皮肤软组织重复扩张术治疗头面部大面积病变缺损18例临床分析

Repeated tissue expansion for repairing extensive scalp and facial soft tissue defects: analysis of 18 cases

目的总结应用皮肤软组织重复扩张术治疗18例头面部大面积病变缺损的临床经验。方法对已扩张一、两次后的头面部正常皮肤组织进行1-2次重复扩张,利用扩张皮瓣分次修复头面部病变软组织缺损。结果共治疗18例,头面部病变组织均完全切除,头皮瓣毛发分布较均匀,但比较稀疏,面部有一例切口疤痕较明显,随访6个月,头面部外观及功能修复满意。结论皮肤软组织的重复扩张术是修复头面部大面积病变缺损的一种较好的方法。

Objective To summarize our experiences with 18 cases of repeated tissue expansion for treating extensive scalp and facial soft tissue defects. Method Tissue expansion was performed for 1 or 2 times after the primary expansion for repairing large scalp and facial soft tissue defects ranging from 9 cm×5 cm to 16 cm×12 cm using re-expanded flaps. The indications, complications and experiences in the treatment were discussed. Result Satisfactory results were obtained in all the 18 cases. On the follow-up conducted 6 months postoperatively, the repaired defects presented excellent appearance and functional recovery without additional scars. Conclusion Repeated tissue expansion is an effective technique for repairing large tissue defects in the head and face.