摘要
35例面颈部瘢痕,手术切除后,用肩胸区真皮下血管网皮瓣修复共55个皮瓣,蒂宽4～6cm,皮瓣长15～22cm,宽12～23cm,蒂的面积与瓣的面积比例为1:5。除两个皮瓣因血肿分别成活90％、85％,其余皮瓣全部成活。本文介绍了手术设计及操作方法,讨论了皮瓣成活机理、供瓣区处理方法。
55 shoulder-thorax flaps were used to repair the facial scar in 35 patients.The flaps were 15～22cm long with pedicles of 3.5～6cm wide and a 8～9:1 length to width ratio. The new flap not only challenges the traditional attitude toward length to width ratio of random flap, it also can be raised to various shapes according to need. The body of the flaps was generally wider than the pediclc for 12～23cm. Except partial loss (10% and 15%)in the distal part of two flaps duc to subdermal hematoma, the other flaps survived totally. The design of the flap and the operation procedure are reported, and the mechanism of flap survival, the methods for closing the donor site are discussed.
出处
《中国美容整形外科杂志》
CAS
1992年第2期59-62,111,共5页
Chinese Journal of Aesthetic and Plastic Surgery
