Akdag Osman, Evin Seyda Guray, Karamese Mehtap, Tosun Zekeriya
Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Selcuk University, Konya, Turkey.
J Craniofac Surg. 2017 Oct;28(7):e694-e697. doi: 10.1097/SCS.0000000000003866.
Free extensor digitorum brevis muscle flap in facial paralysis, and the second metatarsophalangeal joint flap is used at the temporomandibular joint reconstruction for a long time. Anatomically, these flaps can be harvested through even the same pedicle flap even on the same regions. Literature is available of their usage along with the use of hand and upper extremity reconstruction. Unlike this example, the authors have used these flaps in maxillofacial region where facial paralysis and temporomandibular joint reconstruction will be performed together. In this study, clinical report and surgical details of this flap have been shared.
游离趾短伸肌肌瓣用于面神经麻痹，第二跖趾关节瓣长期用于颞下颌关节重建。从解剖学角度来看，即使在相同区域，这些肌瓣甚至可以通过同一蒂瓣获取。文献中有关于它们与手部及上肢重建一起使用的记载。与这个例子不同的是，作者在颌面区域使用了这些肌瓣，在该区域将同时进行面神经麻痹治疗和颞下颌关节重建。在本研究中，分享了该肌瓣的临床报告和手术细节。
