Härmä M, Asko-Seljavaara S
Department of Plastic Surgery, Helsinki University Central Hospital, Finland.
Scand J Plast Reconstr Surg Hand Surg. 1995 Sep;29(3):239-44. doi: 10.3109/02844319509050133.
The temporal artery island flap, based on the anterior branch of the superficial temporal artery, was used in full thickness eyelid reconstructions of 11 patients (in four for both lids, in two for the upper lid and in five for extensive lower lid defects). The skin island was taken from the upper lateral frontal skin in front of the hairline to leave minimal scaring and create a long vascular pedicle. Mucosal or chondromucosal graft was used for the inner lining. In seven patients the arterial pedicle surrounded by a 0.5 cm wide band of subcutaneous tissue containing the corresponding veins, was tunnelled under the skin in a one stage procedure. In four cases, the pedicle was temporarily left above the skin to shorten the operating time. The temporal artery island flap is a reliable way of reconstructing both lids, or the lower lid in cases where the local flaps have been used in earlier operations. Because of the risk of bulging and for functional reasons, we do not recommend the flap for upper eyelid reconstructions.
颞浅动脉岛状皮瓣，以颞浅动脉前支为蒂，用于11例患者的全层眼睑重建（4例双侧眼睑，2例上睑，5例广泛下睑缺损）。皮岛取自发际线前方的额部上外侧皮肤，以尽量减少瘢痕并形成长血管蒂。内衬采用黏膜或软骨黏膜移植。7例患者中，将被0.5厘米宽的包含相应静脉的皮下组织带环绕的动脉蒂在一期手术中经皮下隧道转移。4例患者中，为缩短手术时间，蒂暂时留在皮肤上方。颞浅动脉岛状皮瓣是一种可靠的重建双侧眼睑或在早期手术中已使用局部皮瓣的情况下重建下睑的方法。由于隆起风险及功能原因，我们不推荐该皮瓣用于上睑重建。
