摘要
目的探讨颏下岛状皮瓣修复面部皮肤癌术后缺损的临床效果。方法 2009年1月至2012年12月,收治面部皮肤癌患者13例,肿瘤扩大切除后面部遗留缺损范围为5.0 cm×4.5 cm^12.0 cm×10.0 cm,以颏下动静脉为血管蒂,制成颏下岛状皮瓣,最大面积为13.0 cm×9.0 cm,最小面积为5.5 cm×5.0cm,修复肿瘤扩大切除的面部大范围缺损。结果 12例皮瓣一期愈合,有1例皮瓣局部裂开,延期愈合。随访12~18个月,所有患者均无肿瘤复发,皮瓣全部成活,供区瘢痕不明显,受区外观及功能良好。结论颏下岛状皮瓣具有血供稳定充足,可供面积大,弹性及颜色与面部组织接近,成活率高等优点,是修复面部皮肤癌术后大范围缺损的理想选择。
Objective To explore the clinical effect of submental island flap on the reconstruction of postoperation defects of facial skin cancer. Methods Collecting 13 cases of facial skin cancer who underwent extended resection from Jan. 2009 to Dec. 2012, 5 males and 8 females, with an age range of 58 to 87 （average age is 73.3 years old）. 8 cases of basal cell carcinoma and 5 cases of squamous cell carcinoma. 1 patient was dignozed as infection and others didn＇t have the sign of infection before operation . Defect sizes ranged from 5.0 cm × 4.5 cm to 12.0 cm × 10.0 cm after operation. Submental island flaps based on the submental artery and vein were used to repair the defects. The size of the flaps ranged from 5.5 cm × 5.0 cm to 13.0 cm × 9.0 cm. Results Partial incision dehiscence occurred in 1 case,which was cured after dressing change. Other flaps survived and incision healed basically. All the cases were followed up during the next 12 to 18 months. No recurrence was found, and all the flaps survived with good appearance and normal function. The scars at the donor sites were slight. Conclusions The advantage of submental island flap are as follows ： sufficient and stable blood supply, covered large area, color and elasticity are similar to facial tissue, high survival rate, etc. It can preserve satisfactory appearance and maintain facial function. It is a good choice to reconstruct the massive defects after operation of facial skin cancer.
出处
《中国肿瘤外科杂志》
CAS
2014年第3期145-148,共4页
Chinese Journal of Surgical Oncology
关键词
颏下岛状皮瓣
面部皮肤癌
大范围缺损
修复
submental island flap
facial skin cancer
massive defects
reconstruction
