摘要目的 探讨一种面颊部凹陷畸形的充填修复方法. 方法 将纵向、蒂在下颌缘的颈阔肌-筋膜瓣向上翻转180°,远侧部携带游离的腹部真皮脂肪片,一并充填于面颊部凹陷区域.结果2003～2007年,共为5例患者实施了手术治疗,术后均恢复顺利.随访3个月至3年,移植组织未发生明显吸收,效果满意.结论颈阔肌-筋膜瓣血运丰富,抗感染力强,切取简便,手术易于操作,再联合游离的腹部真皮脂肪片,增大移植组织的厚度,是修复面颊部凹陷畸形的较好方法,尤其适合于较严重的面颊凹陷畸形患者.

abstractsObjective To explore the method of treatment of sunken cheek deformity.Methods The longitudinal platysma-faseial flap was overturned 180 degree upward,the flap's pedicle located in the margin of mandible,and then combined with abdominal dermis fat graft to form as a sandwich,which filled in the sunken area of face.Results Five patients were treated with this method from 2003 to 2007,and satisfactory results were gained but only mild absorption was found in the transplanted tissue area during followed up for 3 months to 3 years.Conclusion Platysma-fascial flaps survive easily with rich blood supply and strong anti-infection,and are also easy to incise and operate as well,which,together with free abdominal dermis fat flap,could increase the amount of the needed tissue.It is a better approach to repair the sunken cheek deformity and in particular suitable for the more serious deformity in patients with sunken cheek.