鼻中隔软骨粘膜瓣的应用解剖
Applied anatomy of the nasal septal chondromucosal island flap
赵振民 1李森恺 1严义坪 1杨明勇 1李养群 1黄渭清1
作者信息
- 1. 中国医学科学院中国协和医科大学整形外科医院,
- 折叠
摘要
目的:研究从鼻旁区进入鼻中隔的血管,为设计鼻中隔软骨粘膜岛状瓣修复眼睑衬里和睑板的缺损提供解剖学基础。方法:10具新鲜成年尸体标本从颈总动脉灌注红色乳胶,在2具尸体标本的面静脉内注入兰色乳胶溶液。在3.5倍的手术放大镜下进行解剖,显露鼻中隔的血管和进入鼻中隔的鼻区血管。结果:鼻翼基底动脉和鼻翼基底神经进入鼻中隔的前下部,参与犁氏区克氏动脉丛的组成,与鼻中隔前部和后部的血管相互吻合。结论:以鼻翼基底动脉和鼻翼基底神经为血管神经蒂的岛状鼻中隔软骨粘膜瓣,可转移到眶区修复眼睑衬里粘膜和睑板的缺损。
Abstract
Objective: To provide anatomical basis for repairing the conjunctival defects of eyelied or tarsus with the nasal septal chondromucosal island flap.Methods: 10 fresh adult cadavers were injected with red latex solution in the common carotid artery,and 2 of them were injected with blue latex solution in the facial vein.Dissected under 3.5×loupe magnification,the vascular of the perinasal region and nasal septum were revealed and observed.Results: Anastomosesing with the vasculars of anterior and posterior septum,the nasal alar basal artery and nerve enter into the anterior inferior septum.Conclusion: The nasal septal chondromucosal island flap pedicled with the nasal alar basal artery and nerve can be used to repair the conjunctival defects of eyelid or tarsus.
关键词
鼻中隔/鼻翼基底动脉/鼻翼基底神经/岛状鼻中隔软骨粘膜瓣引用本文复制引用
出版年
2001