J Reconstr Microsurg 2004; 20(4): 311-315
DOI: 10.1055/s-2004-824889
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

New Approach to Vascular Injection in Fresh Cadaver Dissection

Olivier Y. Heymans1 , Xavier P. Nélissen2 , Stéphane Peters2 , Vincent Lemaire2 , Alain Carlier2
  • 1Department of Plastic and Maxillfacial Surgery, University of Liège, Belgium
  • 2Institute of Human Anatomy, University of Liège, Belgium
Further Information

Publication History

Accepted: 19 December 2003

Publication Date:
19 April 2004 (online)

Vascular injection techniques for anatomic studies are often complementary. Use of colored gelatinous mixtures with methylene blue provides precious data about descriptive anatomy by the contrast that it produces in the tissues. The introduction of radiopaque medium, such as lead oxide, into the gelatinous mixture can be used as a complement by means of x-ray examination, in order to facilitate and to reduce the time of investigation. Addition of rhodamine B to the radiopaque mixture keeps the advantages of the contrast medium, but also permits further dissection to demonstrate some details shown by prior x-ray examination. This article compares these different injection techniques in the study of the nasal vascular network. Moreover, it depicts a new injection approach that allows the investigation of vascular territories depending on thin caliber arteries by selective reinjection, defining microangiosomes. Each above-cited technique was used in ten facial territories of fresh cadavers. The patterns of the vessels shown by these techniques were identical, with a constant visualization of infra-millimetric arteries. However, selective reinjection was the only method that permitted characterization of the proper vascular territory of the lateral nasal artery.

REFERENCES

  • 1 Heymans O, Peters S, VanZele D, Gielen J L, Fissette J. Le lambeau adipofascial antéro-interne de la jambe: une alternative au lambeau libre pour les couvertures du genou au talon.  Ann Chir Plast Esthet. 2001;  46 629-636
  • 2 Pessa J E, Garza P A, Love V M, Zadoo V P, Garza J R. The anatomy of the labiomandibular fold.  Plast Reconstr Surg. 1998;  101 482-486
  • 3 Zbrodowski A, Mariethoz E, Bednarkiewicz M, Gajisin S. The blood supply of the lumbrical muscles.  J Hand Surg Br. 1998;  23 384-388
  • 4 El Barrany W G, Marei A G, Vallee B. Anatomic basis of vascularised nerve grafts: the blood supply of peripheral nerves.  Surg Radiol Anat. 1999;  21 95-102
  • 5 Borrelli J, Lashgari C. Vascularity of the lateral calcaneal flap: a cadaveric study.  J Orthop Trauma. 1999;  13 73-77
  • 6 Crouzet C, Fournier H, Papon X, Hentari N, Cronier P, Mercier P. Anatomy of the arterial vascularisation of the lips.  Surg Radiol Anat. 1998;  20 273-278
  • 7 Vico P, Coessens B, Heymans O, Vandeweyer E. New mixture for simultaneous anatomical and radiological cadavers studies.  Eur J Plast Surg. 1994;  17 17-19
  • 8 Taylor G I, Palmer J H. The vascular territories (angiosomes) of the body: experimental study and clinical applications.  Br J Plast Surg. 1987;  40 113-141

SUGGESTED READINGS

  • 1 Strauch B, de Moura W. The arterial system of the fingers.  J Hand Surg Am. 1990;  15 148-154

Olivier HeymansM.D. Ph.D. 

Department of Plastic and Maxillofacial Surgery

CHU Sart Tilman

B-4000 Liège, Belgium