Winstead Johnathan M, Olson Garth T, Frodel John L
Johnson City, Tennessee.
Craniomaxillofac Trauma Reconstr. 2012 Mar;5(1):19-24. doi: 10.1055/s-0031-1300959.
Excision of lesions in the periparotid area can leave a sizable concavity of the preauricular area with skeletonization of the mandible. To achieve the bulk necessary to fill this defect, we propose using a composite graft. Acellular human dermal allograft provides the thickness of the graft, and the temporoparietal fascia flap provides blood supply to the dermal graft. Our hypothesis is that vascularization of the graft will promote greater ingrowth of native tissue and prevent breakdown and absorption of the graft. Four representative patients are described.
腮腺周围区域病变切除后，耳前区可出现较大凹陷，并伴有下颌骨骨骼化。为获得填充该缺损所需的组织量，我们建议使用复合移植。脱细胞人同种异体真皮提供移植组织的厚度，颞顶筋膜瓣为真皮移植提供血供。我们的假设是，移植组织的血管化将促进更多自体组织向内生长，并防止移植组织分解和吸收。本文描述了4例具有代表性的患者。
