摘要
应用超长下外方肌肌皮瓣修复头部肿瘤术后缺损３例，效果满意。颈横动脉发出后于肩胛上角外上方１．５ｃｍ处分为深、浅两支，浅降支即为该皮瓣的轴型血管，此点即为皮瓣的旋转轴心。皮的远端可超出斜方肌范围，达肩胛下角下方１７ｃｍ，属任意筋膜皮瓣，皮瓣面积最大达３６ｃｍ×１２ｃｍ，肌肉血管蒂长１６ｃｍ，基本满足颅顶及上颌面部肿瘤切除后修复的需要。皮瓣供区隐蔽，对肩部功能无影响；采用逆行法切取皮瓣，操作简单，不易损伤血管蒂；病人取头低后侧卧位，术中不需要变换体位。
The transverse cervical atrery(TCA) after taking origin from the thyrocervical trunk divides into a superficial and a deep branch at a point 1.5cm above the medial upper angle of the scapula.Pedicled with the superficial descending branch of the TCA,the extralong musculo-cutaneous flap from the lower Portion of the trapezius was designed with a maximum size of up to 36cm×12cm.The flap was used to repair the defect left right after resection of cancer of head in 3 cases. The upper extreme of the flap could be stretched as far as 17cm beyond the tip of the scapula,making the distolateral half of the flap free from tension. The donor site scar when healed being located in an inconspicuous site does not affect function of the shoulder.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1996年第7期473-475,共3页
Chinese Journal of Clinical Oncology
