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首页> 外文期刊>The Journal of craniofacial surgery >Facial Artery as a Recipient Vessel for Extensive Scalp Reconstruction With Free Omental Flap Without Vein Graft
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Facial Artery as a Recipient Vessel for Extensive Scalp Reconstruction With Free Omental Flap Without Vein Graft

机译：面部动脉作为受援船，用于广泛的头皮重建，无静脉移植的自由斑点

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摘要

Most patients with reconstruction for extensive scalp defects require the use of a free flap. The suitability of the recipient vessel has a major impact on the surgery and postoperative outcome. Flaps that can be used to reconstruct the total scalp with a single flap include the latissimus dorsi (LD) and omental flaps; the LD flap is generally preferred since the omental flap results in relatively larger donor site morbidity. The recipient vessel most commonly used for scalp defect reconstruction is the superficial temporal vessel. The authors report a patient with successful total scalp reconstruction using a free omental flap on a patient whose bilateral superficial temporal arteries could not be used and who did not have available LD on both sides due to previous LD free flap surgeries for recurrent scalp angiosarcoma. In this patient, direct anastomosis of the flap to the right facial artery was performed without pedicle lengthening, such as vein graft or arteriovenous loops, and favorable outcome was achieved in terms of facial contour after recovery. The free omental flap is useful for reconstruction of extensive scalp defects without additional complex surgical procedures when other flaps are not viable or when the recipient vessel is located at a far distance.
机译：大多数重建大型头皮缺陷的患者都需要使用自由翼片。受体船的适用性对手术和术后结果产生了重大影响。可用于重建具有单个襟翼的总头部的襟翼包括Latissimus Dorsi（LD）和别翼片; LD翼片通常优选，因为题瓣导致相对较大的供体现场发病率。最常用于头皮缺陷重建的受体血管是浅表颞叶。作者向患者报告了一名患者，使用患者在双边浅表颞动脉无法使用的患者身上成功进行头皮重建，并且由于前面的LD免费襟翼手术，因此在双方没有可用的LD的患者。在该患者中，在没有椎弓根延长的情况下进行翼片的直接吻合术，例如静脉移植物或动静脉环，并且在回收后的面部轮廓方面实现了有利的结果。如果其他襟翼不可行，或者当接收器船位于远距离时，无需额外复杂的外科手术，则自由素瓣可用于重建广泛的头皮缺陷而无需额外的复杂外科手术。

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