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颞肌筋膜瓣在上颌骨缺损重建中的应用：病例系列

Temporalis myofascial flap in reconstruction of maxillary defect: A case series.

作者信息

Singh Akhilesh Kumar, Mishra Nitesh, Janani T, Sharma Naresh Kumar

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Department of Dentistry, Kalpana Chawla Government Medical College and Hospital, Karnal, Haryana, India.

出版信息

Natl J Maxillofac Surg. 2020 Jul-Dec;11(2):280-284. doi: 10.4103/njms.NJMS_163_20. Epub 2020 Dec 16.

DOI:10.4103/njms.NJMS_163_20
PMID:33897195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8051667/
Abstract

Ablative surgery of midface often leads to compromised aesthetics as well as function. Defects caused by ablative surgery need reconstruction that provides satisfactory results with minimal or no compromise in form and function. Various flaps can be used to reconstruct the maxillary defect. However, medium to large-sized defects can only be appropriately reconstructed using free or regional flaps. Moreover, as free flap reconstructions are tedious and require technique sensitive procedure whereas loco-regional flaps are versatile and more predictable. Temporalis myofascial flap (TMF) seems to be one of the best options among all other regional flaps as it has a reliable blood supply, adequate bulk and its anatomical location is close to primary defect.

摘要

面中部切除性手术常常会导致美学和功能受损。切除性手术造成的缺损需要进行重建，以在形态和功能上实现最小程度的妥协或不妥协，从而获得令人满意的效果。可使用各种皮瓣来重建上颌骨缺损。然而，中大型缺损只能通过游离皮瓣或区域性皮瓣进行适当重建。此外，游离皮瓣重建手术繁琐，需要技术要求高的操作，而局部区域性皮瓣则用途广泛且更具可预测性。颞肌筋膜瓣（TMF）似乎是所有其他区域性皮瓣中最佳的选择之一，因为它血供可靠、体积足够，且其解剖位置靠近原发缺损部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/1bf390bad2e9/NJMS-11-280-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/1af34e8e59f5/NJMS-11-280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/3bd76810c6e1/NJMS-11-280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/9802794118b9/NJMS-11-280-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/386f917c1138/NJMS-11-280-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/b976bd51a8fe/NJMS-11-280-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/0e1ac30365b9/NJMS-11-280-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/42e9905f1a5f/NJMS-11-280-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/9d6c88847b91/NJMS-11-280-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/1bf390bad2e9/NJMS-11-280-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/1af34e8e59f5/NJMS-11-280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/3bd76810c6e1/NJMS-11-280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/9802794118b9/NJMS-11-280-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/386f917c1138/NJMS-11-280-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/b976bd51a8fe/NJMS-11-280-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/0e1ac30365b9/NJMS-11-280-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/42e9905f1a5f/NJMS-11-280-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/9d6c88847b91/NJMS-11-280-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbd/8051667/1bf390bad2e9/NJMS-11-280-g009.jpg

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本文引用的文献

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The temporalis muscle flap and temporoparietal fascial flap.颞肌瓣和颞顶筋膜瓣。
Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):359-69. doi: 10.1016/j.coms.2014.05.004.
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The versatility of temporalis myofascial flap in maxillo-facial reconstruction: a clinical study.
颞肌筋膜瓣在颌面重建中的多功能性：一项临床研究。
J Maxillofac Oral Surg. 2011 Mar;10(1):25-31. doi: 10.1007/s12663-011-0173-5. Epub 2011 Feb 26.
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