【摘要】 目的:分析说明颞筋膜(肌)瓣的解剖位置、血供及神经分布,探讨其在修复组织缺损中的作用,并为进行颅底重建提供解剖学依据。方法:应用10例(20侧)成人头部湿标本,动、静脉系统分别灌注混有红、蓝色染料的乳胶;额颞顶联合切口,逐层解剖、拍照、测量。结果:该区层次由浅入深为:皮肤、皮下组织、颞浅筋膜、颞深筋膜、颞肌和骨膜。颞浅筋膜、颞深筋膜和颞肌均有各自的血液供应。结论:根据其血供可制成不同类型的颞筋膜瓣、颞肌瓣、颞筋膜肌瓣进行颅底重建及组织缺损的修复。更多还原

【Abstract】 AIM:To illustrate anatomical property, blood supply and nerve distribution of temporal fascia(muscles) flaps and explore their effects in repairing tissue def ect,so as to provide an anatomical basis for skull base rebuilding. METHODS:Tota lly 20 wet skull samples from 10 patients were fixed with latex mixed of red and blue dyestuff into veins and arteries.After making frontal-temporal-crest inc ision, anatomy of each layer was photographed and measured. RESULTS:The layers from the surface to the deep were skin,hypodermic tissue,su perficial temporal fascia(STF), deep temporal fascia(DTF),temporal muscle(TM) an d periosteum.STF,DTF and TM had their own blood supplies. CONCLUSION:Different types of temporal fascia flaps, temporal muscle flaps and temporal fascia muscle flaps can be made for skull base rebuilding and tissue d efect repair according to blood supplies.更多还原