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Tip Chapter: Anatomy of the Face, Neck, Hands and Genital Areas

  • Mirna Duarte BarrosEmail author
  • Antonio Cardoso Pinto
  • Bianca Maria Liquidato
  • Wagner Ricardo Montor
Chapter
  • 21 Downloads

Abstract

The face, neck, and hands have fundamental aesthetic importance. The face presents a thin-layer skin and its soft parts lie on a bone structure composed of the facial skeleton, the mandible, and part of the frontal bone. A group of subcutaneous muscles, the muscles of facial mimicry, move the skin promoting facial expression according to the emotions felt. The neck, like the face, is covered with thin skin and has a layer of subcutaneous cellular tissue of varying thickness between the dermis of the skin and the superficial lamina of the cervical fascia. The anatomical approach of neck structures is done regionally, with the aim of highlighting the main deep organs present and their projection on the surface of the neck. The hand has a dorsal surface, volar or palmar surface, and radial and ulnar borders. All individuals have roughly similar markings on any part of the body, but the details are unique. The pelvis presents the shape of a wedge, formed by the sacrum and coccyx pressed between the bones of the hips. Perineum is the space that protrudes in the region of the external genitals in the form of a rhombus between the pubic symphysis, ischiopubic branches, ischiatic tuberosities, and sacrotuberous ligaments and coccyx. The irrigation, venous and lymphatic drainage, innervation, and superficial anatomical aspects of these body regions are described, with emphasis on aspects of major relevance in aesthetic and dermatological procedures.

Keywords

Anatomy Face Neck Hand Pelvis Perineum 

Notes

Acknowledgment

We express our thanks to Livia Burchianti, MD, for the illustrations and to Carlos José Lazzarini Mendes, MD, for preparing the dissected specimens.

References

  1. 1.
    Drake LR, Vogl W, Mitchell AWM. Gray’s anatomy for students. London: Churchill Livinstone Inc; 2015.Google Scholar
  2. 2.
    Moore KL, Dalley FA, Agur AMR. Anatomia Orientada para a clínica. Rio de Janeiro: Guanabara Koogan; 2011.Google Scholar
  3. 3.
    Lockhart RD, Hamilton GF, Fyfe FW. Anatomia do corpo humano. São Paulo: Guanabara Koogan; 1983.Google Scholar
  4. 4.
    Som PM, Laitman JT. Embryology, variations, and innervations of the human neck muscles. Neurographics. 2017;7(3):215–42.CrossRefGoogle Scholar
  5. 5.
    Schünke M, Schulte E, Schumacher U. Prometheus, atlas de anatomia: anatomia geral e sistema locomotor. Rio de Janeiro: Guanabara Koogan; 2013.Google Scholar
  6. 6.
    Lumley JSP. Surface anatomy: the anatomical basis of clinical examination. New York: Churchill Livingstone; 1996.Google Scholar
  7. 7.
    Snell RS. Clinical anatomy for medical students. Philadelphia: Lippincott Raven Publishers, Inc; 1995.Google Scholar
  8. 8.
    Jones LA, Lederman SJ. Human hand function. New York: Oxford University Press; 2006.CrossRefGoogle Scholar
  9. 9.
    Kwiatkowska M, Jakutowicz T, Ciszek B, et al. Can palmar creases serve as landmarks for the deeper neurovascular structures? Surg Radiol Anat. 2014;36:495–501.  https://doi.org/10.1007/s00276-013-1211-4.CrossRefPubMedGoogle Scholar
  10. 10.
    de Berker D. Nail anatomy. Clin Dermatol. 2013;31:509–15.  https://doi.org/10.1016/j.clindermatol.2013.06.006.CrossRefPubMedGoogle Scholar
  11. 11.
    Bidic SM, Hatef DA, Rohrich RJ. Dorsal hand anatomy relevant to volumetric rejuvenation. Plast Reconstr Surg. 2010;126(1):163–8.  https://doi.org/10.1097/PRS.0b013e3181da86ee.CrossRefPubMedGoogle Scholar
  12. 12.
    Platzer W. Anatomia: Texto e Atlas – Sistema Locomotor. São Paulo: ArtMed; 2008.Google Scholar
  13. 13.
    Hoang D, Orgel MI, Kulber DA. Hand rejuvenation: a comprehensive review of fat grafting. J Hand Surg Am. 2016;41(5):639–44.CrossRefGoogle Scholar
  14. 14.
    Fazan VPS, Borges CT, da Silva JH, et al. Superficial palmar arch: an arterial diameter study. J Anat. 2004;204:307–11.CrossRefGoogle Scholar
  15. 15.
    Mácea JR. Diafragma pélvico. Femina. 1995;23(8):695–7.Google Scholar
  16. 16.
    Klutke CG, Siegel CL. Function female pelvic anatomy. Urol Clin N Am. 1995;22(3):487–49816.Google Scholar
  17. 17.
    Baskin LS, Erol A, Li YW, et al. Anatomical studies of the human clitoris. J Urol. 1999;162:1015–20.CrossRefGoogle Scholar
  18. 18.
    O’connel HE, Hutson JM, Anderson CR, et al. Anatomical relationship between urethra and clitoris. J Urol. 1998;159(6):1892–7.CrossRefGoogle Scholar
  19. 19.
    Steers WD. Physiology of the bladder. In: Wash PC, Retik AB, Stamey TA, Vaughan JR, editors. Campbell’s urology. Philadelphia: WB Saunders Company; 1992. p. 142–76.Google Scholar
  20. 20.
    Pinto AC, Macéa JR (2010) Anatomia Cirúrgica dos Tratos Urinários e Genital. In: Nardozza A Jr, Zerati Filho M, R B Dos Reis (eds) Urologia fundamental. RB Planmark. pp 17–27.Google Scholar
  21. 21.
    Bradely WE, Scott FB, Timm GW. Innervation of the detrusor muscle and urethra. Urol Clin N Am. 1974;1:3–8.Google Scholar
  22. 22.
    Berman JR, Berman LA, Lin H, et al. Female sexual dysfunction: new perspectives on anatomy, physiology, evaluation, and treatment. AUA Updat Ser. 2000;34:265–72.Google Scholar
  23. 23.
    O’connel HE, Sanjeevan KV, Hutson JM. Anatomy of the clitoris. J Urol. 2005;174:1189–95.  https://doi.org/10.1097/01.ju.0000173639.38898.cd.CrossRefGoogle Scholar
  24. 24.
    HIilliges M, Falconer C, Elman-Ordeberg G, et al. Innervation of the human vaginal mucosa as revealed by PGP 9,5 immunohistochemistry. Acta Anat. 1995;153:119–26.CrossRefGoogle Scholar
  25. 25.
    Walsh PC, Retik AB, Stamey TA, Vaughan ED Jr (eds) (2002) Campell’s urology. WB Saunders Company, Philadelphia.Google Scholar
  26. 26.
    Pinto AC, Barros MD, Liquidato BM. Anatomia do Trato Genital Masculino. In: Reis RB, Zequi SC, Zerati Filho M, editors. Urologia moderna. São Paulo: Livraria e Editora Marina; 2013. p. 59–65.Google Scholar
  27. 27.
    Sampaio FJB, Favorito LA, Rodrigues HC. Anatomia do trato genital no homem. In: Carvalhal GF, Barata HS, editors. Urologia Princípios e Prática. Porto Alegre: Artmed; 1999. p. 36–44.Google Scholar
  28. 28.
    Robaire B, Hinton BT, Orgebin-Crist MC. The epididymis. In: Neill JD, editor. Knobil and Neill’s physiology of reproduction. Ansterdan: Elsevier; 2006. p. 1071–148.CrossRefGoogle Scholar
  29. 29.
    Power EM, Silberstein JL, Kulkarni GS, et al. The dorsal venous complex (DVC): dorsal venous or dorsal vasculature complex Santorini’s plexus revisited. BJU Int. 2011;108:930.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Mirna Duarte Barros
    • 1
    Email author
  • Antonio Cardoso Pinto
    • 1
  • Bianca Maria Liquidato
    • 1
  • Wagner Ricardo Montor
    • 2
  1. 1.Department of MorphologySanta Casa de São Paulo School of Medical SciencesSão PauloBrazil
  2. 2.Department of Physiological SciencesSanta Casa de São Paulo School of Medical SciencesSão PauloBrazil

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