Pedicled temporoparietal fascial flap for combined revascularization in adult moyamoya disease

被引：7

作者：

Ravina, Kristine ^{[1
]}

Rennert, Robert C. ^{[4
]}

Strickland, Ben A. ^{[2
]}

Chien, Mark ^{[1
]}

Carey, Joseph N. ^{[3
]}

Russin, Jonathan J. ^{[1
,2
]}

机构：

[1] Univ Southern Calif, Keck Sch Med, Neurorestorat Ctr, Los Angeles, CA 90033 USA

[2] Univ Southern Calif, Keck Sch Med, Dept Neurol Surg, Los Angeles, CA 90033 USA

[3] Univ Southern Calif, Keck Sch Med, Dept Surg, Div Plast & Reconstruct Surg, Los Angeles, CA 90033 USA

[4] Univ Calif San Diego, Dept Neurosurg, San Diego, CA 92103 USA

来源：

JOURNAL OF NEUROSURGERY | 2019年 / 131卷 / 05期

关键词：

cerebral revascularization; combined bypass surgery; STA-MCA bypass; moyamoya disease; temporoparietal pedicled flap; surgical technique; vascular disorders; INDIRECT CEREBRAL REVASCULARIZATION; INDIRECT BYPASS; GALEAL FLAP; RECONSTRUCTION; OUTCOMES; STROKE;

D O I：

10.3171/2018.5.JNS18938

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Moyamoya disease (MMD) is a progressive, idiopathic cerebrovascular occlusive disease. Various revascularization techniques including direct, indirect, and combined microvascular bypasses have been described. This article presents a modified revascularization technique for MMD utilizing a pedicled temporoparietal fascial flap (TPFF) for combined revascularization. This technique combines a large area of coverage for indirect revascularization with the benefits of a direct bypass. The pedicled TPFF also benefits from intact venous drainage to minimize the risk of flap swelling that could result in complications from mass effect.

引用

页码：1501 / 1507

页数：7

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