Kaplan I B, Gilbert D A, Terzis J K
Microsurgical Research Center, Eastern Virginia Medical School, Norfolk 23501.
J Reconstr Microsurg. 1989 Jan;5(1):7-15. doi: 10.1055/s-2007-1006846.
The fascial layers of the temporal and occipital regions of the scalp were examined in 11 fresh cadavers. In the temporal region, three independently vascularized layers were isolated, all of which could be elevated on a single superficial temporal artery, but separated to remain independently vascularized from specific branches of this parent trunk. In the occipital area, the occipital vessels could be dissected to yield a long pedicle for an independent, fascial territory that could be transposed locally or elevated as a free flap and that will, in all likelihood, carry vascularized occipital bone. Realized and as yet unrealized uses of these ultrathin vascularized tissues remain boundless. Three representative cases are presented.
在11具新鲜尸体上检查了头皮颞部和枕部的筋膜层。在颞部，分离出三层独立血管化的组织，所有这些组织都可以在单一颞浅动脉上提起，但分离后仍从该主干的特定分支独立血管化。在枕部区域，可以解剖枕血管以获得一个长蒂，用于一个独立的筋膜区域，该区域可以局部移位或作为游离皮瓣提起，并且很可能携带血管化的枕骨。这些超薄血管化组织的已实现和尚未实现的用途仍然是无限的。本文介绍了三个代表性病例。
