Yan Jingjie, Yang Qinghua, Liu Ge, Huang Wanlu
Zhonghua Zheng Xing Wai Ke Za Zhi. 2014 Jan;30(1):18-21.
To investigate the therapeutic effect of reconstruction of facial defects with frontal expanded flaps bipedicled by superficial temple vessels and supraorbital/supratrochlear neurovascular bundles.
From June 2006 to Mar. 2013, the patients with mostly unilateral facial defects which affected temple area and crossed the facial midline, were treated with frontal expanded flaps. The expanders were implanted at first stage and the expanded frontal flaps were transferred at second stage. At third stage, pedicle division was performed and the pedicle skin tissue was used to repair the residue defect.
All the 18 flaps survived completely with satisfactory color and texture. Good results were achieved during the follow-up period of one year.
The bipedicled frontal expanded flap has a reliable blood supply which is very suitable for large facial defect.
探讨应用颞浅血管及眶上/滑车上神经血管束双蒂额部扩张皮瓣修复面部缺损的治疗效果。
2006年6月至2013年3月，对18例主要为单侧累及颞部且跨越面部中线的面部缺损患者采用额部扩张皮瓣修复。一期植入扩张器，二期转移扩张后的额部皮瓣。三期断蒂，利用断蒂后的皮瓣组织修复残余缺损。
18块皮瓣全部完全成活，色泽、质地良好。随访1年效果满意。
双蒂额部扩张皮瓣血供可靠，非常适合修复大面积面部缺损。
