应用SMAS蒂岛状皮瓣修复面部皮肤缺损

Repair of facial skin defect with a skin flap of SMAS pedicle

目的探讨以SMAS为蒂的岛状皮瓣修复眼睑及口周皮肤缺损的方法。方法根据皮肤缺损的部位,设计以SMAS为蒂的远位岛状皮瓣修复眼睑及口周皮肤软组织缺损。结果自1998年8月起,临床应用已14例,最大皮瓣面积为5cm×3cm,术后皮瓣全部成活,效果满意。结论应用设计供区部位较隐蔽的以SMAS为蒂的岛状皮瓣,远位转移修复眼睑及口周皮肤及软组织缺损,血供良好,皮瓣颜色质地与受损区域皮肤协调,效果满意。

Objective To report a method of repair facial skin defects with a skin flap of SMAS pedicle. Methods According to the size of defect of skin , design a skin flap with SMAS pedicle for repair of defect Results The method has been successfully applied for skin defects of eyelid and lip in 14 cases with satisfied results. The area of the largest flap was 5 cm×3 cm. Conclusion Repairing facial defects such as eyelid skin defect or lip skin defect with skin flap of SMAS pedicle is a very good method. The flap has a good blood supporting and satisfactory color and flexibility.;