摘要
目的探讨自由式岛状穿支皮瓣修复内眦及鼻根区皮肤缺损的疗效。方法自2016年1月至2019年5月采用自由式穿支皮瓣修复内眦及鼻根区皮肤缺损患者21例,其中良性肿瘤6例,基底细胞癌10例,鳞状细胞癌5例。根据缺损创面的大小设计自由式岛状穿支皮瓣,包括以滑车上动脉为蒂的额部皮瓣,内眦动脉或鼻旁动脉为蒂的鼻唇沟皮瓣等;皮瓣大小为1.0 cm×2.2 cm^2.6 cm×3.5 cm。结果 21例患者自由式岛状穿支皮瓣全部成活。术后随访5~24个月,皮瓣外形良好,皮瓣色泽与缺损区接近,质地较柔软,睑裂闭合良好,供区瘢痕不明显。其中2例因皮瓣臃肿行二期修整术。结论自由式岛状穿支皮瓣修复内眦及鼻根区缺损创面,具有血供可靠,色泽质地与受区相近的特点,且皮瓣设计灵活,手术时间短,供区损伤较小,是修复内眦及鼻根区组织缺损较理想的皮瓣。
Objective To explore the efficacy of freestyle perforator island flap in the repair of medial canthus and nasion area skin defects.Methods From January 2016 to May 2019,21 patients with medial canthus and nasion area skin defects were repaired by freestyle perforator island flaps.Among them,benign tumors occurred in 6 patients,basal cell carcinoma occurred in 10 patients and squamous cell carcinoma occurred in 5 patients.The freestyle perforator island flap was designed according to the size of defect,including forehead flap pedicled with the supratrochlear artery,nasolabial sulcus flap pedicled with the medial canthus artery or paranasal artery.The area of flap was from 1.0 cm×2.2 cm to 2.6 cm×3.5 cm.Results After follow-up of 5 to 24 months,all freestyle perforator island flaps in 21 patients were survived.The appearance of flap was good,the color was similar to that of surrounding skin,the texture was soft and the closure of palpebral fissure was good.The scar of donor area was not obvious.Two patients underwent second-stage repair because of the bulky appearance of flap.Conclusion The freestyle perforator island flap was an ideal flap in the repair of medial canthus and nasion area defects.This method has advantages of reliable blood flow,similar color and texture to the recipient site,flexible design of flap,short operation time and small damage of donor site.
作者
沈华
张兆锋
马杰
王尹民
戴心怡
SHEN Hua;ZHANG Zhao-feng;MA Jie;WANG Yin-min;DAI Xin-yi(Department of Plastic Surgery,Shanghai General Hospital Affitiated to Shanghai Jiaotong University,Shanghai 200080,China)
出处
《中国美容整形外科杂志》
CAS
2020年第7期390-392,408,共4页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
内眦缺损
鼻根部皮肤缺损
岛状皮瓣
组织重建
Defects of medial canthus
Nasion area skin defects
Island flap
Tissue reconstruction
