用顳肌肌瓣重建眼眶及上頷部缺損

Temporalis Muscle Flap for Orbito-Maxillry Defect Reconstruction

段茂瑋(Mao-Wei Tuan) ； 楊效誠(Show-Cheng Yang) ； 張孟卿(Meng-Ching Chang)

《中華民國重建整形外科醫學會雜誌》 5卷2期 (1996/06) Pp. 96-101

https://doi.org/10.7096/JPRSA.199606.0096

摘要

因為顳肌肌瓣具有豐富的血液循環、肌瓣薄、可塑性佳、距離眼眶或上頷部的手術部位比較近，以及手術後顳肌功能喪失對病人的影響不大，加上手術後顳部外觀沒有明顯改變等優點。所以本院在最近四年，利用顳肌肌瓣重建了四個眼眶及上頷部缺損的病例。其中三位為臉部腫瘤，一位為臉部電燒傷病例。重建手術後除了術後顳部外表有稍微凹陷，及一位有術後的顏面神經顳枝痳痺外，沒有其他併發症發生。

關鍵字

顳肌肌瓣 ； 眼眶及上頷部缺損

並列摘要

In our hospital, the temporalis muscle flap has been used to reconstruct the defectual orbit, maxilla and oral cavity because of is advantages such as rich vascularization, easy closure of the defect area, minimal function loss and less aesthetic sequela after the operation. In this article, we present four patients on whom, these flaps, were applied due to defects resulting from oncologie surgeries or electric burn injury on the face. After these reconstructions, one patient had paralysis of the frontal branch of facial nerve, and all of them had a mild depression over the temporal fossa area. Besides the above mentioned sequela, there were no peri-operative complication; and all flaps which were applied to the recipient sites, showed good results. All patients satisfied with the results.

並列關鍵字

temporalis muscle flap ； orbito-maxillary defect