折叠延长下斜方肌岛状皮瓣修复面颊部巨大洞穿性缺损  

Cheek Great Penetrating Defect Through Folding Extended Lower Trapezius Myocutaneous Island Flap

作　　者：陈伟鹏[1] 范智凌[1] 谢玉国[1] 

机构地区：[1]中国人民解放军第一八八医院烧伤整形外科,广东潮州521000

出　　处：《中国医疗美容》2014年第2期8-8,10,共2页China Medical Cosmetology

摘　　要：目的:探讨折叠延长下斜方肌岛状皮瓣修复面颊巨大洞穿性缺损的可行性。方法:选择我院2011年7月至2013年12月收治的18例患者,其中面颊部恶性肿瘤扩大切除6例,电击伤9例,动物咬伤3例,均以面颊部巨大缺损及洞穿性缺损为主,缺损面积约6cm×8cm^10cm×14cm,使用折叠延长下斜方肌岛状皮瓣修复。皮瓣长9~30cm,宽为8cm折叠对面颊部洞穿性缺损进行修复,恢复口腔内衬,以及口腔外侧面颊皮肤。结果:经修复后,18例皮瓣全部成活,患者口腔功能满意,外观良好。结论:折叠延长下斜方肌岛状肌皮瓣能够在面颊部巨大洞穿性损伤的修复中,作为首选皮瓣,其操作安全,且简单可靠,效果满意。Objective:To investigate the feasibility of folding extended lower trapezius myocutaneous island flap to repair large penetrating defect of cheek. Methods:18 cases of buccal malignant tumor in the hospital from July, 2011 to December, 2013 were under the huge extended resection of buccal penetrating defect, with 6 cases with cheek malignant tumor resection, 9 cases with electrical injury and 3 cases with animal bites. Cheek defect and scored huge defect was the main phenomenon with 6cm×8cm^10cm×14cm area. And folding extended lower trapezius myocutaneous island flap was used. Skin island length was 9~30cm, and the width was 8cm folded cheeks penetrating defect repair. The oral lining and the outside of the cheek skin around mouth were restored. Results:After the repair, 18 flaps survived with satisfactory appearance and good oral function. Conclusion:Folding extended lower trapezius island myocutaneous flap can appear in the radical operation of oral malignant tumor after the cheek great penetrating injury, as the preferred flap, safe operation, simple and reliable and satisfactory effect.

关 键 词：颊缺损 斜方肌皮瓣 洞穿性缺损 带蒂皮瓣 

分 类 号：R622[医药卫生—整形外科]