目的 探讨颞浅双蒂预扩张头皮瓣在严重烧伤后下面部轮廓重建中的应用效果。方法 2014年1月至2017年1月,应用颞浅双蒂预扩张皮瓣修复10例男性患者烧伤后上、下唇瘢痕。一期于头皮下放置扩张器,经6～8个月扩张后,行二期手术,缺损覆盖按亚单位原则进行。结果 扩张皮瓣全部成活并覆盖上、下唇区域,未发生术后并发症。随访6～12个月,皮瓣质地柔软,不臃肿,肤色与正常唇周皮肤相近,瘢痕隐蔽,张口及表情功能良好。结论 颞浅双蒂预扩张头皮瓣是修复男性患者上下唇全层皮肤组织缺损的较好方法。

Objective To explore the clinical application and outcome of the bipedicled pre-expended superficial temporary artery visor flap in the post-burn reshaping of lower facial contour.Methods From January 2014 to January 2017,10 male patients were treated with bipedicled pre-expended superficial temporary artery visor flap for the coverage of the defect in upper and lower lips.After inserting the tissue expander below scalp in first stage,a period of 6-8 months was conducted for tissue expansion.Second stage operation was then applied based on the principle of subunits.Results All the flap survived and covered the upper and lower lip area without any postoperative complications.All patients were followed up for 6-12 months.The flap was soft and not puffy.The skin color was similar to that around the lip.The function of mouth opening and expression was good without obvious scars.Conclusion The bipedicled pre-expended superficial temporary artery visor flap is safe and effective in the reconstruction of skin defect of upper and lower lips for male patients.