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1978年,Ariyan最先提出用胸大肌肌皮瓣作头颈部缺损重建。但是在复习文献时,没有发现以前对该区域有过血管造影研究。作者观察了Tampa总医院和James A.Haley Veteran′s医疗行政中心所有可利用的锁骨下血管造影,共选择了13例血管造影用于此研究。全部血管造影均采用仰卧位,仅用前后位描记血管。大多数作者同意胸大肌的血供主要来自胸肩峰动脉的胸支和腋动脉分支。为了辨认胸肩峰动脉及其胸支,Ariyan提出使用剑突肩峰连线。这条线表明了胸支的走行,还可用于皮瓣画线、切开和分离。作者在手术
In 1978, Ariyan first proposed pectoralis major myocutaneous flap for reconstruction of head and neck defects. However, in reviewing the literature, no previous angiographic studies of the area were found. The authors looked at all the available subclavian angiograms available at Tampa General Hospital and James A. Haley Veteran's Medical Administrative Center. Thirteen angiograms were selected for this study. All angiography were used supine position, only the anteroposterior tracings blood vessels. Most authors agree that the blood supply to the pectoralis major stems mainly from the thoracic and axillary branches of the thoracic-apex artery. To identify the thoracolumbar artery and its thoracic branch, Ariyan proposed the use of a spermatic shoulder acromion. This line shows the chest branch of the line, can also be used to draw the line flap, incision and separation. The author is in surgery