岛状皮瓣在面部较大面积皮肤软组织缺损修复中的应用

Application of island flap for repair of large scale defects on face

目的探讨应用岛状皮瓣I期修复面部较大面积皮肤软组织缺损的可行性及优越性。方法针对各类面部较大面积皮肤软组织缺损患者，无合适局部带蒂皮瓣可供利用者，根据缺损部位、面积大小设计应用耳前皮下蒂侧颌颈岛状皮瓣、颏下动脉岛状皮瓣、内眦动脉岛状皮瓣、眼轮匝肌蒂岛状皮瓣及鼻唇沟皮下蒂岛状皮瓣等进行I期修复。结果共48例面部较大面积皮肤软组织缺损患者，采用上述岛状皮瓣修复，术后皮瓣全部成活，其中35例患者随访1～36个月，均获得良好的外形和功能恢复，效果满意。结论上述岛状皮瓣血供可靠，肤色质地好，供区多较隐蔽，手术操作也较为简单，安全快速，是I期修复面部较大面积皮肤软组织缺损的理想方法。

Objective To explore the effect of the island flap application on repairing large scale defects on the face. Methods Based on the defect size, shape and location, preauricula narrow stem side geny-neck flap, submental island flap, angular artery flap, eyelid musculus orbicularis flap and nasolabial groove island flap were used to repair the large scale defects of the face in a one-stage operation. Results All flaps survived well without any obvious complications. 35 patients were followed up for 1 to 36 months. Repaired tissues were well matched with the surrounding tissue. Resulting facial contour and appearance were good, and cosmetic results overall were satisfactory. Conclusion The application of island flaps to repair the large scale defects on the face in a one-stage operation is a better method that can achieve good contour and satisfactory cosmetic results.