以颞浅动脉枕区吻合支为蒂头皮瓣行双眉再造

Reconstruction of both eyebrows with scalp flaps with the anastomotic branch in occipital region of superficial temporal artery as the pedicle

目的 运用颞浅动脉串连两个头皮岛状皮瓣 ,进行各种原因导致双眉缺损的眉毛再造。 方法 将一侧颞浅动脉顶支及其与同侧枕动脉在颞顶区的吻合支为蒂 ,携带颞顶区和颞枕区方向相反的两块头皮 ,头皮瓣大小为 1.0cm× 5 .0cm ,一次完成双眉再造。 结果 应用此方法共完成双眉再造 4例。再造双眉对称粗旷 ,串连的两个头皮瓣成活良好 ,外形满意 ,眉毛生长浓密。 结论 对于双眉缺损的男性患者 ,应用一侧颞浅动脉及与枕动脉吻合支为蒂一次性再造双眉 。

Objective To explore the effects of the reconstruction of both eyebrows with scalp flaps with pedicles supplied by superficial temporal arteries. Methods The parietal branch of the superficial temporal and its anastomotic branch of occipital artery at temporoparietal region on the same side were designed as the pedicles, with which two scalp flaps on temporoparietal and temporo-occipital regions with reverse directions were employed to restore the eyebrows on both sides. Results Four patients were treated with this method with satisfactory appearance and survival rate (100%). The reconstructed eyebrows appeared symmetrical and heavy . Conclusion Scalp flaps with the anastomotic branch at occipital region of superficial temporal artery as the pedicle might be a good choice for the resonstruction of lost eyebrows.