Zaoli G
Ann Chir Plast Esthet. 1989;34(2):123-7.
Parotidectomy causes isolation of the facial nerve and an antiaesthetic hollow of the preauricular region. In order to avoid these two sequelae, the author proposes raising of an island subcutaneous flap, as large as required by the area to be filled, from above the resected area, which is then rotated onto the tissue defect. It is an arterial flap, with a superficial temporal artery pedicle and is composed by three superimposed layers: the epicranial aponeurosis (galea capitis); a layer of sub-aponeurotic connective tissue; the periosteum of the cranial bones. The rich blood supply and the fibrous nature of the flap limit its reabsorption and since the flap is drawn from the hair area, the scar is completely concealed.
腮腺切除术会导致面神经分离以及耳前区域出现感觉缺失的凹陷。为避免这两种后遗症，作者建议从切除区域上方掀起一块所需大小的岛状皮下瓣，该瓣基于颞浅动脉蒂，由三层叠加组织构成：帽状腱膜（颅顶腱膜）、腱膜下结缔组织层、颅骨骨膜。此瓣血供丰富且质地坚韧，限制了其吸收，并且由于瓣取自毛发区域，瘢痕能被完全隐匿。
