[1]康春雨,李博强,税文祥,等.大面积横向推进皮瓣修复颜面侧较大皮肤缺损的研究[J].中国美容医学,2024,(4):30-32.
　KANG Chunyu,LI Boqiang,SHUI Wenxiang,et al.Study on the Repair of Lateral Facial Large Skin Defect with Large-area Transverse Advancement Flap[J].Medical Aesthetics and Beauty,2024,(4):30-32.
点击复制

大面积横向推进皮瓣修复颜面侧较大皮肤缺损的研究()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年4期
页码:
30-32
栏目:
出版日期:
2024-04-10

文章信息/Info

Title:
Study on the Repair of Lateral Facial Large Skin Defect with Large-area Transverse Advancement Flap
文章编号:
1008-6455（2024）04-0030-03
作者:
康春雨; 李博强; 税文祥; 杨跃辉
(朗姿医美四川米兰柏羽医学美容医院总院 四川 成都 610000 )
Author(s):
KANG Chunyu;  LI Boqiang;  SHUI Wenxiang;  YANG Yuehui
(Szechwan BRAVOU Medical Plastic Surgery Hospital, Chengdu 610000, Sichuan, China)
关键词:
颜面侧; 皮肤软组织缺损; 皮瓣; 修复; 体表肿瘤
Keywords:
lateral face;  skin and soft tissue defect;  fl ap;  repairing;  superfi cial tumor
分类号:
R622
文献标志码:
A
摘要:
目的：探讨应用大面积横向推进皮瓣修复颜面侧较大皮肤缺损的临床效果。方法：2015年1月-2021年12月，笔者医院 收治的12例单侧颜面侧较大体表良性肿瘤和瘢痕切除术后患者，颜面侧皮肤缺损平均宽度为5.2 cm。通过创面两侧广泛皮下 分离，横向推进，未做皮肤扩张，即完成创面覆盖，从而达到修复的目的。结果：所有患者经6个月～5年随访，切口均愈 合良好，无明显瘢痕增生，远期无眼睑外翻等并发症。仅1例患者术后出现切口边缘良性肿物复发，通过再次手术切除后痊 愈。结论：应用广泛皮下游离的大面积横向推进皮瓣修复颜面侧较大皮肤缺损，无需皮肤扩张，临床疗效较好，是相对理想 的修复方法。
Abstract:
Objective To investigate the clinical eff ect of large-area transverse advancement fl ap in repairing Large skin defects of the lateral face. Methods From January 2015 to December 2021, 12 patients who underwent resection of facial skin benign tumor and scar in the author’s hospital were selected, and the average size of the defects was 5. 2 cm. To covere the wound,we separated subcutaneous tissue widely on both sides,then advanced the fl aps widely without skin expansion. Results All patients were followed up for 6 months to 5 years, and the incisions healed well without obvious scar hyperplasia, and there was no complication such as eyelid ectropion in the long term. Only 1 patient had recurrence of benign tumor at the edge of the incision and was cured by reoperation. Conclusion The extensive subcutaneous free large transverse advancement fl ap is a relatively ideal method for repairing large skin defects in the lateral facial region. It does not require skin expansion and has good clinical efficacy.

相似文献/References:

[1]庄淑波,赵 娜,及跃男,等.A-T皮瓣在眼周皮肤缺损修复中的应用[J].中国美容医学,2018,(06):19.
　ZHUANG Shu-bo,ZHAO Na,JI Yue-nan,et al. Clinical Application of A-T Flap for Repair of the Face Skin Defects[J].Medical Aesthetics and Beauty,2018,(4):19.
[2]庄淑波,及跃男,赵 娜,等.改良Dufoumental菱形皮瓣结合美学原理修复面部皮肤缺损[J].中国美容医学,2018,(09):49.
　ZHUANG Shu-bo,JI Yue-nan,ZHAO Na,et al.The Modified Dufoumental Rhomboid Skin Flap Combined with Aesthetic Principle is Applied to Repair Facial Skin Defect[J].Medical Aesthetics and Beauty,2018,(4):49.
[3]庄淑波,许萌萌,刘 毅. 鼻唇沟皮瓣修复鼻部皮肤软组织缺损的临床观察[J].中国美容医学,2019,(01):36.
　ZHUANG Shu-bo,XU Meng-meng,LIU Yi. The Nasolabial Flap Application in Repair of Nasal Defects[J].Medical Aesthetics and Beauty,2019,(4):36.
[4]胡耀华,张 超,王红梅,等. VSD联合表皮生长因子治疗皮肤软组织缺损的效果研究[J].中国美容医学,2019,(03):4.
　HU Yao-hua,ZHANG Chao,WANG Hong-mei,et al.The Effect of VSD Combined with Epidermal Growth Factor in Treatment of Skin andSoft Tissue Defects[J].Medical Aesthetics and Beauty,2019,(4):4.
[5]郭 鱼,岑 瑛,高智雍,等. 扩张胸三角皮瓣修复头面部皮肤软组织缺损的效果分析[J].中国美容医学,2019,(04):135.
　GUO Yu,CEN Ying,GAO Zhi-yong,et al. Effect of Expanded Thoracic Triangle Skin Flap on Repairing Skin and Soft TissueDefects in Head and Face[J].Medical Aesthetics and Beauty,2019,(4):135.
[6]张 琼.前瞻性主动护理模式对四肢开放性骨折并皮肤软组织缺损患者创面修复及心理状况的影响[J].中国美容医学,2022,(3):168.
　ZHANG Qiong.Effects of Prospective Active Nursing Mode on Wound Repair and Psychological Status of Patients with Open Limbs Fractures and Soft Tissue Defects[J].Medical Aesthetics and Beauty,2022,(4):168.
[7]张 琼.前瞻性主动护理模式对四肢开放性骨折并皮肤软组织缺损患者创面修复及心理状况的影响[J].中国美容医学,2022,(3):168.
　ZHANG Qiong.Effects of Prospective Active Nursing Mode on Wound Repair and Psychological Status of Patients with Open Limbs Fractures and Soft Tissue Defects[J].Medical Aesthetics and Beauty,2022,(4):168.
[8]张 涛,王小磊,赵 亮.改良掌背动脉皮支筋膜蒂皮瓣修复手指近、中节皮肤软组织缺损效果分析[J].中国美容医学,2022,(5):39.
　ZHANG Tao,WANG Xiaolei,ZHAO Liang.Effect of Modified Dorsal Metacarpal Artery Cutaneous Branch Fascial Pedicle Flap in Repairing Skin and Soft Tissue Defects of Proximal and Middle Fingers Segments[J].Medical Aesthetics and Beauty,2022,(4):39.
[9]刘立柱,李超艺,林诗炜,等.小鼠10%皮肤软组织缺损创伤后应激障碍抑郁样行为模型的构建及其发生机制探讨[J].中国美容医学,2022,(5):98.
　LIU Lizhu,LI Chaoyi,LIN Shiwei,et al.Construction and Mechanism of Depression-like Behavior Model of Post-traumatic Stress Disorder in Mice with 10% Skin and Soft Tissue Defects[J].Medical Aesthetics and Beauty,2022,(4):98.
[10]尹兆会,孙晓晨.鼓式取皮法切取大张次全厚皮片修复皮肤软组织缺损效果探讨[J].中国美容医学,2022,(6):52.
　YIN Zhaohui,SUN Xiaochen.Effects of Repairing Skin and Soft Tissue Defects with Large Sub-full-thickness Skin Grafts Cut by Drum Peeling Method[J].Medical Aesthetics and Beauty,2022,(4):52.

更新日期/Last Update: 2024-04-09