淺顳筋膜瓣重建手背乾組織缺失

顳筋膜瓣是一薄層，理想和有良好血行及大口徑及血管莖長的皮瓣，容易進行顯微血管吻合手術，在筋膜上植皮，為容易存活表皮層，其淺顳筋膜瓣供應區結巴，可以被頭髮所隱藏。淺顳筋膜瓣可應用於1.暴露的骨骼、肌腱、神經之覆蓋;2.建立適合手部伸肌腱滑行的表面，有助伸肌腱活動功能，降低手指關節的僵硬;3.提供豐富血流供應，預防或治療手背骨外傷的骨髓炎。此論文目的在探討淺顳筋膜瓣重建手背軟組織缺失，並應用立即肌腱移植手術，分段式肌腱移植手術或肌腱轉移手術後，其功能恢復的結果.
The temporoparietal fascial flap is a thin. pliable layer of richly vascularized tissue .It has large a calibered and long pedicle vessel suitable for anastomosis, and it can be also skin grafted on the surface of the flap on the dorsal part of the hand .The donar site from the scalp is hidden within the hair bearing scalp. The flap has been used to 1. Cover exposed bone, tendon and nerve on the dorsum of the hand. 2. Reestablish a smooth gliding surface, advantageous to extensor tendon function. 3. Provide blood supply to treat or prevent osteomyelitis of the hand. The free temporoparietal fascial flap is transferred for coverage reconstruction of the dorsal surface of the hand. It is an excellent choice for the restoration of an excellent functional result, from the groups of immediate tendon graft, staged graft and tendon transfer under the vascularized temporoparietal fascial flap.