颏下动脉穿支皮瓣修复面下部畸形及缺损  

The submentai artery perforator flap for lower face defect and deformity

作　　者：王先成[1] 李晓芳[1] 鲁青[1] 吴祖林[1] 贺吉庸[1] 

机构地区：[1]中南大学湘雅二医院烧伤整形美容外科,长沙410011

出　　处：《中华整形外科杂志》2010年第1期18-20,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨应用颏下动脉穿支皮瓣修复面下部缺损及畸形的方法。方法2006年9月至2009年3月，采用带蒂的颏下动脉穿支皮瓣修复面下部皮肤软组织缺损或畸形22例，术前常规用多普勒超声血流探测仪探测穿支点并标记，皮瓣大小为4cm×5cm-6cm×7cm，将穿支点包括在内。结果除1例皮瓣远端部分坏死，经换药后愈合，其余皮瓣均成活，外形满意，供区隐蔽无明显畸形。结论颏下动脉穿支皮瓣血运可靠，血管走行稳定，供区隐蔽，是临床修复面下部畸形或软组织缺损的良好供区。Objective To analyze the clinical application of submental artery perforator flap for lower face defect and deformity. Methods From Sep. 2006 to Mar. 2009, 22 cases with lower face defects and deformities were treated with the submental artery perforator flaps. The age of the patients ranged from 14 to 36. The perforator point was detected by Doppler flowmeter. The size of the flaps ranged from 4 cm× 5 cm to 6 cm× 7 cm. Results Distal partial necrosis happened in one flap, which healed through dressing. All the other flaps survived with satisfactory appearance and less morbidity in donor sites. Conclusions Submental artery perforator flap is very suitable for lower face defect and deformity with reliable blood supply and less morbidity in donor site.

关 键 词：颏下动脉 外科皮瓣 面部 

分 类 号：R782[医药卫生—口腔医学]