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Clinical Anatomy of the Ligaments of the Face and Their Fundamental Distinguishing Features

Authors :
Artem Mirontsev
Olesya Andruschenko
Yuriy Vasil’ev
Elena Verbo
Liyana Kolesova
Ekaterina Blinova
Kirill Zhandarov
Mikhail Nelipa
Petr Panushkin
Ellina Velichko
Yulianna Enina
Zurab Bagatelia
Sergey Dydykin
Source :
Medicina, Vol 60, Iss 5, p 681 (2024)
Publication Year :
2024
Publisher :
MDPI AG, 2024.

Abstract

Our study aimed to clarify the anatomical features of the zygomatic, upper masseteric, lower masseteric and mandibular ligaments and their possible contribution to age-related gravitational ptosis. The study was carried out by the method of layered dissection of fresh cadavers. In several observations, the zygomatic ligament is represented by the fibers originating from the zygomaticus major muscle fibers. It is a true ligament with the fibers inserted directly into the skin. The upper and lower masseteric ligaments originate from the parotideomasseteric fascia and weave into the thickness of the SMAS. The mandibular ligament consists of two connective tissue laminae originating from the parotideomasseteric fascia at the lower edge of the mandible and from the inner surface of this fascia, along the anterior edge of the masseter muscle, skirting the facial vein sheath and the facial artery, traveling toward the platysma and the depressor anguli oris muscle, and merging with their fibers. The zygomatic ligament should be considered an osteo-musculocutaneous ligament, emphasizing the role of the associated zygomaticus major muscle in the mechanism of aging. The upper and lower masseteric and mandibular ligaments are false fascio-SMAS ligaments rather than osteo-cutaneous ones, playing the barrier role and fixing the superficial fascia and the platysma muscle.

Details

Language :
English
ISSN :
16489144 and 1010660X
Volume :
60
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Medicina
Publication Type :
Academic Journal
Accession number :
edsdoj.2ea27b8fe44562a7016062101b4791
Document Type :
article
Full Text :
https://doi.org/10.3390/medicina60050681