PDF(Pubmed)
Abstract：
Tessier number 10 cleft is one of the rarest facial clefts. Surgical treatment of this type of cleft is challenging due to the complexity of periorbital and temporal soft tissue deformities. A 23-year-old male patient presented with typical facial deformities of Tessier number 10 cleft. The surgical procedure involved using a free anterolateral thigh flap to reconstruct the eye socket, while the superficial temporal artery pedicle scalp flap was used to reconstruct the eyebrow deformity. The patient had no complications and 16 months after surgery, the patient had good aesthetic results. A hair-bearing scalp flap with a pedicle of the frontal branch of the superficial temporal artery combined with an anterolateral thigh-free flap can effectively resolve most soft tissue deformities of Tessier number 10 cleft and reconstruct the orbital socket in a single surgery. At the same time, it augments the soft tissue of the frontotemporal area and provides good aesthetic results.
摘要：
Tessier10号裂口是最罕见的面部裂口之一。由于眶周和颞部软组织畸形的复杂性，这种类型的裂口的手术治疗具有挑战性。一名23岁的男性患者表现为典型的Tessier10裂面部畸形。外科手术涉及使用游离的股前外侧皮瓣重建眼窝，颞浅动脉蒂头皮皮瓣用于重建眉毛畸形。患者无并发症,术后16个月,患者有良好的美学效果。带有颞浅动脉额支蒂的带毛头皮皮瓣与大腿前外侧游离皮瓣相结合，可以有效解决Tessier10号裂隙的大多数软组织畸形，并在一次手术中重建眶窝。同时,它增加额颞区的软组织，并提供良好的美学效果。
