儿童颊肌粘膜瓣修复腭裂的应用解剖  

Anatomic studies on buccinator myomucosal flap transfer in child palatoschisis

作　　者：高承文 刘文宽[1] 丁自海[1] 

机构地区：[1]解放军济南医学高等专科学校解剖学教研室

出　　处：《中国临床解剖学杂志》1995年第2期117-119,共3页Chinese Journal of Clinical Anatomy

摘　　要：在４２侧血管湛注乳胶的儿童面部标本上，观侧了颊肌和颊粘膜的血供。颊肌粘膜的后２／３由颊动脉供应，前１／３由面动脉供应，两动脉间吻合丰富。根据动脉的分布和走行特点，切取颊肌粘膜瓣的上界由后向前通过腮腺管乳头的下方，下界在上界下方１～２ｃｍ，颊皿管蒂位于磨牙后间隙相对的颊粘膜处。颊肌粘膜瓣的长度和宽度可视腭裂的长度和宽度而定。瓣通过磨牙后间隙移至腭已修复腭裂或延长软腭。lood supply to the buccinator muscle and mucous membrane was observed on 42 sides ofchildren facial specimens perfused with latex. The posterior 2/3 of the buccinator muscle and mu-cous membrane were supplied by the,buccal arterv,while the anterior 1/3 was nourished by thefacial artery. Rich anatomoses between the two arteries were found.Based on the track of the ves-cular pedicle,the upper margin of the buccinator myomucosal flap was designed to pass below thepapilla of parotid duct posterio-anteriorly,and the lower margin is 1 to 2 cm below the upper mar-gin.The vascular pedicle is located in the muscous membrance oppositing to the retromotorspace,The size of the flap varies according to the defect site in palatoschisis;It can be transferredthorugh the retromotor space for the palatoschisis repairing or longthening the soft palate.

关 键 词：颊肌粘膜瓣 颊动脉 腭裂 儿童 

分 类 号：R782.22[医药卫生—口腔医学]