逆流颞顶筋膜瓣翻转修复顶额部缺损

目的 研究逆流颞顶筋膜瓣悉转移转术及临床应用效果。方法 根据颞浅动脉颞顶分支与耳后，枕动脉支，前额分支与眶上，滑车上动脉支有丰富吻合或与对侧主要血管支直接交通，构筑跨区供血的解剖学基础，设计以颞浅动脉轴型血管及其吻合支为蒂的逆流颞顶筋膜 瓣，向顶枕侧或前额顶部移转覆盖充填骨外露缺损区，表面行皮片移植术，结果，自1996年11月始，临床已应用7例，最大筋膜瓣13cm*7cm，术后筋膜瓣及植皮区完全存活，外形较为满意，癌肿病例术后3周接受放射治疗。结论 逆流供血的颞顶筋膜瓣血运可靠，是顶额枕部深度组织缺损即期，简便，有效的修复方法。

Repair of the defect of frontoparietal region by a reversed-flow temporoparietal fascial flap

Objective To demonstrate the transfer of the reversed-flow temporoparietal fascial flap (RFTPFF) and evaluate its clinical application. Methods Based on the anatomic knowledge of the arteries of the cranial region and their abundant anastomasis, the RFTPFF supported by the temporal branch of the superficial temporal artery or the parietal one or both was designed. It was transferred to cover the bare calvarium with a split-thickness skin grafted on it or just to correct the depression in the fronto-parieto-occipital region. From November 1996,7 cases were treated with the maximal flap size of 13cm×7cm. Results Both the fascial flap and split-thickness skin survived well with satisfactory appearance. Conclusion The blood supply of the RFTPFF is reliable and the flap is an efficatious and convenient method to repair severe soft tissue defects in the fronto-parieto-tempral region.