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[采用带颈阔肌蒂的胸部真皮脂肪瓣矫正半侧颜面萎缩]

[Correction of hemifacial atrophy by use of a chest dermal-fat flap with the platysma pedicle].

作者信息

Xiu Zhifu, Chen Zongji

机构信息

Zhongshan Hospital, Xiaman 361000, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2002 Nov;18(6):348-9.

PMID:12664802
Abstract

OBJECTIVE

To present a new dermal-fat flap for the correction of hemifacial atrophy.

METHODS

An upper chest dermal-fat flap was created with its upper margin 1 cm cranial to the clavicle. The platysma pedicle of the dermal-fat flap, 5 cm in width, was dissected subcutaneously through a skin incision caudal to the mandibular margin. The platysma pedicle was turned over at the mandibular margin so that the dermal-fat-flap could be transposed fitly to the atrophic face.

RESULTS

Eight cases were treated by this technique. Good results were achieved.

CONCLUSION

This flap is suitable for the correction of hemifacial atrophy for its good blood circulation and a large amount of tissue.

摘要

目的

介绍一种用于矫正半侧颜面萎缩的新型真皮脂肪瓣。

方法

制作一个上胸部真皮脂肪瓣,其上缘位于锁骨上方1厘米处。通过下颌缘下方的皮肤切口,在皮下解剖出宽度为5厘米的真皮脂肪瓣的颈阔肌蒂。颈阔肌蒂在下颌缘处翻转,使真皮脂肪瓣能够合适地转移至萎缩面部。

结果

8例患者采用该技术治疗,取得了良好效果。

结论

该皮瓣血液循环良好且组织量充足,适用于矫正半侧颜面萎缩。

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