用额部头皮瓣再造眉的应用解剖

Applid anatomy of eyebrow reconstruction with frontal scalp flap

在46具成人尸体上,用解剖观测、血管造影、透明标本、光镜下观察和多普勒血流检测仪探查活体血管的方法,研究了额部头皮和眉区皮肤的结构及血管分布:设计了以“颞浅动脉额支—内侧升支”为血管蒂的供皮区:讨论了在术中保护毛球及毛乳头的方法和用额部头皮瓣再造眉的优点。

The structure and vasculature ofthe skin of frontal scalp and eyebr-ow regions were studied by means ofanatomical dissection,angiography,transparent specimen observation and light microscopy on 46 adult cadave-rs,and by the technique of in vivoDoppler blood flow monitor explori-ng.A new flap donor region for ey-ebrow reconstruction was suggestedusing the superficial temporal arteryand its forehead branch and ascendingmedial branch as the vascular pedicleof the flap.Methods for protectingbulbus pili and papilla pili in opera-tion were discussed and the advanta-ges of eyebrow reconstruction withfrontal scalp flap afforded.