[1] 熊清华,刘诚,李小林. 颞顶部皮瓣联合钛网对颅骨及头皮缺损的一次性修复[J].中国美容医学,2020,(12):63-64.
　 XIONG Qing-hua,LIU Cheng,LI Xiao-lin. One-stage Repair of Skull and Scalp Defects with Temporoparietal Scalp Flap andTitanium Mesh[J].Medical Aesthetics and Beauty,2020,(12):63-64.
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颞顶部皮瓣联合钛网对颅骨及头皮缺损的一次性修复
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

Title:: One-stage Repair of Skull and Scalp Defects with Temporoparietal Scalp Flap and
Titanium Mesh

Keywords:: Key words: the temporoparietal scalp flap; titanium mesh; skull and scalp defects; the parietal branch of the superficial temporalartery

摘要:: [摘要]目的：探讨运用颞顶部皮瓣联合钛网一次性修复颅骨及头皮缺损的临床效果。方法：2016年1月-2020年2月，应用颞
顶部皮瓣联合钛网修复6例颅骨及头皮复合性缺损的创面，均为头皮鳞癌完整切除后导致的头皮及颅骨部分缺失。颅骨缺失
范围3cm×4cm～5cm×7cm，头皮缺失范围4cm×6cm～8cm×9cm，先行钛网修补颅骨缺损，后制备转移颞顶部皮瓣覆盖钛网，
皮瓣转移后所形成创面通过植皮修复，术后观察皮瓣成活情况，评估临床疗效。结果：6例患者皮瓣均成活良好，与周围头
皮组织完整愈合，术后随访1～6个月，外形良好。结论：颞顶部皮瓣联合钛网对颅骨及头皮缺损的一次性修复方法安全、有
效，恢复了患者的外形及功能，值得在临床推广应用。

Abstract:: Abstract:Objective To investigate the clinical effect of the temporoparietal scalp flap combined with titanium mesh in
repairing skull and scalp defects. Methods From January 2016 to February 2020, 6 cases of skull and scalp composite defects
were repaired by temporal apical flap combined with titanium mesh. All of them were partial scalp and skull loss after complete
excision of squamous cell carcinoma of the scalp. The skull loss range was 3cm×4cm-5cm×7cm, and the scalp loss range was
4cm×6cm-8cm×9cm. The titanium mesh was first used to repair the skull defect, and then the transferred temporal apical flap
was prepared to cover the titanium mesh, The secondary wound surface of temporal apical scalp was repaired by skin grafting .
Results The scalp flaps of 6 patients survived well and healed with the surrounding scalp tissue. The patients were followed up
for 1-6 months after the operation and had a good outline. Conclusion The temporoparietal scalp flap combined with titanium
mesh is safe and effective in the treatment of skull and scalp defects.

[1]杨欢,周恩捷,王玉宝,等. 电脑三维塑形钛网行颅骨缺损修补的术后效果及外观满意度分析[J].中国美容医学,2019,(01):19.
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[2] 马蕊,周立波,李钧. 个性化钛网联合引导骨再生术修复牙槽骨缺损的作用及美学效果观察[J].中国美容医学,2021,(7):119.
　 MA Rui,ZHOU Li-bo,LI Jun. The Effect of Personalized Titanium Mesh Combined with Guided Bone Regenerationin Repairing Alveolar Bone Defect and the Observation of Aesthetic Effect[J].Medical Aesthetics and Beauty,2021,(12):119.
[3]顾成楠,曹珏玲.钛网联合结缔组织移植术在美学区早期种植修复中的作用及美学效果分析[J].中国美容医学,2023,(4):126.
　U Chengnan,CAO Jueling.Analysis of the Effect of Titanium Mesh Combined with Connective Tissue Graft in Early Implant Restoration of Aesthetic Area[J].Medical Aesthetics and Beauty,2023,(12):126.

更新日期/Last Update: 2021-01-05