面动脉穿支皮瓣解剖研究及临床应用进展

发布时间：2018-03-08 13:11

本文选题：面动脉穿支皮瓣　切入点：解剖研究　出处：《中国修复重建外科杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的总结面动脉穿支皮瓣(facial artery perforator flap,FAPF)解剖及临床应用研究现状及进展。方法广泛查阅国内外FAPF解剖研究和临床应用的相关文献,并进行整理、分析和总结。结果面动脉穿支(facial artery perforator,FAP)解剖位置较恒定,其中口角附近面动脉发出的穿支最多,每支FAP均有2支静脉与其伴行。FAPF分为蒂位于下颌缘上、下两种,主要用于中面部缺损的修复;下颌缘以上以面动脉主干穿支皮瓣应用最多,内眦动脉穿支皮瓣及鼻旁动脉穿支皮瓣也逐渐得到推广;下颌缘以下以颏下动脉穿支皮瓣应用最广泛。在临床中,面动脉主干及其分支穿支皮瓣的应用都能获得良好的术区功能和面部外观效果。结论FAPF已成为修复口周和鼻翼等缺损的首选皮瓣,具有成活率高、设计灵活、质地薄、与面部其他部位质地及颜色相近、手术操作相对简便等优点。皮瓣制备中关于保留血管蒂周围组织对于皮瓣静脉回流的影响尚需进一步研究。
[Abstract]:Objective to summarize the facial artery perforator flap (facial artery perforator flap, FAPF) anatomy and clinical application research status and progress of extensive literature review. Methods the anatomical study and clinical application of FAPF in and abroad, and organize, analyze and summarize the results. The facial artery perforator (facial artery perforator, FAP) anatomical position is relatively constant, the quarrel near surface artery perforator most, each FAP has 2 veins with concomitant.FAPF divided into pedicle in mandibular, two species, mainly used for repairing facial defects; mandibular to facial artery vein trunk perforator flap used most in perforator artery flap and nasal canthus side artery perforator flap is popularized gradually; mandibular following with the submental artery perforator flap. The most widely used in clinical application, the facial artery and its branch perforator flap can get good facial function and operation area Appearance. Conclusion FAPF has become the preferred flap around the mouth and nose defect, has high survival rate, flexible design, thin texture, similar to other parts of the face texture and color, the advantages of surgical operation is relatively simple. The preparation of flap vascular pedicle for preserving tissue around the vein reflux need further study.

【作者单位】：中国医学科学院整形外科医院;
【分类号】：R322;R622

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