摘要
本文为以颞浅动脉为蒂的耳后乳突区反流轴型岛状皮瓣的研究报告。9例17侧尸体及6例术中活体解剖学观察证明,颞浅动脉血流可经吻合支灌入耳后动脉,足以滋养在耳后乳突区形成的反流轴型岛状皮瓣。临床用以修复眶、鼻、眼、颊的缺损畸形共18例。16例成功,2例失败。随诊2年以上,效果良好。
Anatomical and clinical studies on the reverse flow axial island flap in the mastoid region were reported.The studies in the dissection of 9 cadavers with a total of 17 sides and the observations in 6 operations proved that the blood in the superfacial temporal artery could flow reversely into the postauricular artery through the anastomotic branches to nourish the mastoid island flap.So the island flap wit a fascia pedhicle containing the superficial temporal vessels could be transferred to various region of the face through subcutaneous tunnel to repair deformities of the orbit,nose,eyes and cheek in one stage operation.This reverse axial island flap has been utilized in 18 cases.16 flaps survived. All cases were followed up for 2 to 7 years.The results were satisfactory.
