改良菱形皮瓣在面部软组织缺损修复中的应用  

Application of modified rhomboid flap in the repair of facial soft tissue defects

作　　者：郝健 王川[2] 杨川峰 顾钏[4] 罗君 李天石[5] HAO Jian;WANG Chuan;YANG Chuan-feng;GU Chuan;LUO Jun;LI Tian-shi(Shenzhen Jian An Plastic and Cosmetic Clinic,Shenzhen 518000,China)

机构地区：[1]深圳建安医疗美容门诊部,广东深圳518000 [2]清华大学附属北京清华长庚医院整形外科,北京102218 [3]上海百达丽医疗美容门诊部,上海200030 [4]上海交通大学医学院附属第九人民医院整复外科,上海200011 [5]北京大学深圳医院整形外科,广东深圳518036

出　　处：《中国美容整形外科杂志》2021年第3期140-142,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨改良菱形皮瓣修复面部缺损的临床疗效。方法自2016年1月至2019年12月深圳建安医疗美容门诊部采用改良菱形皮瓣修复面部肿物切除后皮肤软组织缺损患者45例,肿物主要位于耳部、下睑缘、鼻背部、上唇及面颊部;缺损面积为1.5 cm×2.0 cm~3.0 cm×4.0 cm。结果所有患者皮瓣全部成活,切口一期愈合,术后随访6~12个月,术后皮瓣色泽、血运良好,触感正常,外观较满意,且无明显瘢痕。结论采用改良菱形皮瓣修复面部肿物切除后软组织缺损,具有设计灵活、充分利用周围组织、手术操作简单、术后瘢痕较小等优点,值得临床推广。Objective To explore the clinical efficacy of modified rhomboid flap in the repair of facial soft tissue defects.Methods From January 2016 to December 2019,45 patients with facial soft tissue defects after resection of tumor were repaired by modified rhomboid flap.The tumor was mainly located in the ear,lower eyelid margin,nasal dorsum,upper lip and cheek.The area of defects ranged from 1.5 cm×2.0 cm to 3.0 cm×4.0 cm.Results All flaps survived and incisions healed by first intention.All patients were followed up for 6 to 12 months.The flap has good color,blood supply and normal tactile sensation after operation.Patients were satisfied with the appearance.No obvious scar was observed.Conclusion Application of modified rhomboid flap in the repair of facial soft tissue defects after resection of tumor has the advantages such as flexible design,making full use of surrounding tissue,simple operation and small postoperative scar.It should be considerable for clinical popularization.

关 键 词：改良菱形皮瓣 面部肿物 面部软组织缺损 瘢痕 

分 类 号：R622[医药卫生—整形外科]