头颈部斜方肌肌皮瓣重建。

IF 1 4区医学 Q3 SURGERY

Journal of Craniofacial Surgery Pub Date : 2025-04-29 DOI:10.1097/SCS.0000000000011423

Jolly S Grewal, Malek H Bouzaher, Arya W Namin, Weitao Wang, Yadranko Ducic

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引用次数: 0

摘要

简介：斜方肌肌皮瓣是重建头颈部缺损的一个有价值的选择，需要一个相当大的皮肤桨。本研究评估了斜方肌肌皮瓣在头颈部重建中的手术效果，特别关注颞骨外侧、颈部外侧、头皮或颈部后中线缺损。方法：采用回顾性分析方法，根据头颈部缺损部位进行分组。进行亚组分析。结果：颞骨外侧和颈部外侧并发症发生率分别为14.5%和21.1%。头皮及后颈中线部位并发症发生率明显高于颞骨缺损部位（2.94倍）（优势比=2.94，P=0.027）。结论：斜方肌瓣在重建颞骨外侧和颈外侧缺损时是有用的，可能是由于它有更有利的旋转弧度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Trapezius Myocutaneous Flap Reconstruction for the Head and Neck.

Introduction: The trapezius myocutaneous flap is a valuable option for reconstructing defects in the head and neck region requiring a sizeable skin paddle. This study assessed surgical outcomes of the trapezius myocutaneous flap in head and neck reconstruction, specifically focusing on defects of the lateral temporal bone, lateral neck, and scalp or posterior midline neck.

Methods: This retrospective study analyzed patients grouped by site of defect within the head and neck. Subgroup analysis was performed.

Results: Overall rates of complication for the lateral temporal bone and lateral neck were 14.5% and 21.1%, respectively. The odds of complications in the scalp and midline posterior neck site were significantly higher (2.94 times higher) than in patients with a temporal bone defect site (odds ratio=2.94, P=0.027).

Conclusions: The trapezius flap is useful when reconstructing the lateral temporal bone and lateral neck defects, likely due to a more favorable arc of rotation.

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来源期刊

Journal of Craniofacial Surgery 医学-外科

CiteScore

1.70

自引率

11.10%

发文量

968

审稿时长

1.5 months

期刊介绍： The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.