An anatomical investigation of the suboccipital- and inferior suboccipital triangles

• 영문명: An anatomical investigation of the suboccipital- and inferior suboccipital triangles
• 발행기관: 대한해부학회
• 저자명: Kirsten Shannon Regan Gerda Venter
• 간행물 정보: 『Anatomy and Cell Biology』Vol.56(3), 350~359쪽, 전체 10쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2023.09.30

영문 초록

The suboccipital triangle (ST) is a clinically relevant landmark in the posterior aspect of the neck and isused to locate and mobilize the horizontal segment of the third part of the vertebral artery before it enters the cranium. Unfortunately, this space is not always a viable option for vertebral artery exposition, and consequently a novel triangle, the inferior suboccipital triangle (IST) has been defined. This alternative triangle will allow surgeons to locate the artery more proximally, where its course is more predictable. The purpose of this study was to better define the anatomy of both triangles by measuring their borders and calculating their areas. Ethical clearance was obtained from the University of Pretoria (reference number: 222/2021) and both triangles were subsequently dissected out on both the left and right sides of 33 formalin-fixed human adult cadavers. The borders of each triangle were measured using a digital calliper and the areas were calculated using Herons Formula. The average area of the ST is 969.82±153.15 mm2, while the average area of the ISTis 307.48±41.31 mm 2 . No statistically significant differences in the findings were observed between the sides of the body,ancestry, or sex of the cadavers. Measurement and analysis of these triangles provided important anatomical information and speak to their clinical relevance as surgical landmarks with which to locate the vertebral artery. Of particular importance here is the IST, which allows for mobilisation of this artery more proximally, should the ST be occluded.

목차

Introduction

Materials and Methods

Results

Discussion

ORCID

Author Contributions

Conflicts of Interest

Funding

Acknowledgements

References

키워드

Cervical vertebrae Inferior suboccipital triangle Obliquus capitis inferior Suboccipital triangle Vertebral artery