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眼轮匝肌蒂颞区皮瓣修复面部缺损
引用本文:陈光宇,周刚,李罡.眼轮匝肌蒂颞区皮瓣修复面部缺损[J].中华整形外科杂志,1998,14(2).
作者姓名:陈光宇  周刚  李罡
作者单位:中国医学科学院中国协和医科大学整形外科医院
摘    要:目的面部缺损在临床上较为常见,因局部皮瓣或皮下蒂皮瓣是由皮下直接供血,皮瓣修复的区域受到限制。为此,进行了以面部表情肌为供血来源的皮瓣探讨。方法通过对眼轮匝肌的血管及面神经颞支的解剖研究,扩大了以眼轮匝肌为蒂的颞区皮瓣的应用范围。结果18例面部软组织缺损修复均取得了满意的效果。结论眼轮匝肌颞区皮瓣比局部或皮下蒂组织瓣易于移转,且供区隐散蔽。

关 键 词:皮瓣  眼轮匝肌  面部缺损

Repair of facial skin defect with the temporal myocutaneous flap pedicled with the orbicularis oculi muscle
Chen Guangyu,Zhou Gang,Li Gang,et al..Repair of facial skin defect with the temporal myocutaneous flap pedicled with the orbicularis oculi muscle[J].Chinese Journal of Plastic Surgery,1998,14(2).
Authors:Chen Guangyu  Zhou Gang  Li Gang  
Institution:Chen Guangyu,Zhou Gang,Li Gang,et al.Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100041
Abstract:Objective\ This is to introduce a new method for repair of facial skin defect using the temporal myocutaneous flap.Methods\ Usually the facial defect is repaired with a local or subcutaneous pedicle flap.Through anatomic study on the blood supply of the orbicularis oculi muscle,the eyelid skin and the temporal branch of the facial nerve,we developed the temporal myocutaneous flap pedicled with the orbicularis oculi muscle.From 1993 this flap has been successfully used to repair soft tissue defects of the face in 16 cases.Results\ The postoperative results were satisfactory.Conclusion\ This method provides a new donor site for facial defect repair.
Keywords:Myocutaneous flap\ Orbicularis oculi muscle\ Facial defect  
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