摘要
目的 :探讨在颅底病变切除后组织缺损修复中多种带蒂复合组织瓣的应用。方法 :术中应用颞肌复合组织瓣、额肌复合组织瓣、帽状腱膜组织瓣、胸大肌肌皮瓣、斜方肌肌皮瓣、胸锁乳突肌肌皮瓣一期修复前颅底缺损 10例 ,侧颅底缺损 11例。结果 :2 1例均一期愈合 ,随访 6月以上 ,无颅内感染 ,无脑脊液漏 ,无脑疝形成。结论 :带蒂复合组织瓣是一期修复颅底缺损的理想材料。需根据缺损部位和不同组织瓣的特点选择 。
Objective:To explore the application of several complex tissue flaps with pedunculus in the repairing of the defect of skull base after the lesions were removed.Methods:The temporalis complex tissue flap,the frontal muscle complex tissue flap,the epicranial aponeurosis tissue flap,the greater pectoral muscle musclodermic flap,the trapezius muscle musclodermic flap,and the sternocleidomastoid muscle musclodermic flap were applied to one stagely repair 10 cases of the defect of the anterior cranial base and 11 cases of the defect of the lateral cranial base.Result:All of the 21 cases got one stage healing,and were followed up over six months,none suffered from the intracranial infection ,the cerebrospinal rhinorrhea or otorrhea,of the brain hernia.Conclusion:The complex tissue flaps with pedunculus is an advisable material to repair the defect of the skull base.The choice of the repair method should be based on the sites of the defect and the characteristic of the tissue flaps.The combined repairing should be adopted to repair the great defect.
