鼻唇沟岛状皮瓣在面部皮肤缺损修复中的应用  

Nasolabial island pedicle flap for cutaneous reconstruction in the face

作　　者：李军辉[1] 邢新[1] 欧阳天祥[1] 李萍[1] 许洁[1] 郭恩覃[1] 

机构地区：[1]第二军医大学长海医院整形外科,上海200433

出　　处：《第二军医大学学报》2006年第3期292-294,共3页Academic Journal of Second Military Medical University

摘　　要：目的：介绍鼻唇沟岛状皮瓣在面部皮肤缺损修复中的应用和效果。方法：自1997年8月至2005年1月，以鼻唇沟区作皮瓣供区，设计推进和易位转移的两种以皮下组织为蒂的鼻唇沟岛状皮瓣，修复面部鼻唇沟周围的中等大小的皮肤缺损共23处，缺损大小由2．0cm×1．9cm至5．0cm×4．5cm。结杲：皮瓣全部成活，切口I期愈合，随访时间1～40个月，面部形态满意；局部平整，没有“猫耳朵”形成；切口瘢痕隐藏于鼻唇沟皱褶内而不显；面部各器官没有扭曲和移位畸形。结论：鼻唇沟岛状皮瓣是修复面部中等大小皮肤缺损的较可靠和理想的方法之一。Objective：To investigate the application and outcome of nasolabial island pedicle flap in reconstruction of medi- um-sized skin defects in the face. Methods： From August 1997 to January 2005, advancement or transposition island pedicle flaps harvested from nasolabial fold were utilized to repair 23 medium-sized skin defects due to surgical removal of skin tumors or scars in the face. The size of the lesions ranged from 2.0 cm× 1.9 cm to 5.0 cm×4.5 cm. Results： All flaps survived with primary healing postoperatively. With a follow-up ranging from 1-40 months, scars were camouflaged into natural skin tension line. No visible dog-ear, distortion of surrounding skin, or displacement of the anatomical landmarks were observed. Conclusion： The nasolabial island flap with a subcutaneous pedicle may be a reliable and ideal method for the reconstruction of mediumsized skin defects in the face.

关 键 词：鼻唇沟岛状皮瓣 皮下组织蒂 皮肤 面部 创伤和损伤 

分 类 号：R622.1[医药卫生—整形外科]