远位扩张皮瓣在面颈部畸形修复中的应用

发表时间：2014-07-01 浏览次数：1011次

引用：

郭鑫，王千文，李秀琪等.远位扩张皮瓣在面颈部畸形修复中的应用[J].中华整形外科杂志.2014, 30(3):168-171.

关键词：

远位皮瓣;修复外科手术;软组织扩张术

作者：

郭鑫，王千文，李秀琪，李无言，王佳琦

作者单位：

中国医学科学院整形外科医院,北京,100144

出版年份：

2014

期刊页数：

168-171

收录者：

万方

摘要：

目的探讨远位扩张皮瓣带蒂移植在修复面颈部畸形中的应用.方法采用背部超长动脉扩张皮瓣、锁骨下扩张皮瓣、上臂内侧逆行扩张皮瓣带蒂移植修复面颈部畸形96例,并进行回顾性的资料分析与随诊.结果 95例患者均获得了比较满意的效果,皮瓣全部成活,色泽正常;1例远端发生坏死.供区均直接缝合.经术后1～8年随访观察,转移皮瓣色泽与颜面部接近,厚度适中,感觉正常,外形美观.结论远位扩张皮瓣修复面颈部畸形是一种安全可靠、实用有效的方法,适应证广泛,值得进一步推广应用. Objective To investigate the application of expanded distant skin flaps for the facial and cervical deformities.Methods 96 patients with facial and cervical deformities who underwent reconstructive surgery with expanded distant skin flaps were retrospectively reviewed and followed up.Results Good results were achieved in 95 cases.Necrosis happened in the distal end of one flap.The patients were followed up for 1-8 years with good cosmetic results,such as well-matched flap texture and color.Conclusion The expanded distant skin flap is suitable and reliable for facial and cervical deformities.

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