Kroll S S, Reece G P, Robb G, Black J
Department of Reconstructive Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston.
Plast Reconstr Surg. 1994 Jul;94(1):88-93. doi: 10.1097/00006534-199407000-00008.
The blood supply and reliability of cervicofacial rotation-advancement flaps for cheek reconstruction can be improved significantly by dissecting the flap in the deep plane (i.e., below the superficial musculoaponeurotic system and the platysma). This modification, similar in technique to that used in composite or deep-plane face lift, was used successfully in seven patients, including several heavy cigarette smokers who were unlikely to have achieved a successful outcome with a conventional cervicofacial flap. No facial nerve weaknesses were observed. We now believe that the deep plane is the level of choice for dissection of cervicofacial flaps when used for reconstruction of cheek or other facial defects.
通过在深平面（即，在表浅肌肉腱膜系统和颈阔肌下方）解剖皮瓣，可显著改善用于面颊重建的面颈部旋转推进皮瓣的血供和可靠性。这种改良技术类似于复合或深平面面部提升术所使用的技术，已成功应用于7例患者，其中包括几名重度吸烟者，他们使用传统面颈部皮瓣不太可能获得成功的结果。未观察到面神经功能减弱。我们现在认为，当用于重建面颊或其他面部缺损时，深平面是解剖面颈部皮瓣的首选层面。
