Nordström R
Department of Hand and Plastic Surgery, University Hospital, Umeå, Sweden.
Br J Plast Surg. 1988 Mar;41(2):154-9. doi: 10.1016/0007-1226(88)90043-4.
The author describes how to use a long, non-delayed temporo-parieto-occipital (TPO) flap across the total frontal hairline, and tissue expansion for coverage of the bald area behind the flap. This concept can be used successfully in extensively bald patients where two TPO flaps would not be sufficient to cover the total bald area. An even growth of hair is achieved. When the hair "reserve" is good, quite dense hair can be reconstructed. The flap described is performed under local anaesthesia without delays and does not have the risk of postauricular necrosis sometimes seen with certain designs of TPO flaps.
作者描述了如何使用一块长的、无延迟的颞顶枕（TPO）皮瓣跨越整个额部发际线，以及如何通过组织扩张来覆盖皮瓣后方的秃发区域。这一概念可成功应用于广泛秃发的患者，在这些患者中，两块TPO皮瓣不足以覆盖整个秃发区域。可实现头发均匀生长。当“毛发储备”良好时，可重建出相当浓密的头发。所描述的皮瓣手术在局部麻醉下进行，无延迟，且不存在某些TPO皮瓣设计中有时会出现的耳后坏死风险。
