蒂在后的颈阔肌肌皮瓣修复腮腺咬肌区皮肤组织缺损

Platysma myocutaneous flap with posterior based pedicle for defects in the region of parotid gland and masseter muscle

目的探讨蒂在后的颈阔肌肌皮瓣修复腮腺咬肌区皮肤组织缺损的方法及可行性。方法回顾性总结2006～2007年间应用蒂在后的颈阔肌肌皮瓣修复腮腺咬肌区皮肤组织缺损共计6例。并就肌皮瓣的血供、设计、术中注意事项及术后效果进行了研究。结果本组6例随访2个月～1年,皮瓣全部成活,肌皮瓣术后的色泽、质地与面部皮肤较匹配,修复容貌效果满意。结论颈阔肌肌皮瓣血运丰富,成活率高,手术操作简便,是修复腮腺咬肌区皮肤组织缺损行之有效的方法,值得推广。

OBJECTIVE To assess the method and reliability of the platysma myocutaneous flap with posterior based pedicle for defects in the region of parotid gland and masseter muscle. METHODS The clinical data of 6 patients who were reconstructed with platysma myocutaneous flap with posterior based pedicle for defects in the region of parotid gland and masseter muscle from 2006 to2007 were studied. The blood supply and design of the flap, the keys in operation and the outcome after operation were also discussed. RESULTS All the patients were followed up from 2 months to one year. The color of the platysma myocutaneous flap was matched with the facial skin. All the operation results were satisfied. CONCLUSION Platysma myocutaneous flap has abundant blood supply. The operation is easy and reliable. It is suitable for reconstruction of the defects in parotid gland and masseter muscle region.