筋膜脂肪蒂螺旋桨皮瓣在面部创面修复中的临床应用

Clinical Application of Fascial Fatty Pedicle Propeller Flap in Facial Wound Repair

目的:面部术后缺损修复需要充分重视患者的美学诉求,是一项极具挑战的临床工作。本文介绍一种以筋膜脂肪层组织作为旋转蒂的螺旋桨皮瓣及其在面部缺损修复中的运用。方法:2017年4月-2019年12月,笔者科室使用此皮瓣对18例面部良恶性肿物切除患者进行修复,缺损面积1.4cm×1.8cm~4.2cm×4.9cm。术后,观察患者疗效及复发情况。结果:本组18例患者,术后皮瓣全部存活,切口均为一期愈合。术后随访半年至1年,病灶均无复发,术区平整,无猫耳现象,切口瘢痕不明显,面部器官无牵拉。患者均表示对手术效果较为满意。结论:筋膜脂肪蒂螺旋桨皮瓣经合理的术前设计可广泛运用于颜面部术后创面修复,且效果确切,值得临床推广。

Objective Reconstruction of facial defects may be a clinical challenge in respect to patients’esthetic demands.This article is to introduce the clinical application of fascial fatty pedicle propeller flap in facial wound repair.Methods From April 2017 to December 2019,18 cases of facial skin defects secondary to benign and malignant resection were reconstructed with the fascial fatty pedicle propeller flaps,and the width and length of the defects ranged from 1.4 cm×1.8 cm-4.2 cm×4.9 cm.After the operation,the effcacy and recurrence of the patients were observed.Results 18 patients,all flaps survived completely and incisions healed well.The patients were followed up from 6 months to 1 year after the operation.No tumor recurrence was noticed,the operation area were healed flatly without any obvious dog-ears,and the incision scars were Inconspicuous and no facial organs shifted.All the patients were satisfied with the final operation effect.Conclusion The fascial fatty pedicled propeller flap which is accurate designed can be widely used in the facial wound repaire.the outcomes is reliably and worthy of clinicalpromotion.