【摘要】 本文通过50具(100侧)成人尸体所进行的解剖学观察与测量,为临床上用胸锁乳突肌胸骨头肌皮瓣修复火器伤嚼肌区皮肌缺损提供了解剖学依据。6例手术的成功与组织学观察表明,此种肌皮瓣具有修复嚼肌区毁损性缺损的良好条件。它依靠双重血供和带有运动和感觉神经分支,不仅组织瓣成活率高,而且术后的咀嚼功能恢复好,局部皮肤的感觉功能恢复早。更多还原

【Abstract】 This study is based on anatomical observation and measurement of sternocleidomastoid muscle and masseterie region on 50 cadavers (totally 100 sides). It provides reliable data for clinical design and empoyment of the sternal end of the sternocleidomastoid muscle for the myocutaneous flap repair of musculoeutaneous defects in the masseterie region following firearm wounds. There has been no flap failure except minimal donor site complications in 6 patients undergoing these reconstructions. Advantages of the use of myoeutaneous flap over prevoius reconstructive methods are the availablity of dual blood supples and preservation of both motor and sensory nerve innervatoins. The successful results following these reconstructive operations showed much better restoration of mastieatory function and far earlier recovery of skin sensation.更多还原