“风筝”皮下蒂皮瓣在颌面部皮肤缺损修复中的应用

Application of kite flap on a subcutaneous pedicle for repair of maxillofacial defects

目的 探讨应用“风筝”皮下蒂皮瓣修复颌面部中等大小皮肤缺损的临床效果。方法 自2004年8月至2008年12月，应用以皮瓣基底部组织为蒂的“风筝”皮瓣，修复因面部皮肤病变切除后和外伤造成的中等大小的圆形或类圆形皮肤缺损13例，缺损大小平均约3．0em×5．0cm。结果 术后皮瓣全部成活。所有患者随访2周至4年，效果满意。皮瓣颜色、质地与周围组织相近，局部平整，术后瘢痕与皮纹方向一致或隐藏于皮肤皱褶内而不明显，面部各主要器官没有明显扭曲和移位畸形，肿瘤术后无复发。结论 “风筝”皮瓣具有临床操作简单、皮瓣血运可靠等众多优点，是颌面部中等大小皮肤缺损修复的一种理想、可靠的方法。

Objective To explore the clinical effect of kite flap on a subcutaneous pedicle for repair of moderate maxillofacial defects. Methods From August 2004 to December 2008, 13 cases with medium-sized facial skin defects caused by surgical removal of skin tumors or injury underwent plastic treatment with kite flaps on a subcutaneous pediele. The size of flaps was in the range of about 3.0 cm × 5.0 cm. Results All cases gained graft survival postoperatively. With a 2 weeks to 4 years foflow-up, all patients showed satisfactory results. The graft skin flaps had the same colour and texture as the recipient site, and they all have local flatness; Scars were camouflaged into natural skin tension line ; There were no displacement of the anatomical landmarks, and no recurrence of tumor. Conclusion The method is simple and the flap is abundant in blood supply. Kite flap may be a reliable and ideal method for reconstruction of facial medium-sized skin defects.