, the main reference point was the infraorbital foramen, and from this point to the midpoints of the lateral margin of the fossa for the lacrimal gland, inferior orbital fissure, inferior orbital rim and inferior aspect of the optic canal was 23.8+/-7.2 mm, 31.9+/-3.9 mm, 6.7+/-1.9 mm and 50.3+/-3.2 mm respectively. On the superior orbital wall, the distances from the supraorbital foramen to the midpoints of the superior orbital fissure, fossa for the lacrimal gland and superior aspect of the optic canal were 45.7+/-3.6 mm, 26.0+/-2.5 mm and 45.3+/-3.2 mm respectively. Furthermore, on the same wall, the distance from the posterior ethmoidal foramen to the midpoint of the superior orbital fissure was 14.6+/-2.8 mm. Finally, on the lateral orbital wall the frontozygomatic suture was the reference point. From this point distances to the midpoints of the fossa for the lacrimal gland, superior orbital fissure, lateral aspect of the optic canal and inferior orbital fissure were 17.5+/-2.1 mm, 37.7+/-3.6 mm, 44.9+/-2.5 mm and 33.4+/-3.1 mm respectively.     

带血管蒂髌骨移位修复胫骨内侧髁上关节面缺损的解剖与临床

目的：探索用带血管蒂髌骨移位的方法，修复胫骨内侧髁上关节面缺损。方法：用经动脉乳胶灌注的下肢标本37侧，经解剖、厚切片和铸型等方法研究髌骨的血管；观测30块髌骨和胫骨内侧髁上关节面的形态和面积。结果：供应髌骨血液的动脉有多条，这些血管先在髌骨周围相互吻合成髌周动脉环，再由该环发支供应髌骨。于髌骨内下方参与形成髌周动脉环的膝降动脉关节支的髌下支或膝下内动脉干长、位置恒定。髌骨和胫骨内侧髁上关节面的形态和面积相似。结论：带血管蒂髌骨可以移位至腔骨内侧髁，利用髌骨的关节面修复胫骨内侧髁上关节面的缺损，以保留膝关节的功能。     

An anomalous case of the thoracic cardiac nerve in the Japanese monkey

A rare case of an anomalous right thoracic cardiac nerve that directly distributed to the left ventricle and left coronary artery was observed in a Japanese monkey. Its nerve arose from 4th and 5th thoracic ganglia on the right sympathetic trunk, descended obliquely along the thoracic vertebra toward the thoracic aorta at the level of the body of 7th thoracic vertebra. After reaching the aorta, it reflected upward and ascended along the medial-ventral surface of the aorta. Thereafter, it received a cardiac branch arising from the vagus nerve in the upper part of the thoracic aorta, and ran to the left-lateral aspect of the heart. Finally, it gave off main branches to the terminal part of the left coronary artery and the left ventricle, and small branches to the proximal part of the left coronary artery. In a human dissection, similar nerves (the thoracic splanchnic nerve or thoracic pulmonary nerve) originating at the thoracic ganglia and reaching to the lung, have also been observed. The superior, middle and inferior cervical cardiac nerves can easily reach the heart along the common carotid artery, the brachiocephalic artery and subclavian artery. But it is not easy for the thoracic cardiac nerve to reach the heart because of the topographical relationship of its thoracic origin and the peripheral distributions of the left side of the heart. Therefore, the thoracic cardiac nerve would have to run a complicated course.