Hagan W E, Walker L B
Department of Plastic and Reconstructive Surgery, Tulane University, New Orleans, LA.
Laryngoscope. 1988 Mar;98(3):341-6. doi: 10.1288/00005537-198803000-00021.
The location of the facial artery beneath the facial mimetic muscles of the nasolabial groove allows surgical development of a true musculocutaneous flap. This report of 20 surgical flaps and six cadaveric dissections highlights the nasolabial musculocutaneous flap with its direct muscle perforating arteries which nourish the overlying skin. The absence of any flap's ischemic failure emphasizes the durability of the flap for various midface and oral reconstructive situations. Inferiorly-based flaps are preferable on the basis of discussed anatomical findings. The musculocutaneous flap is especially suited for circumferential interruption of cutaneous blood supply as in the "V-to-Y" and island pedicle flaps.
面动脉位于鼻唇沟面部表情肌下方，这使得真正的肌皮瓣在手术中得以形成。这份关于20例手术皮瓣和6例尸体解剖的报告强调了鼻唇肌皮瓣及其直接的肌肉穿支动脉，这些动脉滋养覆盖其上的皮肤。没有任何皮瓣出现缺血性坏死，这凸显了该皮瓣在各种面中部和口腔重建情况下的耐用性。基于所讨论的解剖学发现，蒂在下方的皮瓣更可取。肌皮瓣特别适用于皮肤血供的环形中断，如“V - Y”推进皮瓣和岛状蒂皮瓣。
