摘要
目的探讨利用轴型扩张额部皮瓣修复颜面多处部位缺损畸形的方法及效果。方法根据颜面缺损的大小和形状，在发际线后将长方形100～350ml的扩张器，放置在帽状腱膜深面进行注水扩张，结合使用眶上、滑车上、颞浅血管轴形皮瓣转移修复颜面多处缺损。结果共13例，修复鼻唇缺损7例，均为烧伤后鼻唇畸形，其中以颞浅血管为蒂的2例，以眶上、滑车上神经血管皮瓣修复鼻上唇缺损5例；滑车上血管束皮瓣修复鼻部缺损，剩余的随意皮瓣修复额畸形6例，其中色素痣1例，神经纤维瘤1例，血管瘤1例，瘢痕3例。所有皮瓣均成活良好，无1例坏死，手术后皮瓣颜色质地和周围相近，供瓣区瘢痕轻，随访2周至3年，效果满意。结论扩张额部皮瓣结合额部多血管供应的轴型皮瓣转移是一种修复颜面多处部位畸形的有效手段。
Objective To explore a procedure to correct the multiple facial deformities by using the expanded frontal flap combined with the axial flaps. Methods According to the face deformity we used the rectangle 100-350 ml expanders behind the frontal hairline, after finishing the tissue expanding, adopted two or three axial flaps based on the supraoribital, supratrochlear or temporal vessels. Results A total of 13 cases were treated with this approach. 7 cases were nose and lip defect reconstruction after burn, in which temporal vessel-based flap was used in 2 cases and supraoribital or su- pratrochlear vessel-based flaps in 5 cases. The other 6 cases were nasal reconstruction combined with the frontal defect correction by using random flaps, including 2 cases of pigmented nevus, 1 neurofibroma, and 3 burn scars. All the flaps survived and satisfactory appearance was obtained. Conclusions The expanded frontal flap combined with axial flap based on multiple vessels is a good approach to correct the multiple facial deformities.
出处
《中华医学美学美容杂志》
2011年第6期411-413,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
