Pogrel M A, Kaban L B
Department of Oral and Maxillofacial Surgery, University of California, San Francisco 96143-0440.
J Oral Maxillofac Surg. 1990 Jan;48(1):14-9. doi: 10.1016/0278-2391(90)90173-y.
Temporalis fascia, with a varying thickness of temporalis muscle, may be harvested as an axial flap based on the middle and deep temporal arteries and veins. The dependable blood supply, the proximity to the temporomandibular joint, and the ability to alter the arc of rotation by basing the flap inferiorly or posteriorly make this a versatile flap for lining the temporomandibular joint. In this report, the anatomy is reviewed, the harvesting technique is described, and multiple uses of the temporalis muscle-fascia flap in temporomandibular joint surgery are described.
颞肌筋膜的厚度随颞肌厚度变化，可基于颞中动脉和颞深动脉及静脉切取为轴型皮瓣。可靠的血供、靠近颞下颌关节以及通过将皮瓣基部置于下方或后方来改变旋转弧的能力，使其成为用于颞下颌关节衬里的多功能皮瓣。在本报告中，回顾了其解剖结构，描述了切取技术，并阐述了颞肌-筋膜瓣在颞下颌关节手术中的多种用途。
