Abstract
Background
The aim of this study was to elucidate the anatomical structures of supporting system of the infraorbital area.
Materials and methods
Forty-four hemifaces from eleven Korean and eleven Thai cadavers were used to dissect the infraorbital area. Based on the dissection and previous histologic results, they were analyzed.
Results
The orbicularis oculi muscle (OOc) had two portions (palpebral and orbital portion) and four subparts (pretarsal, preseptal, prezygomatic, and premaxillary part). The elliptical muscle fiber of OOc was supported by circumferential connective tissue including skin ligament, orbicularis retaining ligament, zygomatic ligament, and zygomatic cutaneous ligament. The vertical muscle fiber, the tear trough muscle fiber, and medial muscular band directly attached to the skin.
Conclusion
Full of subcutaneous tissue in the tear trough groove, strong attachment to the bone by tear trough ligament and to the skin by tear trough muscle fiber would multiply result in the tear trough on the face.
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Data availability
Data are available on request to corresponding author.
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Acknowledgements
This study was conducted in compliance with the principles set forth in the Declaration of Helsinki. Consent was received from the families of the deceased patients before beginning the dissections. The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind’s overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude.
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Lee, SH., Yi, KH., Bae, JH. et al. A novel description of the supporting system of the orbicularis oculi muscle in the infraorbital area: Tear trough muscle fiber. Surg Radiol Anat 46, 3–9 (2024). https://doi.org/10.1007/s00276-023-03265-x
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DOI: https://doi.org/10.1007/s00276-023-03265-x