用于眼眶重建的颞肌肌筋膜前逆行入路：连续9例病例系列
Anterior retrograde approach to the myofascial temporalis muscle for orbital reconstruction: series of 9 consecutive cases.
作者信息
Torroni Andrea, Cervelli Daniele, Gasparini Giulio, Grussu Francesca, Moro Alessandro, Marianetti Tito Matteo, Foresta Enrico, Azzuni Camillo, Pelo Sandro
机构信息
From the Departments of *Maxillofacial Surgery and †Plastic and Reconstructive Surgery, Catholic University of Sacred Heart, Rome, Italy.
出版信息
Ann Plast Surg. 2015 Jan;74(1):37-42. doi: 10.1097/SAP.0b013e31828bb582.
BACKGROUND
Among the reconstructive options after orbital exenteration, the temporalis myofascial flap (TMF) has been widely recognized as the one of the best available solutions. We think that the hemicoronal approach to harvest the TMF represents a disadvantage so we adopted a modified approach that we named the anterior retrograde approach to the TMF.
METHODS
Nine patients with malignant orbital tumors underwent orbital exenteration and primary reconstruction with TMF harvested with the anterior retrograde approach. The temporalis muscle was widely exposed through the anterior incision used to perform the orbital exenteration. The harvested flap was then rotated and insetted to fill the orbital cavity.
RESULTS
Neither cases of total/partial flap failure nor local/regional recurrence of tumor were recorded. The technique showed a significant reduction of morbidity, surgical time, and blood loss compared with the traditional technique.
CONCLUSIONS
We think that the anterior retrograde approach should be considered as a valid alternative to the traditional hemicoronal approach.
背景
在眼眶内容剜除术后的重建方法中，颞肌筋膜瓣（TMF）已被广泛认为是最佳可用解决方案之一。我们认为采用半冠状切口获取TMF存在缺点，因此我们采用了一种改良方法，即我们命名的TMF前向逆行法。
方法
9例眼眶恶性肿瘤患者接受了眼眶内容剜除术，并采用前向逆行法获取的TMF进行一期重建。通过用于眼眶内容剜除术的前切口广泛暴露颞肌。然后将获取的皮瓣旋转并植入以填充眼眶腔。
结果
未记录到皮瓣完全/部分坏死或肿瘤局部/区域复发的病例。与传统技术相比，该技术的发病率、手术时间和失血量均显著降低。
结论
我们认为前向逆行法应被视为传统半冠状切口的有效替代方法。
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