带蒂额肌复合瓣修复前颅底缺损
[Reconstruction of anterior skull base defect by pedicle frontal muscle compound flap].
作者信息
Zhang Hong, Wu Yuping, Tao Yuanxiao, Liao Wenman, Lü Yangcheng, Hu Guohua, Gao Guoliang, Yang Guifen, Wu Jiayu, Tan Yongfu
机构信息
Department of Skull Bases & Head and Neck Surgery, Sichuan Cancer Hospital, Chengdu 610041, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Oct;37(5):370-2.
OBJECTIVE
To evaluate the effect of one stage reconstruction for anterior skull base defect by pedicled frontal muscle compound flap after craniofacial combined approach operation.
METHODS
Twelve patients with frontal skull base tumor and fracture (rudimentary cancer 5, malignant melanoma 1, neurogliocytoma 1, ethmoid sinus rhabdomyosarcoma 1, malignant papilloma 1, osteofibroma 2, underwent surgery 1) were included. The compound flap with pedicled frontal muscle galea aponeuroses pericranium was adopted which brought single blood vessel or double, and splinter skull bone. The compound flaps covered 8 cm -12 cm x 10 cm -15 cm.
RESULTS
All 12 patients were successfully treated with no complication during follow-up from 1 to 48 months.
CONCLUSION
The compound flaps with pedicled frontal muscle galea aponeuroses pericranium, had ample blood supply and thin pliable and strong tissue which was a good reconstruction material for frontal skull base defect.
目的
评估颅面联合入路手术后带蒂额肌复合瓣一期修复前颅底缺损的效果。
方法
纳入12例额颅底肿瘤及骨折患者（低度恶性癌5例、恶性黑色素瘤1例、神经胶质细胞瘤1例、筛窦横纹肌肉瘤1例、恶性乳头状瘤1例、骨纤维瘤2例、曾接受过手术1例）。采用带蒂额肌帽状腱膜颅骨膜复合瓣，其带有单支或双支血管以及碎骨片。复合瓣面积为8厘米-12厘米×10厘米-15厘米。
结果
12例患者均获成功治疗，随访1至48个月期间无并发症发生。
结论
带蒂额肌帽状腱膜颅骨膜复合瓣血供充足，组织薄而柔韧且坚韧，是修复额颅底缺损的良好材料。
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