风筝皮瓣在眉弓部良性肿瘤切除术后创面美容亚单位的美学修复  

Recontruction of facial aesthetic subunit with kite flap after resection of benign tumor at supraorbital ridge

作　　者：张驰[1] 唐修俊[1] 王达利[1] 魏在荣[1] 王波[1] 祁建平[1] 李海[1] 邓呈亮[1] Zhang Chi Tang Xiujun Wang Dali Wei Zairong Wang Bo Qi Jianping Li Hai Deng Chengliang.(Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, Chin)

机构地区：[1]遵义医学院附属医院烧伤整形外科,563003

出　　处：《中华整形外科杂志》2017年第1期12-15,共4页Chinese Journal of Plastic Surgery

基　　金：国家临床重点专科建设项目[国卫办医函（2013）544]

摘　　要：目的探讨风筝皮瓣在眉弓部良性肿瘤切除术后创面美容亚单位的美学修复效果。方法2012年6月至2015年9月，治疗12例眉弓部肿瘤患者，男8例，女4例，年龄34～68岁，肿瘤大小0．3cm×1．0cm～0．5cm×1．0cm，术后创面缺损0．5cm×1．2cm～0．8cm×1．2cm，根据缺损创面大小设计风筝皮瓣修复创面，皮瓣面积0．6cm×1．2cm～1．0cm×1．5cm。结果术后12例患者皮瓣存活，未出现皮瓣血运障碍，切口愈合良好。随访6～24个月，术区瘢痕隐藏于眉毛中，皮瓣质地、颜色与正常皮肤相近，眉毛生长正常，双侧眉形基本对称，外观较满意。结论风筝皮瓣修复眉弓部良性肿瘤切除术后缺损，术区组织损伤小，恢复较快，皮瓣血运稳定，存活率高，术后瘢痕隐蔽，不影响眉毛的生长，能达到较好的美容修复效果。Objective To investigate the recontruction of facial aesthetic subunit with kite flap after resection of benign tumor at supraorbital ridge. Methods From June 2012 to September 2015, 12 cases（8 male and 4 female, aged 34 -68 years） with benign tumor at supraorbital ridge underwent tumor resection, following by reconstruction with kite flap. The tumor size ranged from 0.3 cm× 1.0 cm to 0.5 cm × 1.0 cm, and the defects size ranged from0.5 cm×1.2 cm to0.8 cm×1.2 cm. The kite flaps were 0.6 cm × 1.2 cm to 1.0 cm × 1.5 cm. Results All the 12 flaps survived completely with primary healing and no complication. The scar was inconspicious, which was hidden into brows. The brows showed good symmetric cosmetic effect. Conclusions The kite flap has reliable blood supply and survival rate, which does not affect the brows symmetry. Aesthetic result can be achieved by Kite flap in the reconstruction of defect after resection of benign tumor at supraorbital ridge.

关 键 词：外科皮瓣 眉弓部 良性肿瘤 美容亚单位 

分 类 号：R62[医药卫生—整形外科] R739.91[医药卫生—外科学]