第一趾蹼皮瓣游离移植重建口角的应用解剖  

Applied anatomy of the great/second toe web flap for reconstruction the defect in commissure of lips of mouth

作　　者：王伯钧[1] 秦小云[2] 骆降喜[2] 陆明深[2] 

机构地区：[1]桂林医学院附属医院口腔科,广西桂林市541001 [2]桂林医学院解剖学教研室

出　　处：《中华显微外科杂志》2000年第3期205-206,共2页Chinese Journal of Microsurgery

基　　金：广西壮族自治区卫生厅青年基金资助!(9503)

摘　　要：目的为第一趾蹼皮瓣移植修复重建颜面口角软组织缺损提供解剖学基础。方法解剖观测４０侧成人下肢标本第一趾蹼皮肤软组织区域的血管和神经分布。结果该区由第一跖背动脉供血，第一跖背动脉为足背动脉的分支，其主于长为（４． ６± ０． ６）ｃｍ，起始处外径为（ １． ６± ０． ３） ｍｍ，感觉神经来自腓深神经。结论第一趾蹼皮瓣与口角形态、厚薄近似，取材方便，吻合血管易于成活，是口角再造的理想组织瓣。Objective To provide an ideal tissular flap for the soft tissue defects of the oral commissure. Methods The observation and measurement of the source of blood supply and nerve innervation to the great/second toe web was carried out on 40 sides of adult specimens lower limbs perfused with red latex in artery. Results The first dorsal metatarsal artery which originated from the dorsal pedal artery was the chief artery to this region. Its external diameter at the beginning was (l. 6 ± 0. 3) mm and was (4. 6±0. 6) cm in length. Sensory nerve of the flap is deep peroneal nerve Conclusion The great/second toe web flap was an ideal tissue defects of the oral commissure.

关 键 词：颜面口角畸形 第一趾蹼皮瓣 游离移植 修复 

分 类 号：R323[医药卫生—人体解剖和组织胚胎学]