DEEP-PLANE CERVICOFACIAL ROTATION-ADVANCEMENT FLAP FOR RECONSTRUCTION OF LARGE CHEEK DEFECTS
DEEP-PLANE CERVICOFACIAL ROTATION-ADVANCEMENT FLAP FOR RECONSTRUCTION OF LARGE CHEEK DEFECTS
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DOI：
10.1097/00006534-199407000-00008
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发表时间：
1994-07-01
影响因子：
3.6
通讯作者：
BLACK, J
中科院分区：
文献类型：
--
作者：
KROLL, SS;REECE, GP;BLACK, J
在深面(即浅肌腱膜系统和颈阔肌下方)解剖颈面部旋转推进瓣可明显改善面颊重建的血供和可靠性。这一改进在技术上类似于在复合或深平面面部提升术中使用的技术，已在7名患者中成功应用，其中包括几名重度吸烟者，他们不太可能通过传统的颈面瓣获得成功的结果。未观察到面神经损伤。我们现在认为，当用于面颊或其他面部缺损的重建时，深平面是颈面瓣剥离的首选平面。
The blood supply and reliability of cervicofacial rotation-advancement flaps for cheek reconstruction can be improved significantly by dissecting the flap in the deep plane (i.e., below the superficial musculoaponeurotic system and the platysma). This modification, similar in technique to that used in composite or deep-plane face lift, was used successfully in seven patients, including several heavy cigarette smokers who were unlikely to have achieved a successful outcome with a conventional cervicofacial flap. No facial nerve weaknesses were observed. We now believe that the deep plane is the level of choice for dissection of cervicofacial flaps when used for reconstruction of cheek or other facial defects.