Hallock G G
Ann Plast Surg. 1984 Aug;13(2):157-62. doi: 10.1097/00000637-198408000-00011.
Massive defects of the cheek and simultaneous involvement of both eyelids preclude the use of local flaps and standard techniques for total lower eyelid replacement. Regional flaps may not provide enough coverage nor bulk, or they may require multiple delay procedures. Sagittal splitting of the temporalis muscle and anterior rotation of its lateral head deserves consideration for reconstruction of uncommon, large periorbital defects. A case is presented in which globe salvage was possible using this technique as a single stage procedure.
面颊部的大面积缺损以及双侧眼睑同时受累,使得局部皮瓣和全下睑置换的标准技术无法应用。区域皮瓣可能无法提供足够的覆盖范围或组织量,或者可能需要多次延迟手术。颞肌矢状劈开及其外侧头的前旋转术值得考虑用于修复罕见的、巨大的眶周缺损。本文报告了1例采用该技术进行一期手术成功挽救眼球的病例。