Ilankovan V, Adcock S D
Maxillofacial Unit, Poole Hospital NHS Trust, Dorset.
Br J Oral Maxillofac Surg. 1996 Feb;34(1):47-50. doi: 10.1016/s0266-4356(96)90135-7.
Flap reconstruction of the oropharyngeal region using a galeo pericranial flap was performed in 26 patients. This paper describes the anatomy, technique and discusses the outcome of the surgery showing that all flaps but one had good long term vascularity. Good access to all areas of the oropharynx was possible, the flap length was up to 20 cm and width up to 15 cm. Complications were minimal but included a tendency to form intra oral fibrous bands, patchy alopecia of the composite using outer plate of calvarium. The galeo pericranial flap is a valuable technique and can be used successfully in suitable cases.
26例患者采用帽状腱膜-颅骨膜瓣对口咽区域进行了皮瓣重建。本文描述了其解剖结构、技术操作,并讨论了手术结果,结果显示除1例皮瓣外,其余所有皮瓣均具有良好的长期血运。该皮瓣能够很好地到达口咽的各个区域,皮瓣长度可达20厘米,宽度可达15厘米。并发症极少,但包括形成口腔内纤维带的倾向、使用颅骨外板的复合皮瓣出现片状脱发。帽状腱膜-颅骨膜瓣是一种有价值的技术,可在合适的病例中成功应用。