皮瓣在面部病灶切除术后软组织缺损修复中的应用

Clinical Application of Skin Flap for the Repair of Soft Tissue Defect after Facial Lesionectomy

目的探讨面部病灶切除术后软组织缺损以皮瓣修复的临床效果。方法2017年6月至2018年12月,14例面部皮肤肿物切除后,缺损范围1.2 cm×1.0 cm^4.8 cm×2.1 cm,采用A-T皮瓣修复1例,带蒂鼻唇沟皮瓣修复6例,带蒂颌下皮瓣修复3例,带筋膜蒂皮瓣修复4例。所有患者术后随访6个月。结果14例移植皮瓣完全成活,切口均一期愈合。术后6个月,皮瓣色泽正常,血运良好,有触感,外观恢复满意。结论不同皮瓣修复各具优势,应根据缺损情况进行选择;就近取材或采取多个局部皮瓣进行修复,可提高皮瓣成活率,保证术后面部功能及外观的完整。

Objective To explore the clinical effect of skin flap for the repair of soft tissue defect after facial lesionectomy.Methods A total of 14 patients with facial skin mass were retrospectively selected from June 2017 to December 2018.After facial lesionectomy,the facial defect range was 1.2 cm×1.0 cm to 4.8 cm×2.1 cm.Among the 14 patients,one case was repaired with A-T flap,6 cases with pedicled nasolabial groove flap,3 cases with pedicled lower jaw flap and 4 cases with fascial pedicled flap.All the patients were followed up for 6 months.Results All the flaps survived completely and all the incisions healed in the first stage.Six months after operation,the skin flap had normal color,good blood supply and tactile sensation,satisfactory recovery of facial function and appearance were achieved.Conclusion Different kinds of flap repair have different advantages,so different kinds of flap repair should be used according to different defect of facial soft tissue.Nearby materials or take multiple local skin flap to repair can enhance the survival rate of skin flap and ensure the integrity of facial function and appearance.