Background

A variety of revascularization techniques have been reported for the management of moyamoya disease to prevent risks of stroke. STA (superficial temporal artery)–MCA (middle cerebral artery) microanastomosis, single or double bypass, with temporal muscle or galeal onlay graft has been the standard operative procedure.

Method

Our rationale of revascularization surgery has been a combination of STA-MCA double bypass using the frontal and the parietal branches of STA and transfer of a highly vascularized thick galeal flap with maintained STA vasculature.

Conclusion

This STA-enhanced vascularized galeal flap graft is extremely effective for revascularization of moyamoya disease.

中文翻译：

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用于烟雾病再血管化的STA增强型血管化盖状瓣：技术报告。

背景

据报道，有许多种血运重建技术可用于治疗烟雾病，以预防中风的风险。STA（颞浅动脉）-MCA（大脑中动脉）微吻合术，单次或两次旁路手术，颞肌或galeal覆膜移植术已成为标准手术方法。

方法

我们进行血运重建手术的基本原理是结合使用STA的额叶和顶叶分支进行STA-MCA双旁路，并转移高度血管化的厚盖状瓣并维持STA脉管系统。

结论

这种STA增强的血管化的盖状瓣移植物对于烟雾病的血运重建非常有效。