Division of Plastic and Reconstructive Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Department of Plastic Surgery, Kaiser Permanente, San Leandro Medical Center, San Leandro, California.
J Reconstr Microsurg. 2021 Feb;37(2):97-110. doi: 10.1055/s-0040-1715644. Epub 2020 Aug 30.
Successful microvascular reconstruction of head and neck defects requires the ability to safely identify, isolate, and utilize recipient vessels. To date, however, a comprehensive review of the anatomy and techniques relevant to the available anatomic regions has not been undertaken. This review covers the relevant clinical anatomy of the anterior triangle, posterior triangle, submandibular region, intraoral region, preauricular region, chest, and arm, taking particular care to highlight the structures that are crucial to identify while performing each dissection. Finally, a step-by-step technique for safely dissecting the recipient vessels at each site is provided.
成功的头颈部缺损的微血管重建需要能够安全地识别、分离和利用受区血管。然而，迄今为止，尚未对与可利用的解剖区域相关的解剖和技术进行全面综述。本综述涵盖了前三角区、后三角区、下颌下区、口腔内区域、耳前区、胸部和手臂的相关临床解剖学知识，特别注意强调在进行每次解剖时识别至关重要的结构。最后，提供了在每个部位安全解剖受区血管的分步技术。
