摘要
目的 探讨颈部及耳后联合扩张皮瓣修复面部大面积瘢痕的效果.方法 2007年1月至2011年5月,对8例面部瘢痕患者进行治疗.根据面部瘢痕面积以及颈部和耳后供区大小不等的特点,选择大小合适扩张器,将扩张器同时置于颈部及同侧耳后,注水扩张3～6个月,充分扩张后皮瓣相连呈“鱼鳔样”,在扩张区域设计超长皮瓣向面部转移修复同侧面部瘢痕.结果 用颈部耳后联合“鱼鳔状”扩张的方法修复面部瘢痕患者8例.1例扩张皮瓣的远端出现0.3 cm×2.0 cm至0.5 cm×2.0 cm坏死,通过换药后愈合.8例患者都获得满意结果.随访时间6个月至2年.皮瓣成活良好,无继发畸形.扩张皮瓣颜色、质地与面部皮肤相似,外观良好.结论 应用颈部及耳后联合扩张皮瓣修复面部大面积瘢痕,是一种良好的选择.
Objective To report the effect of expanded neck and mastoid region flap in the reparation of facial scars.Methods Total 8 patients were included from January 2007 to May 2011.Tissue expanders were implanted in the neck and mastoid region after we selected suitable expander on the basis of an area of facial scars.Three to six months later,the expanded neck and mastoid region flap was used to repair large area of facial scars.Results From January 2007 to May 2011,we used expanded neck and mastoid region flap to resurface the facial scars in 8 patients.One patient appeared small size of necrosis （0.3 cm× 2.0 cm to 0.5 cm× 2.0 cm） in the distal area and healed after dressing changes.All the other patients healed completely.The period of follow-up was 6 months to 2 years.The flaps matched well to the surrounding skin in terms of color and good texture.Conclusions The method of combined expander neck and mastoid region skin flaps to repair facial scars is suitable.We believe this is a good option of repairing large area of facial scars.
出处
《中华医学美学美容杂志》
2015年第5期264-266,共3页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
面部瘢痕
扩张术
皮瓣
Facial scars
Expansion
Skin flap
