Limberg皮瓣在面部缺损创面修复中的应用

Application of the flaps of limberg in reconstruction of facial skin defect

目的:观察Li mber g皮瓣修复面部缺损创面的效果。方法:9例面部肿物切除后皮肤软组织缺损患者设计Li mber g皮瓣修复创面。其中肿瘤患者3例;色素痣患者6例。结果:9例患者术后皮瓣均未出现动脉供血和静脉回流障碍,皮瓣色泽、质地较好;伤口Ⅰ期愈合,随访3～6月未见肿物或色素痣复发,瘢痕不明显,形态满意。结论:Li mberg皮瓣修复面部中小缺损创面效果良好。设计原则包括:将旋转瓣设计在临近皮肤最松弛区域并且最好完整覆盖一个凸出的美学单位;如果局部旋转后发生猫耳畸形,可以使用皮下蒂皮瓣或者改良的Li mber g皮瓣(DuFour ment el皮瓣);如缺损为圆形,用阅读者皮瓣(t he r eadi ng manpr ocedur e)效果可能更好。

Objective To explore the ideal way of using the flaps of Limberg in reconstruction of facial skin defect.Methods 9 cases were diagnosed as skin cancer or nevus of the face on the pathological examination.They were resected and reconstructed using the flaps of Limberg.Results All wounds healed by first intention without venous congestion or infection of the flaps.The color,texture and contour matched well with the face.The incisions were along the margin of the facial aesthetic unit,leaving inconspicuous scars.During 3 to 6 months of follow-up,no tumor or nevus recurred.Doctors and patients are satisfied with the results.Conclusion The flaps of Limberg is a safe and effective procedure for correction of facial skin defect.However,Several principles should be followed when applying the flap.The rotational flap should be designed in the most flexible area and covered an entire aesthetic unit to take the advantage of The Trap Door Deformity.To avoid ＂Dog ear deformity＂,subcutaneous pedicle could be employed.If the defect is round,the reading man procedure would be more efficient and preferably.