耳后区肌骨膜瓣的临床应用尸体解剖  

Applicable autopsy of postauricular muscular fasciae-periosteal flap

作　　者：黄谢山[1] 余海[2] 刘德裕[1] 李传真[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院口腔中心颌面外科,570208 [2]复旦大学附属金山医院口腔科

出　　处：《实用口腔医学杂志》2014年第3期367-369,共3页Journal of Practical Stomatology

基　　金：海南省卫生厅项目(编号:琼卫2012PT-52);海南省自然科学基金(编号:813263)

摘　　要：目的:探讨耳后区肌骨膜瓣的临床应用解剖。方法:取经过甲醛溶液固定、动静脉内分别灌注红色及蓝色乳胶的10具尸体半侧成人头颅标本,解剖耳后区解剖层次、血供来源及其分布。结果:耳后区耳后动脉的双层状供血形式及其伴行的耳后静脉能为耳后肌骨膜瓣提供良好的血供;制备的耳后肌骨膜瓣最大可达10.0 cm×6.0 cm×1.5 cm。结论:耳后肌骨膜瓣存在血液供应的解剖基础,可覆盖整个腮腺术区,其面积、容积、厚度均达到术区凹陷填充的要求。Objective： To investigate the anatomy of postauricular muscular fasciae-periosteal flap（PMFPF） for clinical application. Methods： Autopsy of PMFPF was conducted on 10 formalin fixed adult head specimens with artery in red and vein in blue emulsion. The blood supply source and distribution, flap size, thickness and shape were observed. Results： The double-deck-shaped blood supply form of posterior auricular arrery and its companion vein were found to be sufficient for PMFPF. The biggest area of the periosteal flap was 10.0 cm × 6.0 cm × 1.5 cm. Conclusion： Postauricular muscular fasciae-periosteal flap with sufficient blood supply and suit-able area can cover the whole area of the parotid gland.

关 键 词：耳后肌筋膜骨膜瓣 耳后动静脉 腮腺切除术 

分 类 号：R782[医药卫生—口腔医学] R322[医药卫生—临床医学]