严重创伤致面颈部皮肤软组织缺损及血管、骨外露的皮瓣修复.docVIP

严重创伤致面颈部皮肤软组织缺损及血管、骨外露的皮瓣修复 摘 要 目的 方法 颈部皮肤软组织缺损合并血管、骨、肌肉外露病例的系统治疗，总结颈肩胸局部随意皮瓣在临床修复面颈部的治疗特点。 结果 结论 关键词 SKIN FLAP RECONSTRUCTION OF SKIN AND SOFT TISSUE DEFECTS WITH EXPOSED BONE AND BLOOD VESSELS ON FACE AND NECK REGION CAUSED BY SEVERE TRAUMATIC INJURY ABSTRACT Objective To discuss the characteristics and methods of repairing large area of wounds and soft tissue defects over face and neck with exposed vessels, muscles, and bone by using neck, shoulder and chest local random pattern skin flap. Methods Retrospectively summarize one case of skin and soft tissue defects combined with exposed blood vessels, bone and muscle caused by severe trauma on face and neck region in Plastic and Reconstructive Surgical Department, the First Affiliated Hospital of Guangxi Medical University. Summarize the characteristic surgical techniques of using local random pattern skin flap of chest, neck and shoulder in clinical reconstruction of large defects in face and neck in emergency condition. Results Neck, shoulder and chest local random pattern skin flap was used to repair wounds of the patient. The skin flap had a good blood supply and survived well postoperatively. One month follow-up showed that the local skin in the operative area healing well. No bleeding, no swelling was noted. The skin flap appearance and texture was satisfied and well function. Conclusion In patient with large area of face and neck injury associated with seriously complicated systemic injury, repairing the exposed neck tissue by using neck, shoulder and chest local random pattern skin flap in emergency operation can not only prevent aggravating infection but also can maximize the recovery of the anatomical and physiological functions after operation. For these patients who has undergone one-step surgical repair can not only shorten the hospital stay of patient, reduce suffering and economic burden of patients but also time-saving for post-traumatic clinical tre