头部SMAS岛状瓣Ⅰ期全耳郭再造的手术设计  

Operative design of primary total auricular reconstruction with cephalic SMAS island flaps

作　　者：匡建国[1] 王乃佐[2] 楚建军[3] 

机构地区：[1]北京丰台右安门医院医疗美容科,北京100069 [2]北京积水潭医院烧伤整形科 [3]复旦大学附属眼耳鼻喉科医院整形外科

出　　处：《中国美容整形外科杂志》2012年第4期208-210,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探讨设计多种头部SMAS岛状瓣覆盖耳支架的可行性,为SMAS岛状瓣Ⅰ期全耳郭再造的手术设计提供理论依据.方法 依照CT三维测量法测算出耳支架覆盖组织瓣模板和头部SMAS的血供来源,在5例尸体标本上分别以颞浅血管顶支、颞浅血管额支和耳后血管枕支为蒂设计SMAS岛状瓣,模拟Ⅰ期全耳郭再造.结果 ①运用CT三维测量法设计的SMAS岛状瓣,可较好地覆盖耳郭支架.②设计出3种不同的SMAS岛状瓣覆盖耳支架,完成Ⅰ期全耳郭再造的手术模拟.结论 ①以CT三维测量法测算出的SMAS岛状瓣能够满足覆盖耳支架的要求.②在同侧分别以颞浅血管顶支（或额支）和耳后血管枕支为蒂,能够设计出两种SMAS岛状瓣,为耳支架的组织覆盖方法 提供多种选择.Objeetive To investigate the feasibility of many kinds of designs with insular cephalic-SMAS flaps for covering auricular framework. Methods According to the template of tissue flaps drawn by CT and the blood supply of the cephalic-SMAS, the SMAS island flaps pedicled with the frontal and parietal branch of superficial temporal vessel and occipital branch of retroauricular vessel were designed for simulating primarily total auricular reconstruction on five cadaver specimens. Results （1） The SMAS island flaps designed by CT three-dimensional measurement method can be used for covering auricular framework well. （2） Three different kinds of SMAS island flaps were designed for covering auricular framework, and primary total auricular reconstructions were simulated. Conclusion （1） The SMAS island flaps designed by CT three-dimensional measurement method can meet requirements of covering auricular framework. （2） Two kinds of SMAS island flaps can be designed on the same side pedicled with the parietal （frontal） branch of superficial temporal vessels and occipital branch of retroauricular vessels, and that can offer multiple choices for covering auricular frameworks.

关 键 词：表浅肌肉腱膜系统 Ⅰ期全耳郭再造 手术设计 CT三维测量 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]