Appiani E, Delfino M C
Ann Plast Surg. 1987 May;18(5):398-408. doi: 10.1097/00000637-198705000-00005.
We describe a combined procedure of mobilization of the orbitofrontal flap, which involves passing through a subgaleal plane in the posterior region, corresponding to a portion of the scalp, and subcutaneously in the anterior frontal and orbital region. The galea, in the shape of an albatross wing, is irrigated via the distal parts of the temporal vessels. The flap lies free of the frontal muscle and the suprazygomatic aponeurotic sheath, thus allowing a broad shifting space for the replacement of each part in a manner that is both anatomically and artistically satisfactory. This technique avoids lesions of the frontal and orbicularis branches as well as alopecia, both the surgical kind and that caused by traction.
我们描述了一种眶额皮瓣游离的联合手术方法，该方法包括在对应于头皮一部分的后部区域经帽状腱膜下平面，以及在前额和眶部区域经皮下进行游离。呈信天翁翼状的帽状腱膜通过颞部血管的远端分支进行灌注。皮瓣与额肌和颧上腱膜鞘分离，从而为各部位的置换提供了广阔的移位空间，在解剖学和美学上都令人满意。该技术避免了额支和眼轮匝肌支的损伤以及手术性脱发和牵引性脱发。
