易位扩张皮瓣的逆行设计和应用

Antidromic design and application of the expanded transposition flap Department of plastic surgery

目的:总结易位扩张皮瓣在修复头面颈部皮肤缺损中的设计方法及应用体会,探讨提高软组织扩张术效果的方法。方法:对25例头面颈部瘢痕、皮肤肿瘤患者,根据易位转移扩张皮瓣的设想,根据其皮肤缺损的形态、位置,进行合理逆行设计,采用国产硅橡胶扩张器行皮肤扩张术,应用易位转移扩张皮瓣为主的方式修复。结果:本组共形成40个易位扩张皮瓣,其中单纯易位扩张皮瓣11个,易位结合推进及旋转皮瓣29个。有1个易位扩张皮瓣出现远端血运障碍(0.5～2cm),其余皮瓣良好,修复效果满意。结论:根据易位转移扩张皮瓣的设想逆行设计,合理埋置扩张器,不失为提高软组织扩张手术效果的一种好方法。

Objective Summarizing antidromic design and application of the expanded transposition flap, to investigate the method to maximize the gain from tissue expanders. Methods According to the expanded transposition flap, we designed antidromicly not only the position and size of the expanders but also the transposition flaps after expansion. There were 25 patients （including scar and skin tumor） were carried out with this procedure with 40 expanders. Results There were 40 expanded transposition flaps in 25 patients, only one flap was suffered with blood circulation disorder in the end. The results have were excellent satisfactory. Conclusion Logical antidromic design of the expanded transposition flap can maximize the gain from tissue expanders.