Angel M F, Bridges R M, Levine P A, Cantrell R W, Persing J A
Division of Plastic Surgery, Johns Hopkins Medical School, Baltimore, MD.
J Craniofac Surg. 1992 Dec;3(4):207-12. doi: 10.1097/00001665-199212000-00006.
The serratus anterior muscle was used as a free tissue transfer to reconstruct complex craniofacial defects in 5 patients. Serratus anterior muscle alone and serratus anterior muscle with rib were the transfers made. All flaps survived and scapular winging did not occur. The serratus anterior muscle has several advantages for the reconstruction of medium-sized craniofacial defects. Because of its position, a two-team approach is possible. It has a consistent pedicle anatomy and low donor site morbidity. It has a large caliber vessel and a long pedicle. When compared with the commonly employed rectus abdominis flap for moderate-sized defects, the serratus muscle offers greater versatility in design and has the option of incorporating bone and innervated muscle without increasing significant donor site morbidity.
5例患者采用前锯肌游离组织移植修复复杂的颅面缺损。移植组织为单纯前锯肌和带肋骨的前锯肌。所有皮瓣均存活，未发生肩胛翼状胬肉。前锯肌在修复中等大小的颅面缺损方面具有诸多优势。因其位置关系，可采用双组手术入路。其蒂部解剖结构恒定，供区并发症少。它有一条口径较大的血管和较长的蒂。与常用的用于修复中等大小缺损的腹直肌皮瓣相比，前锯肌在设计上具有更大的灵活性，并且可以选择合并骨组织和带神经支配的肌肉，而不会显著增加供区并发症。
