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Bryan Costin, Natta Sakolsatayadorn, Stephen McNutt, Tal Rubinstein, George Trichonas, Jennifer McBride, Julian Perry; Dimensional Variation of the Orbicularis Oculi Muscle in Non-preserved, Fresh Frozen Human Cadavers. Invest. Ophthalmol. Vis. Sci. 2013;54(15):3038.
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To investigate polymorphic variation in the dimensions of the orbicularis oculi muscle (OOM) through anatomic dissection of fresh-frozen human cadavers.
Skin incisions were created along a line 1 cm lateral and parallel to a line connecting the supraorbital notch (SON) and the infraorbital foramen (IOF) and from the lateral canthus to the superior border of the tragus. The OOM was isolated using a combination of sharp and blunt dissection until each of its distal borders were identified. A metric ruler measured the superior, inferior, and lateral dimensions of the OOM from the orbital rim. Data collection included age at time of death, gender, and race.
A total of 12 hemifaces from 6 fresh frozen human cadavers were dissected. All specimens were male. Cadavers were of Caucasian (5) and African (1) decent. Average age at time of death was 65.7 years (36 - 84 years). Mean lateral OOM dimension was 2.8 cm (1.7 - 3.3 cm) on the right and 3.1 cm (1.9 - 3.8 cm) on the left. Mean superior dimension was 1.9 cm (1.5 - 2.5 cm) on the right and 1.7 cm (1.1 - 2.2 cm) on the left. Mean inferior dimension was 1.6 cm (0.8 - 2.4 cm) on the right and 1.5 cm (1 - 2 cm) on the left. The average distance from the lateral orbital rim to the superior border of the tragus was 8.1 cm (7.7 - 8.4 cm) on the right and 8.2 cm (7.9 - 8.7 cm) on the left.
In unpreserved, fresh frozen cadavers, the OOM extends approximately 1.8 cm superiorly from the orbital rim 1 cm lateral to the SON, approximately 1.6 cm inferiorly from the orbital rim 1 cm lateral to the ION, and extends approximately 2.9 cm laterally from the orbital rim at the level of the lateral canthus. Increased knowledge of these dimensions has significant clinical and surgical implications, including more nuanced neurotoxin administration and surgical applications.
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