摘要
目的探讨应用颞浅动脉为蒂的岛状皮瓣,如全额皮瓣、颞枕皮瓣,一期修复头皮及颅骨缺损,在切除头皮、颅骨病灶的同时,行组织缺损修复,缩短病程。方法全额皮瓣除包含有颞浅动脉支外,还包括同侧耳后动脉在内。颞枕皮瓣是以颞浅动脉和枕动脉为蒂的纵跨同侧颞枕区的长头皮瓣。行头皮颅骨病灶彻底切除,以岛状皮瓣修复缺损,供区中厚皮片移植。结果本组共7例,皮瓣移植均成活,供区一期修复,术后随访3～12个月,外形恢复满意。结论该术式对头皮颅骨慢性溃疡、鳞状细胞癌病灶切除等造成的头皮及颅骨缺损,可一期修复。皮瓣邻近取材,修复范围大,皮瓣设计灵活,切取方便,血供可靠,治疗周期短,是一种修复头皮、颅骨缺损的较好的方法。
Objective To study the clinical application of pedicle island flap based on superficial temporal artery in repairing of great defect of the scalp and skull bone. Methods Full forehead flap consists of superficial temporal artery and posteriol auricular artery. Tempo-occipital flap consists of superficial temporal artery and occipital artery. The defect was resected and repaired by above flaps. The donor area was covered by split thickness skin flap. Results All 7 flaps survived well and their texture was excellent. After 3-12 months follow up the wound showed primary healing. Conclusion Use of pedicle island flap based on superficial temporal artery is reasonable, reliable and simple mothod. It can repair great defect of the scalp and skull bone in one stage.
出处
《组织工程与重建外科杂志》
2008年第3期160-161,共2页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
皮瓣
头皮
颅骨缺损
慢性溃疡
Flap
Scalp
Defect of the skull bone
Chronic ulcer
