扩张超薄穿支皮瓣在面颈部体表良性肿瘤切除术后缺损修复中的应用

杨红华; 陶剑; 李文芳; 王芳

文章摘要

杨红华陶剑李文芳王芳.扩张超薄穿支皮瓣在面颈部体表良性肿瘤切除术后缺损修复中的应用[J].实用中西医结合临床,2017,17(3):3-4,8

扩张超薄穿支皮瓣在面颈部体表良性肿瘤切除术后缺损修复中的应用

Plastic Surgery, The first Affiliated Hospital of Nanchang University, Nanchang, Jiangxi330000; 2Wenzhou Peace Plastic Hospital, Wenzhou, Zhejiang325000; 3Plastic surgery, The Affiliated Eye Hospital of Nanchang University,

DOI：

中文关键词: 缺损修复面颈部体表良性肿瘤超薄穿支皮瓣切除

英文关键词: Reconstruction of the defect Facial and cervical benign tumor Ultrathin perforator flap expansion Cutting off

基金项目:

作者	单位
杨红华陶剑李文芳王芳	南昌大学第一附属医院整形美容科；浙江省温州和平整形医院；南昌大学附属眼科医院整形美容科

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中文摘要:

目的：探讨扩张超薄穿支皮瓣在面颈部体表良性肿瘤切除术后缺损修复中的应用价值。方法：2011年1月~2014年12月，采用前胸部扩张超薄穿支皮瓣修复了12例面颈部良性肿瘤切除术后缺损患者，一期术前用多普勒超声血流探测仪定位血管的部位及走行，于前胸部皮肤全层下埋置扩张器，二期切除面颈部肿瘤，设计扩张超薄皮瓣修复面颈部肿瘤术后缺损，供区一期闭合。结果：11例皮瓣完全存活，仅1例出现末端血运障碍，经处理后，皮瓣存活良好；转移皮瓣大小为8 cm×9 cm~24 cm×16 cm；术后随访6个月，患者皮瓣颜色接近正常皮肤，感觉良好，面部表情自如。结论：超薄扩张穿支皮瓣是面颈部良性肿瘤切除术后修复缺损的理想方法，值得临床推广。

英文摘要:

Objective: To investigate the application value of ultrathin perforator flap expansion in the reconstruction of the defect after cutting off the facial and cervical benign tumor. Methods: From January 2011 to December 2014, used ultrathin perforator flap expansion of anterior chest to repair 12 patients’ defects after cutting off the facial and cervical benign tumor. In the first period before the surgery, used the Doppler ultrasound blood flow detector positioning vessels position and walking to identify the fixed position of vascular sites and walking, buried dilator under the skin of the anterior chest. In the second period, cut off the facial and cervical benign tumor, designed the ultrathin perforator flap expansion to repair defect after cutting off the facial and cervical benign tumor, in order to supply the primary closure of donor site. Results: 11 patients’ flaps survived completely, only 1 patient appeared terminal blood circulation disorder, after treatment, flap survived; flap sizes were 8 cm×9 cm~24 cm×16 cm; after 6 months of following-up, the skin color of the all patients’ closed to the normal skin, with good feelings and free facial expressions. Conclusions: ultrathin perforator flap expansion is an ideal method in the reconstruction of the defect after cutting off the facial and cervical benign tumor, it is worthy of clinical promotion.

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