颞浅筋膜瓣在整形修复外科领域的临床应用进展

Clinical application of temporal superficial fascia flap in plastic surgery

颞浅筋膜位于头颅侧方皮下组织和颞深筋膜之间,具有来自颞浅血管的稳定的血液供应。颞浅筋膜瓣因其柔韧性好,可随意变形和转折,切口隐蔽及供区并发症少等特点,目前在整形外科,尤其头颈部整形修复领域的应用已被广泛认可,近期还被尝试用于治疗如气管狭窄、各部位瘘管等外科难治疾病。作者对近年来国内外关于颞浅筋膜瓣的相关临床研究进展进行总结。

The temporoparietal fascia(TPF)is a robust and distinct layer between the deep temporal fascia and the subcutaneous fat in the temporal region.The TPF is richly vascularized by superficial temporal vessels.Besides,its thin and pliable characteristics with secluded incision and minimal donor site morbidity provide a good option for the plastic and reconstructive surgeons.Recently,the TPF flap was employed to treat some rare diseases such as the laryngotracheal stenosis and pharyngocutaneous fistula.This article extensively reviewed relevant researches on the application of the fascial flaps in recent years.