Georgi W, Richter W, Seiler C
Laryngol Rhinol Otol (Stuttg). 1978 Jun;57(6):549-58.
Different methods of defect closure in the lipchin region through lateral advancement-flaps have been described by Bernard, Fries, Hertig, Meyer and others. Is there not enough material available, can neck-, breast-or forehead flaps cover the defect, although they do not fulfill the demands for a satisfactory restoration of specific function. In the following work is the possibility of covering of a three layered facial defect with a combined skin muscle flap taken into consideration in view of the disadvantages of a simple or doubled skin flap. By this operation method the procedure consists of preparing various sized cervical island flaps which are connected with on the mastoid pedicled M. sternocleidomastoideus. We are describing a case of extensive tumorresection in the lip-chin area with neurofibromatosis Recklinghausen, whereby we have closed a large defect with two separately laid on muscle-pedicled, innervated island flaps from the fossa supraclavicularis. These bilateral compound flaps fulfill the demands of an immediate restoration of contour and prominence in this area. Apart from this they allow satisfactory voluntary activity, unpleasant dribbling of saliva is prevented.
Bernard、Fries、Hertig、Meyer 等人描述了通过侧方推进皮瓣修复唇颏区缺损的不同方法。如果没有足够的可用组织，颈部、胸部或前额皮瓣能否覆盖缺损，尽管它们无法满足令人满意地恢复特定功能的要求。在以下工作中，鉴于单纯或双层皮瓣的缺点，考虑了用联合皮肤肌肉皮瓣覆盖三层面部缺损的可能性。通过这种手术方法，手术过程包括制备各种大小的颈部岛状皮瓣，这些皮瓣与带蒂的胸锁乳突肌相连。我们描述了一例患有冯雷克林霍增氏神经纤维瘤病的唇颏区广泛肿瘤切除病例，我们用两块分别放置的带肌肉蒂、有神经支配的锁骨上窝岛状皮瓣封闭了一个大的缺损。这些双侧复合皮瓣满足了该区域轮廓和丰满度即刻恢复的要求。除此之外，它们还能实现令人满意的自主活动，防止唾液不自主外流。
