Kattan Abdullah E, Al-Qattan Mohammad M
The Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia.
The Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia; The Division of Plastic Surgery, National Hospital (CARE), Riyadh, Saudi Arabia.
Int J Surg Case Rep. 2018;46:47-49. doi: 10.1016/j.ijscr.2018.04.007. Epub 2018 Apr 16.
The face is unique because functional and aesthetic considerations are equally important. Extensive deep chemical burns of the face are usually reconstructed with flaps. In males, the use of the hair - bearing superficial temporal artery flap has the advantage of achieving a satisfactory outcome with regards to both function and aesthetics.
A 49-year-old man sustained a deep chemical burn to the right side of the face and neck. The resulting right peri-oral and neck contractures were initially reconstructed with a latissimus dorsi myo-cutaneous free flap. The functional outcome was satisfactory. The cosmetic outcome was poor and caused the patient to go into depression. Salvage was done using a hair-bearing superficial temporal artery flap.
In males, the use of the hair-bearing superficial temporal artery flap in facial reconstruction respects the aesthetic units and is also able to achieve a satisfactory functional outcome.
We stress that aesthetic and functional considerations are equally important in facial reconstruction. In males, the hair-bearing superficial temporal artery flap is the flap of choice if the beard/moustache areas are involved.
面部具有独特性，因为功能和美学考量同样重要。面部广泛深度化学烧伤通常采用皮瓣进行修复。对于男性患者，使用含毛发的颞浅动脉皮瓣在功能和美学方面均能取得满意效果。
一名49岁男性面部右侧和颈部遭受深度化学烧伤。最初采用背阔肌肌皮游离皮瓣修复右侧口周及颈部挛缩。功能恢复效果满意，但美容效果不佳，导致患者出现抑郁情绪。随后采用含毛发的颞浅动脉皮瓣进行挽救性修复。
对于男性患者，在面部重建中使用含毛发的颞浅动脉皮瓣既能尊重美学单元，又能取得满意的功能效果。
我们强调在面部重建中美学和功能考量同等重要。对于男性患者，如果涉及胡须/髭区，含毛发的颞浅动脉皮瓣是首选皮瓣。
