窄蒂侧颌颈部皮瓣修复面部组织缺损  

Repair of the facial tissue defects with reversed narrow pedicle lateral maxillocervical fasciocutaneous flap

作　　者：赵天兰[1] 程新德[1] 徐达传 李光早[1] 张莉[1] 徐静[1] 葛树星[1] 

机构地区：[1]安徽蚌埠医学院附属医院整形外科 [2]广州市第一军医大学临床解剖研究所

出　　处：《中华整形外科杂志》2002年第3期148-150,共3页Chinese Journal of Plastic Surgery

基　　金：安徽省"十五"攻关项目基金资助 (编号 :0 10 13 0 3 1)

摘　　要：目的　介绍一种因多种原因导致的面部皮肤及深层组织缺损与畸形的修复方法。方法　设计以耳前狭窄皮肤筋膜为蒂的侧颌颈部皮瓣移转修复缺损。皮瓣最大 10cm× 11cm ,最小5cm× 6cm。蒂部宽 1 0～ 1 5cm ,长 2～ 5cm。结果　应用窄蒂侧颌颈部皮瓣治疗 2 1例 ,除 1例皮瓣远端皮肤坏死外 ,其余全部成活。结论　本皮瓣不带知名血管 ,打破带蒂随意皮瓣的长宽比例规定 ,是一种新的皮瓣设计 ,窄蒂移转方便 ,修复后外形满意 。Objective\ To introduce a method of repairing facial tissue defects caused by various factors. Methods\ The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap was designed with its pedicle located in front of auricle. The size of the flaps ranged from 5cm×6cm to 10cm×11cm.The length and width of the pedicle ranged 2cm～5cm and 1cm～1.5cm. Results\ This fasciocutaneous flap was used in 21 cases.All flaps survived except 1 flap showing distal skin necrosis. Conclusion\ This fasciocutaneous flap didn't include any major blood vessel.The ratio of the pedicle width to flap length broke that of traditional flap and was reverse transfer. The transposition of the narrow pedicle flap was easy.The postoperative appearance (color,texture, cosmetic aspect)was satisfactory.This method was a new design and was ideal for large facial tissue defect repair.\;

关 键 词：面部组织缺损 侧颌颈部皮瓣 修复 手术方法 皮瓣设计 

分 类 号：R622[医药卫生—整形外科]