带蒂颞浅筋膜瓣复合真皮脂肪修复面部凹陷畸形的疗效评价

Evaluation of derma and fat combined pedicled superficial temporal fascia flap for reconstruction of facial depression

目的 对带蒂颞浅筋膜瓣复合真皮脂肪充填面部凹陷畸形的疗效进行初步评价。 方法 对 10例面部凹陷畸形 ,其中 5例半面萎缩 ,5例腮弓畸形患者进行随访和对比研究。 结果 经随访 1～ 3年发现 ,该法用于由腮弓畸形所致的面部凹陷优于半面萎缩的治疗。用于腮弓畸形的充填 ,复合组织瓣的后期吸收率低 ,能获得满意的远期丰满外形 ,而用于半面萎缩病例 ,约有 2 0 %～ 40 %的吸收率。 结论 用该法治疗面部凹陷畸形 ,应注意引起凹陷的病因 ,对腮弓畸形所致的面部凹陷不宜过度充填 ,而用于半面萎缩的治疗 ,宜于适当超量充填 。

Objective To evaluate the curative effect of derma and fat combined pedicled superficial temporal fascia flap for reconstruction of facial depression. Method Postoperative follow up and comparative study were performed. 10 cases of facial depression deformities were involved, in which 5 cases were hemifacial atrophy, and 5 cases were branchial arch maldevelopment. Results Postoperative follow up for 1 3 years showed that the method produced better results in branchial arch depression than in hemifacial atrophy. The combined tissue used in plomb of branchial arch maldevelopment had a low ratio of anaphase absorption, maintaining a satisfactory long term full contour. In plomb of hemifacial atrophy, the anaphase absorption ratio of the was combined tissue approximately 20%～40%. Conclusions The noxa of depression ought to be noticed when this method is used in reconstruction of facial depression. the exorbitant plomb is inadvisable for facial depression of branchial arch maldevelopment. However, in facial depression of hemifacial atrophy, in considering anaphases absorption, the suitable exorbitant plomb is reasonable for better future results.