不同类型的岛状皮瓣在修复颜面部软组织缺损中的应用.pdfVIP

不同类型的岛状皮瓣在修复颜面部软组织缺损中的应用 邓建平，黄雁翔，裴春燕，黄　伟 （广东省高州市人民医院整形美容外科，广东高州 525200） 摘　要：目的 探讨不同类型的岛状皮瓣在修复颜面部软组织缺损中的修复方法及适应证。方法 鼻部皮肤缺损多采 用鼻唇沟皮下组织蒂岛状皮瓣修复。鼻背部或鼻侧部较大缺损(直径在2.5~3.0 cm 以上)修复则采用额部滑车上动脉岛状 皮瓣修复。对于下睑部、眶周、颜面部较大面积缺损的修复则应用额部颞浅动脉岛状皮瓣修复。结果 23例颜面部软组 织缺损均一期岛状皮瓣修复，所有皮瓣均成活。皮瓣肤色与周围一致，瘢痕不明显。形态满意，功能恢复良好。结论 根据颜面部不同部位及不同面积的缺损选择不同类型的岛状皮瓣可以获得良好的治疗效果。 关键词：岛状皮瓣；颜面部；软组织缺损 中图分类号：R 622 文献标识码：A 文章编号：1005-4057(2011)02-0143-03 DOI:10.3969/j.issn.1005-4057.2011.02.009 Differenttypesofislandflapforrepairingfacialsofttissuedefects DENG Jian-ping, HUANG Yan-xiang, PEI Chun-yan, HUANG Wei (Department of Plastic and Aesthetic Surgery, Gaozhou Peoples Hospital, Gaozhou 525200, China) Objective Abstract:To discuss the surgical approaches and indications of different types of island flap for repairing the facial soft tissue defects. Methods Nasolabial pedicled island flap, forehead supratrochlear artery island flap, and superficial temporal artery island flap were generally suitable for reparation of nasal defects, large defects (diameter 3.0 cm) in the dorsum and sides of nose, lower eyelid and periorbital area, respectively. Results Twenty-three patients with facial soft tissue defects underwent successful one-stage reconstruction with island flaps. The survival flaps showed normal texture, appearance and function. Conclusion Island flaps should be chosen based on the region and area of facial defect, which can achieve the satisfactory effects. island flap; face; soft tissue defect Keywords: 颜面部的肿瘤、溃疡、色素痣、瘢痕切除术后 2 唇沟皮肤缺损 例。由于基底细胞癌、磷癌皮肤恶性 局部皮肤软组织缺损在修复时，要求在色泽、质地 17 5 肿瘤切除所致缺损 例，色素痣切除 例，瘢痕切除 和厚度上与颜面部皮肤相近，而通常局部不能提供