双叶皮瓣在面部皮肤缺损修复中的应用  

Application of double-leaf skin flap in the repair of the facial soft tissue defect

作　　者：孟庆延[1] 骆宁[1] 李泰然[1] 修一平[1] 冯薇[1] 钱学义[1] 黄正根[1] 张丽艳[1] 马靓[1] 

机构地区：[1]沈阳军区总医院烧伤科,辽宁沈阳110016

出　　处：《中国美容整形外科杂志》2013年第8期492-493,共2页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的 探索对面部特殊部位皮肤缺损修复的方法.方法 选择皮肤缺损部位位于鼻背、眼睑及周围皮肤和口周且范围较大、直接拉拢缝合或单叶皮瓣修复可能造成器官移位的患者27例.沿皮肤缺损长轴的方向在其侧方设计双叶皮瓣,两皮瓣夹角不超过45°.沿皮瓣设计线切开皮肤,深及筋膜,在筋膜表面剥离皮瓣至两皮瓣大部提起,仅保留蒂部与基底相连.旋转皮瓣至各自相应的位置,分层缝合各创缘.结果 所有患者创面均Ⅰ期愈合,皮瓣全部成活;附近器官组织未见明显移位和畸形.所有患者经6～12个月的随访,皮瓣质地和颜色均良好,原发病变亦未见复发.结论 对于鼻背、眼睑周围和口周围的皮肤缺损,为防止器官移位,局部双叶皮瓣不失为一种较好的选择.Objective To explore a suitable method for the repairing facial soft tissue defect. Methods Twenty-seven patients suffered from facial skin defects were included in this study. All of the skin defects were located in the nasal dorsal, the eyelids and around the mouth. The simple suture or simple leaf repair could make the organs displaced, so the double-leaf skin flap was designed along the long axis, at each lateral of the defect, the included angle between the 2 leaves was less then 45°. The skin was incised along the designed incision line and the flap was dissected to the deep fascia. The skin flap was transferred to the wounds smoothly and then sutured. Results All skin flaps survived well without any complications. The tissues and organs adjacent to the skin flap were not influenced. There was not any unsuitable symptom found after 6 to 12 months follow-up. Conclusion For reconstructing the soft tissue defect in the area of nasal dorsal, the eyelid and the area around the month, the double-leaf skin flap should be considered.

关 键 词：双叶皮瓣 皮肤缺损 面部 

分 类 号：R622[医药卫生—整形外科]