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鼻唇瓣和颊粘膜瓣已在面中份重建中得到广泛应用,作者将两者结合,设计出以面动脉为蒂的新型轴型肌粘膜瓣,称之为面动脉肌粘膜瓣(FAMM),上蒂型或下蒂型均可。临床应用18例,仅1例失败。2例部分坏死。此瓣包括粘膜、粘膜下组织、少部分颊肌、口轮匝肌深层、面动脉和静脉丛,可用于修复口腔及鼻腔粘膜缺损。应用解剖面动脉为颈外动脉的分支,在嚼肌前缘绕过下颌骨下缘到达面部,其行程曲折,向上、前至口角外侧,位于笑肌、颧大肌和口轮匝肌浅层深面,颊
Nasal labial and buccal mucosal flap has been widely used in face reconstruction. The authors combined the two to design a new type of axial muscle mucosal flap pedicled with facial artery called facial artery muscular mucosal flap (FAMM) , On the pedicle type or under the pedicle type can be. Clinical application of 18 cases, only 1 case of failure. 2 cases of partial necrosis. This flap, including mucosa, submucosal tissue, a small part of the buccal muscle, orbicularis muscle deep, facial artery and venous plexus, can be used to repair oral and nasal mucosal defects. Application of anatomical artery for the branch of the external carotid artery, the lower edge of the mandibular in the front of the chewing muscles to reach the face, its winding twists and turns, up, before the outside of the mouth, located in the superficial lamina of muscle, zygomaticus and orbicularis Deep, cheek