扩张后胸三角皮瓣修复面部良性肿瘤切除后创面  

Expanded deltopectoral skin flap for repair of wounds after excision of facial benign tumor

作　　者：马显杰[1] 李杨[1] 李威扬[1] 王璐[1] 董立维[1] 崔江波[1] 

机构地区：[1]第四军医大学西京医院整形外科研究所,西安710032

出　　处：《中华医学美学美容杂志》2014年第2期88-90,共3页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：国家自然科学基金资助项目（编号：81171826）;陕西省科学技术研究发展计划项目（编号：2012SF2-01-2）

摘　　要：目的 探讨面部良性肿瘤切除后创面的修复方法.方法 根据患者面部良性肿瘤的面积,采用单侧或双侧胸三角皮瓣预扩张,在胸三角皮瓣下靠近肩部置入1个扩张器,切口选择在锁骨下.扩张完成后,先将面部良性肿瘤部分或全部切除,据缺损大小设计皮瓣.皮瓣应大于缺损面积10％～15％,蒂部可制成管状或应用良性肿瘤翻转与胸三角皮瓣蒂部形成铰链而封闭蒂部创面.3周后将皮瓣延迟,再1周后断蒂.结果 20例患者应用扩张后胸三角皮瓣带蒂转移修复面部良性肿瘤切除后创面,效果均满意.结论 扩张后胸三角皮瓣是修复较大面积面部良性肿瘤切除后创面的较好方法.Objective To explore the repair method for wounds after excision of facial benign tumors.Methods Unilateral or bilateral deltopectoral skin flaps were expanded depending on the area of the facial benign tumor.Expander was implanted underneath deltopectoral flap region through an incision inferior to the clavicle.When expansion was completed,all or part of the benign tumor was excised before designing the flap according to the area of the skin defect.The area of the skin flap should be more than that of skin defect with 10% to 15%.The pedicle wound could be sealed by rolling it around to form a tube or a hinge using the benign tumor and pedicle.The flap was delayed three weeks later and the pedicle was divided one week after flap delaying.Results All 20 cases got the satisfactory results with treatment of pedicled expanded deltopectoral skin flaps for repair of wounds after excision of facial benign tumor.Conclusions It is a better option to repair a large area wound after excision of facial benign tumor with an expanded deltopectoral skin flap.

关 键 词：扩张术 胸三角皮瓣 面部 肿瘤 

分 类 号：R739.91[医药卫生—肿瘤]