扩张后颞浅动脉双蒂皮瓣矫正小口畸形及胡须再造术9例  

9 Case of Using Dilated Superficial Temporal Artery Bipedicle Flap to Correct the Microstomia and Reconstruct Beard

作　　者：张振光 王宽 刘雅 韩炳旭 赵晶 ZHANG Zhen-guang;WANG Kuan;LIU Ya;HAN Bing-xu;ZHAO Jing(Department of Plastic Surgey,Handan Iron and Steel Group Hospital,Handan 056001,Hebei,China)

机构地区：[1]邯郸钢铁集团有限责任公司职工医院烧伤整形外科,河北邯郸056001

出　　处：《中国美容医学》2018年第2期41-43,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨颞浅动脉双蒂皮瓣在矫正小口畸形及胡须再造中的应用效果。方法:选择额颞部皮肤正常、面中下部瘢痕增生挛缩的成年男性患者9例。一期手术将扩张器置入额部,并根据手术方案调整预置部位,扩张头皮及其临近的额部皮肤;二期取出扩张器,将形成的双侧颞浅动脉额支扩张皮瓣转移,行小口畸形矫正及胡须再造术;三期断蒂。分析应用颞浅动脉双蒂皮瓣矫正小口畸形及胡须再造的手术效果。结果:9例皮瓣皆成活,且血运情况良好,皮瓣色泽与正常皮肤相近,口部活动度正常,未见挛缩,胡须毛发生长良好,无臃肿,外形美观,立体感强。结论:应用颞浅动脉双蒂皮瓣矫正小口畸形及胡须再造是一种效果优良的手术方法。Objective To investigate the effect of using superficial temporal artery bipedicle flap to correct the microstomia and to reconstruct beard.Methods Selected9adult male patients who had normal frontotemporal skin and hypertrophic scar in the lower part of face.One-stage operation:inserted the dilater into the frontal part and adjusted the position according to operation plan.Then we expanded the scalp and its adjacent skin.The second stage operation:removed the dilater and transferred the flap supplied by bilateral frontal branch of superficial temporal artery to correct the microstomia and reconstruct beard.The third stage operation:cuted off the pedicle of the flap.Then we evaluated and analyzed the effect of using superficial temporal artery bipedicle flap to correct the microstomia and reconstruct beard.Results All the flaps survived,and the circulation kept well,color of the flap is similar with the color of normal skin,movement of mouth was normal,without contracture.Beard grew well with a beautiful and three-dimensional appearance.Conclusion This research is using superficial temporal artery bipedicle flap to correct the microstomia and reconstruct beard is an effective surgical procedure.

关 键 词：颞浅动脉皮瓣 小口畸形 胡须再造 瘢痕 增生 挛缩 

分 类 号：R622[医药卫生—整形外科]