风筝样皮瓣修复面部软组织缺损的临床应用

Clinical Use of Random Pattern Skin Flap for Repairing Facial Tissue Defects

目的探讨风筝样皮瓣在面部软组织缺损修复中的应用效果。方法我科自2005年1月至2008年5月,对21例面部因外伤、体表肿瘤、黑痣、瘢痕等切除术后软组织缺损进行修复。将病变组织行圆形、梭形或椭圆形切除,于缺损的一侧设计、形成以皮瓣基底部皮下组织为蒂,或以皮瓣两侧皮下组织为蒂的"风筝"样皮瓣,皮瓣最大宽度小于或等于缺损直径,长度约为缺损直径的2.0～2.5倍,推进覆盖缺损部位。结果21例患者术后风筝样皮瓣全部成活。经1个月至1年随访,皮瓣在色泽、形态和功能上均保持良好,修复效果显著。结论风筝样皮瓣修复面部软组织缺损,血运可靠,切口愈合后瘢痕不明显,术后效果好,方法简单,值得推广。

Objective To explore the method of repairing facial tissue defects with the kite flap. Methods From January 2005 to May 2008, we used the kite flap to repair facial tissue defects caused by injury, body surface tumor, removal of nevus or scars in 21 patients. The lesion was excised with circle, spindle or ellipse shape, and the kite flap with central or lateral subcutaneous pedicle was designed for repairing of the facial defect. The width of kite flap was shorter than diameter of the defect, or equal to it. The length of flap was 2.0-2.5 times than diameter of the defect. Results In the 21 cases, all kite flaps survived. The color, function and shape of the flaps follow up 1-12 months are satisfactory. Conclusion It is better to choose kite flap for repairing facial tissue defect because it is convenient and simple, and it is abundant in blood supply.