Yang Zengjie, Fan Jincai, Tian Jia, Liu Liqiang, Gan Cheng, Chen Wenlin, Yin Zhuming
From the Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2014 Jul;25(4):1168-70. doi: 10.1097/SCS.0000000000000805.
The sideburn is an important feature of the facial profile in both women and men. Scars in the area around the sideburn and temple are difficult to conceal. Sideburn reconstruction is an especially challenging procedure for plastic surgeons because of the difficulty involved in acquiring high-quality tissue and achieving proper hair direction for a satisfactory appearance. This article describes how to utilize an expanded temporoparieto-occipital scalp flap for sideburn reconstruction, which results in satisfactory hair direction, inconspicuous scars in both the donor and recipient areas, and few complications. From August 2011 to April 2012, 11 patients underwent sideburn reconstruction treatments that involved the use of an expanded temporoparieto-occipital scalp flap. The likeness of hair color and density in the sideburn area was achieved, and the scars at the donor site were hidden in the post-auricular hairline. All of the patients were shown a satisfactory appearance, with few complications both on the recipient and donor site. An expanded temporoparieto-occipital scalp flap is an ideal flap to utilize in sideburn reconstructions because it results in satisfactory hair direction, inconspicuous scars at both the donor and recipient areas, and few complications.
鬓角是男女面部轮廓的一个重要特征。鬓角和颞部周围区域的疤痕很难遮盖。由于获取高质量组织以及实现满意外观所需的正确毛发方向存在困难，对于整形外科医生来说，鬓角重建是一项特别具有挑战性的手术。本文描述了如何利用扩张的颞顶枕部头皮瓣进行鬓角重建，该方法能实现令人满意的毛发方向，供区和受区疤痕不明显，且并发症少。2011年8月至2012年4月，11例患者接受了使用扩张的颞顶枕部头皮瓣的鬓角重建治疗。实现了鬓角区域毛发颜色和密度的相似性，供区疤痕隐藏在耳后发际线内。所有患者外观均令人满意，受区和供区并发症均很少。扩张的颞顶枕部头皮瓣是用于鬓角重建的理想皮瓣，因为它能实现令人满意的毛发方向，供区和受区疤痕不明显，且并发症少。
