以颞浅动脉枕区吻合支为蒂头皮瓣行双眉再造

目的运用颞浅动脉串连两个头皮岛状皮瓣,进行各种原因导致双眉缺损的眉毛再造.方法将一侧颞浅动脉顶支及其与同侧枕动脉在颞顶区的吻合支为蒂,携带颞顶区和颞枕区方向相反的两块头皮,头皮瓣大小为1.0cm×5.0 cm,一次完成双眉再造. 结果应用此方法共完成双眉再造4例.再造双眉对称粗旷,串连的两个头皮瓣成活良好,外形满意,眉毛生长浓密.结论对于双眉缺损的男性患者,应用一侧颞浅动脉及与枕动脉吻合支为蒂一次性再造双眉,是眉再造的一个较好方法.     

颞浅动脉顶支岛状皮瓣修复眉缺损

眉部的色素痣、皮肤肿瘤及外伤后瘢痕较为常见.病灶切除后不仅要求完成创面的修复,而且基于美容要求需行眉毛再造,因而修复比较困难,以颞浅动脉顶支及筋膜为蒂的头顶部岛状皮瓣可以较好的解决.此类问题,自2001～2003年,我们应用头顶部岛状皮瓣修复各种原因所致眉缺损12例,随访半年至1年,取得了满意效果.     

眉缺损的美容修复

目的：探讨眉缺损修复的方法和治疗效果。方法：分别应用同侧颞浅动脉顶支岛状头皮瓣转移、同侧颞浅动脉顶支岛状筋膜－头皮瓣转移加中厚植皮、应用自制的植毛导向器行单毛囊株毛发种植三种方法修复眉缺损21例共29只眉。结果：所有病例中，2例行二次手术，其余均I期愈合。随访6个月至1年，术后3个月眉毛稀疏2例3只眉，其余外观满意。结论：眉缺损的修复应根据眉缺损的原因、缺损的性质、范围以及患者的要求不同而采用合适的方法；单毛囊株种植可使修复后的眉逼真、自然，成活率高，临床值得推广应用。     

应用颞浅动脉全额皮瓣修复颜面部组织缺损

目的 报道应用颞浅动脉全额皮瓣修复颜面组织缺损的方法及临床效果.方法 根据颜面畸形情况,设计为颞动脉双蒂全额皮瓣修复唇、颊、下颌部畸形10例;双侧颞浅动脉顶支串联头皮瓣双眉再造6例;单侧颞浅动脉与枕动脉的吻合支串联头皮瓣修复眼睑、眉缺损3例;颞动脉单蒂皮瓣修复鼻、眉缺损8例;颞浅动脉岛状头皮瓣行单侧眉再造3例;全额皮瓣设计成5个瓣一期修复鼻、双上下睑、眉缺损2例.结果 临床应用的32例中除1例全额皮瓣转移后早期皮管蒂部受压,造成皮瓣远端血运障碍,出现皮瓣部分坏死外,其余全额皮瓣全部存活.供区创面植皮全部存活.术后30例获随访1～3年,皮瓣色泽近似邻近皮肤,质地柔软,厚薄适中,再造眉毛发生长良好,面部外观改善明显.结论 对于颜面部严重组织缺损畸形的修复,颞浅动脉全额皮瓣不仅具有优越性,而且兼可降低组织应用的代价,修复效果是满意的.     

颞浅动脉岛状皮瓣修复下眼睑缺损

目的:探讨颞浅动脉岛状皮瓣在修复下眼睑软组织缺损中的应用效果。方法:采用颞浅动脉岛状皮瓣修复下眼睑软组织缺损26例,观察其修复效果。结果:皮瓣全部成活,颜色、质地与眼周皮肤相近,无明显的挛缩,皮瓣感觉功能良好,睑裂闭合良好,外观满意;皮瓣供区位于发际边缘,切口隐蔽,愈合良好,无瘢痕增生。结论:应用颞浅动脉岛状皮瓣修复下眼睑软组织缺损方法简便,创伤小,切口隐蔽,修复后不仅外观效果好且下眼睑功能恢复满意,是一种修复面部眼周软组织缺损的较理想的方法。     

可调控眉毛密度的眉再造术同期治疗瘢痕性秃发的临床护理

目的:探索专项护理在眉再造同期治疗瘢痕性秃发术中的应用效果。方法:根据手术过程分两期进行专项临床护理。扩张器一期置入术后进行扩张器相关专项护理,严密监测扩张注水情况,密切观察扩张部位,防止扩张皮瓣坏死或感染;眉再造和瘢痕性秃发修复二期术后密切观察再造眉毛头皮条的颜色,避免静脉回流不畅发生。结果:本组12例患者进行了眉再造的全方位密切护理,岛状头皮瓣全部存活,头皮瘢痕全部修复,无一例皮瓣坏死。随访6~24个月,再造眉毛毛发密度与健侧非常接近,眉形自然逼真,手术效果满意。结论:在可调控眉毛密度的眉再造同期治疗瘢痕性秃发术中进行全方位护理是手术成功的重要保障。     

单侧串联颞浅动脉岛状头皮瓣再造双眉一例

单侧串联颞浅动脉岛状头皮瓣再造双眉一例戚可名，张晶，刘珍君，陈建，刘向业用颞浅动脉岛状头皮瓣再造眉毛是最常用最有效的方法［１，２］，受颞浅动脉长度的限制，单侧眉再造需选用同侧的颞浅动脉为蒂，双侧眉再造需切取两侧颞浅动脉岛状头皮瓣，手术创伤大，时间长，...     

颞浅动脉岛状皮瓣联合软骨游离移植修复下睑全层缺损

目的:探讨应用颞浅动脉岛状皮瓣联合软骨游离移植的方法在修复下睑全层缺损中的效果。方法:对6例下眼睑全层缺损的患者,采用颞浅动脉岛状皮瓣联合软骨游离移植的方法进行修复,观察其效果。结果:皮瓣全部成活,颜色、质地与周围皮肤相近,术后均无下睑外翻。无明显瘢痕遗留,无软骨外露。无患者诉眼部不适。额部皮瓣供区无明显瘢痕增生。结论:在下眼睑全层缺损的修复中使用颞浅动脉岛状皮瓣联合软骨游离移植,对于功能和外形都有良好的改善作用,是值得推荐的方法。     

颞浅动脉额支岛状头皮瓣眉再造

对３０例正常人颞浅动脉额支的走行进行测定，并应用颞浅动脉额支岛状皮瓣为１１例烧伤者再造眉１９侧，取得满意效果。选用额部发际处柔软毛发，再造眉较自然，不仅适用于男性，亦可为女性及儿童解除缺眉之苦。     

颞浅动脉额支岛状头皮瓣眉再造

对30例正常人颞浅动脉额支的走行进行测定,并应用颞浅动脉额支岛状皮瓣为1l例烧伤者再造眉19侧,取得满意效果。选用额部发际处柔软毛发,再造眉较自然,不仅适用于男性,亦可为女性及儿童解除缺眉之苦。     

Eyebrow reconstruction following burn injury

Facial burns represent between one-fourth and one-third of all burns. Absence of the eyebrows or distortions in their position alter the character of the face. Thus, eyebrow repair or reconstruction can be an important "finishing touch" in the overall reconstruction of a burned face. Generally, there are three ways to reconstruct the eyebrow: use of superficial temporal artery island flap; composite graft from scalp; and mini or micrografts from scalp. This report presents 20 patients reconstructed with the above techniques. Eleven patients (eight male and three female) with superficial temporal artery island flaps; seven patients (two male and five female) with composite grafts from scalp; and two patients (female) with minigrafts. The results suggest that superficial temporal artery island flaps were more suitable for males and composite graft for females who generally require thinner and less dense eyebrows. Our experience with minigrafts for burn alopecia has not been adequate. Here in this article, different methods of eyebrow reconstruction are presented with the greater emphasis on superficial temporal artery flap.     

颞浅动脉岛状头皮瓣眉再造34例报告

我们应用颞浅动脉岛状头皮瓣行眉再造术３４例取得了良好的临床效果。通过对３４例病例的综合分析，分别就如何保证再造眉的良好形态，移植头皮瓣的成活，手术的方法，注意事项及设计的原则等问题进行了较为详尽的讨论。     

颞浅动脉岛状头皮瓣眉再造34例报告

我们应用颞浅动脉岛状头皮瓣行眉再造术34例取得了良好的临床效果。通过对34例病例的综合分析,分别就如何保证再造眉的良好形态,移植头皮瓣的成活,手术的方法,注意事项及设计的原则等问题进行了较为详尽的讨论。     

Bilateral eyebrow reconstruction using a unilateral extended superficial temporal artery flap

In cases of the bilateral eyebrow reconstruction in men, two superficial temporal artery (STA) flaps are usually designed for both temporal regions according to the flap movable range and the direction of hair growth. Recently, the authors have successfully reconstructed bilateral eyebrows with normal directions of hair growth using a unilateral STA flap, extended by anastomosis of the STA and the occipital artery, with two hair-bearing skin islands. Using this method, the direction of the hair growth can be optimally selected by changing the direction of the skin islands for each eyebrow. The authors were able to reconstruct symmetric eyebrows with the hair growing laterally and a little upward. The invasiveness, bleeding, and operating time required for this method are less than those for the bilateral STA flap method. For cases in which one temporal scalp could not be used, bilateral eyebrow reconstruction remains possible with this method.     

A trial on subcutaneous pedicle island flap for eyebrow reconstruction

Introduction

Severe burn is a common problem affecting victim's eyebrows. This study aims to assess the effectiveness, complications and patients’ satisfaction in two eyebrow reconstruction surgical methods. Up to now, many reconstruction methods, their specific advantages and complications have been introduced. This study compares a new method (subcutaneous pedicle island flap), which is scarcely discussed, with a standard method (superficial temporal artery island flap).

Method

This is a clinical trial conducted during 2003–2005 at the Al’ Zahra’ Hospital. Forty patients with eyebrow defect due to burn injuries were selected by convenience sampling. They were allocated to two groups randomly. The control group underwent a surgery for ‘superficial temporal artery island flap’ and the case group for ‘subcutaneous pedicle island flap’. Data were gathered using two questionnaires. The first one included demographic data, patient history and condition of the eyebrows prior to surgery, effectiveness of surgery and complications. The second was a smiley face visual scale for patient's satisfaction. Data analysis was done using SPSS software (version 12; SPSS Inc., Chicago, IL, USA).

Result

Findings showed that in the control group, 80% were female of a mean age of 22 years (SD = 6/30) and in the case group 75% were female, of a mean age of 21/80 years (SD = 8/28). Fisher's exact test showed a significant difference between the type of surgery and hair-growth direction (p = 0.003). In addition, Mann–Whitney U test showed a significant difference between the type of surgery and patient satisfaction (p = 0.002). Analysis showed that there is no significant difference between the type of surgery and bleeding, congestion, flap necrosis, temporary hair loss in flap and donor-site alopecia (p > 0.05). Surgeon's experience shows that surgery time and learning curve in the case group is lower than that in the control group.

Discussion

Subcutaneous pedicle island flap is an appropriate and easy method with good efficacy, lower complication and more reasonable and acceptable patient's satisfaction. Therefore, this method is recommended for burn patients with eyebrow defects.     

颞筋膜蒂乳突发际皮瓣修复前额发际皮肤缺损

目的 探讨额颞部发际内外皮肤缺损的修复方法.方法 近十年间,应用耳后发际颞筋膜蒂岛状皮瓣转移修复前额颞部发际皮肤缺损5例.结果 皮瓣全部成活,5～7 d可见头发生长,发际内外界限清楚,额颞部形态佳.结论 应用耳后发际颞筋膜蒂岛状皮瓣转移修复颞额部发际皮肤缺损是一种可行的方法.