An anatomical study of the arteries of the anterior nasal septum

作者:Chiu T*; Dunn JS
来源:Otolaryngology - Head and Neck Surgery, 2006, 134(1): 33-36.
DOI:10.1016/j.otohns.2005.09.005

摘要

OBJECTIVE: The anterior nasal septum is a clinically important area, yet anatomical descriptions of its arterial pattern are hitherto incomplete. This study aimed to test the hypothesis that the arteries of the anterior nasal septum form a fine random network of vessels.
STUDY DESIGN: The arterial pattern of the nasal septum was traced by microdissection of 12 cadaveric septa (24 sides).
SETTING: Each septum was microdissected with a Watson-Barnet dissecting microscope. Specimens were photographed and the vascular patterns were analyzed.
RESULTS: The anterior septum has a consistent large arterial anastomotic triangle receiving major contributions from sphenopalatine, anterior ethmoidal, and superior labial arteries.
CONCLUSION: Systematic microdissections clearly demonstrate that the arteries of the anterior septum do not form a random network. Instead, they form a consistent arterial anastomotic triangle consisting of large, thin vessels. SIGNIFICANCE: The study provides background material useful to the understanding of nasal physiology and pathology including epistaxis.