应用胸锁乳突肌肌皮瓣修复注射引产致面部凹陷畸形  

Applicationg of sternocleidomastoid myocutaneus flap in repairing facial scar with depression

作　　者：李晓格[1] 陈亮[1] 李世荣[1] 

机构地区：[1]第三军医大学附属西南医院整形外科,重庆400038

出　　处：《中国美容医学》2011年第11期1707-1708,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨胸锁乳突肌肌皮瓣在修复注射引产引起的面部瘢痕伴凹陷畸形的方法及效果。方法:应用以胸锁乳突肌乳突头为蒂的单蒂肌皮瓣修复注射引产引起的颌面部瘢痕及面部明显凹陷畸形患者3例,术中切除面部瘢痕,彻底松解,在胸锁乳突肌远端设计相应大小的肌皮瓣,旋转覆盖面部缺损部位。结果:术后3例胸锁乳突肌肌皮瓣均成活,但因静脉回流障碍均发生小面积的表皮坏死,经换药均自愈。面部瘢痕及凹陷得到明显改善。结论:胸锁乳突肌乳突头单蒂肌皮瓣旋转灵活,能提供足够皮肤及组织量,既解决了去除瘢痕后皮肤量不足的问题,又解决了面部软组织发育不良导致的面部凹陷,是一种较理想的手术方法。Objective To evaluate the effect of using the sternocleidomastoid myocutaneous flap to reconstuct the facial scar with depression.Methods Three patients were treated whih the sternocleidomastoid myocutaneous flap,removed facial sacar and design The corresponding size sternocleidomastoid myocutaneous flap at the end of clavicular head to cover the facial defect.Results All the three sternocleidomastoid myocutaneous flap survived,with significant effect.Conclusion The sternocleidomastoid myocutaneous flap can be designed with more flexibility and provide an enough skin and tissue mass.It is an ideal method.

关 键 词：胸锁乳突肌皮瓣 乳突头单蒂 面部凹陷 面部瘢痕 

分 类 号：R622[医药卫生—整形外科]